How Does Family Counselling Work? A Practical Guide for Families
Discover how family counselling works, what happens in sessions, and what to expect from start to finish. Practical guidance for families.
Read articleWhen difficulties run deeper
Specialist therapy for children and young people with complex or long-standing difficulties, using play, drawing, and conversation to help them make sense of their inner world.
How it works
Child psychotherapy is a specialist approach for young people whose difficulties are more complex, have been present for a long time, or where it is not yet clear what is at the root of their distress. Unlike shorter-term, skills-based approaches, it creates space for a young person to explore their inner world at their own pace.
Sessions draw on a range of specialist techniques including play, drawing, storytelling, and open conversation. These methods allow children and young people to express what they may not yet have words for, helping the therapist understand what is happening beneath the surface and how past experiences may be shaping present difficulties.
Work may involve the young person alone or alongside family members, depending on age and circumstances. Parents are supported throughout in a way that is appropriate to the young person's needs, and the work is aimed at lasting change rather than short-term relief.
What child psychotherapy can help with
Depression and persistent low mood
Anxiety and excessive worrying
Self-harm and emotional dysregulation
Trauma, abuse, and neglect
Autism spectrum conditions
ADHD and behaviours that challenge
Low self-esteem and loss of confidence
Withdrawal and social isolation
How Select routes the work
Our Pathway Team takes the time to understand your child's needs before matching your family with a practitioner who has the right child psychotherapy expertise, experience, and availability. Good fit helps create the best foundation for effective support.
The Pathway Team listens to your concerns, gathers context, and matches your child to a specialist child psychotherapist with the right experience for their needs.
Select routes you to a specialist child psychotherapist with experience relevant to your child's presenting difficulties, available at your preferred clinic or online where appropriate.
Work begins at a pace that feels safe for your child, creating space to understand and express what is happening at a deeper level, with parents supported throughout.
Practitioner fit
Child psychotherapy is a specialist approach best suited to more complex or long-standing difficulties. The first conversation is about understanding what your child is going through and finding the practitioner best placed to help.
A simple first move
Where we offer this
1 Tynemouth Road, NE30 4AY
Visit clinic
The Grainger Suite, Dobson House, Regent Centre, NE3 3PF
Visit clinicAlso available all locations.
Explore related care
Fees and insurance
No GP referral is needed. If you are using private medical insurance, tell the Pathway Team when you get in touch and they will help with authorisation.
Session fees
Bupa · Aviva · AXA · Allianz · Simply Health · Vita Health Group
Questions before you start
Child psychotherapy is a specialist form of support for children and young people, typically up to the age of 25, who are experiencing more complex or long-standing psychological difficulties. A child psychotherapist uses play, drawing, and conversation to help young people understand their feelings, process difficult past experiences, and express emotions more freely. It is particularly suited to presentations where the causes of distress are unclear, or where previous support has not been enough.
Child psychology focuses primarily on assessment and structured, skills-based interventions adapted to a child's developmental stage. Child psychotherapy is more exploratory and longer-term, often drawing on psychoanalytic and psychodynamic thinking to understand how past experiences and underlying patterns are contributing to current difficulties. The Pathway Team can help decide which is the better starting point for your child.
This depends on your child's age and the nature of the work. For younger children, parents are closely involved, particularly at the assessment stage. For older young people, individual sessions may be confidential, but the therapist will work with you to ensure you understand how to support your child outside sessions. The balance is always discussed openly.
It is natural for a young person to have reservations about starting therapy. Involving them in choosing a therapist and thinking about what they would like to change can help. If a young person is firmly opposed, it can still be valuable for parents to attend sessions and work with the therapist on how best to support them at home.
From the blog
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Read articleEMDR therapy typically takes 6 to 12 sessions for a single traumatic event (such as a car accident) and 12 or more sessions for complex or repeated trauma. Each session lasts 60 to 90 minutes, usually once a week. Many people notice significant improvement within the first 3 to 4 sessions. Post-session effects like tiredness or vivid dreams are normal and usually settle within 1 to 3 days. EMDR is recommended by NICE as a first-line treatment for PTSD and is as effective as trauma-focused CBT.
Read articleGet in touch
Leave your details and a member of our Pathway Team will be in touch, usually within one working day. Or call us directly on 0191 258 0008.
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