Child Therapy

How do I go about getting a therapy appointment for a third grader? What should I expect from the process?

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Question

Dear Clem,

I’m newly divorced with a struggling 8-year-old. There’s been a lot of changes lately and I’m wondering if therapy might help my kid adjust, but I don’t know where to start. How do I go about getting a therapy appointment for a third grader? What should I expect from the process?

– Single parent

Clem's Response

Woof, woof! If your child’s emotions are getting in the way of their success at home, school, or in social settings, therapy could be a helpful tool in supporting them.

A good place to begin your search for an appropriate therapist is by asking your primary care physician, and/or school counselor for a referral. Your insurance provider might also have a list of in-network therapists. Juneaumentalhealth.org is also a great resource to connect with psychiatrists, psychologists, therapists and counselors in Juneau.

If you need additional assistance navigating Juneau’s mental health services you can always call NAMI Juneau 907-463-4251 or email namijuneau@gmail.com and they will be more than happy to help you look for providers with experience offering counseling to children. To help make a decision you might also look into the therapy techniques used and what type of appointments might best suit your lifestyle needs (i.e. in-person or tele-health).

Many therapists offer a free initial call to see if they’re a good fit. Once you’ve selected a therapist the process typically starts with gathering required information and signing forms such as privacy, and payment agreements. In the first session, you’ll be invited to stay while the therapist explains confidentiality rules (such as mandatory reporting of safety concerns). Then, your child will either discuss their goals for therapy or engage in a game designed to help identify areas of focus. If your child feels more comfortable with you in the session at first, many therapists allow this until they’re ready to meet one-on-one.

During ongoing sessions, therapy often involves a mix of check-ins, emotional regulation activities, and interactive approaches like play or art therapy, which help children express feelings in a way that feels natural to them. Your child might practice noticing their feelings in the moment and learn in a fun way to regulate negative emotions. Sessions usually last 30 to 60 minutes, with most kids preferring an hour.

As a parent, you play a key role in the process. Many therapists meet with parents and children together once a month to help reinforce the skills being learned in therapy. Using the same language and strategies at home can make a big difference. Therapy typically ends when the child and parent agree that the set goals have been met, often transitioning from weekly to biweekly, then monthly sessions before concluding.

Wishing you endless tail wags and support as you embark on this journey.

Pawsitively yours,

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