What To Expect When Your Child Starts Therapy
Beginning therapy for your child can feel both hopeful and overwhelming as you take this important step toward supporting their mental and emotional well-being. Understanding what to expect can help ease your worries and prepare you to foster a positive experience. This guide is designed to provide clarity and practical tips about preparing for therapy, what happens in sessions, and how to actively contribute to your child’s progress. At Keller Child and Family Therapy, we’re here to walk alongside you in this process, fostering growth, trust, and healing every step of the way.

Preparing Your Child for the First Session
Preparing your child for their first therapy session is essential to help them feel at ease with the process. Start by discussing therapy in a positive and age-appropriate way. Explain that therapists are caring professionals who help children share their thoughts and feelings and explore ways to address challenges. Be honest and reassuring, emphasizing that it’s a safe space for them to talk. If your child has specific concerns or questions, answer them thoughtfully and remind them that they are in control of how much they choose to share.
Consider involving them in small decisions, such as picking out a comfortable outfit for the session or preparing a list of things they want help with. Sharing the schedule for the day and planning something comforting or fun after the session may help ease pre-session nerves and give them something to look forward to.
What Happens in the First Therapy Session?
The first therapy session, often called the intake session, is designed to build a foundation for a successful therapeutic relationship. During this initial meeting, the therapist will get to know your child and the family, gathering information about their concerns, emotional well-being, and past experiences. For younger children, sessions may involve play-based activities or drawing, as these tools help them express themselves comfortably.
Parents or guardians are usually included in the intake process to provide valuable background and insight. The therapist will take this opportunity to outline how therapy works, discuss confidentiality, and set expectations for the child’s participation. It’s normal for parents and children to feel a range of emotions, such as nervousness, curiosity, or relief, during this first step. Therapists are skilled at creating a warm and calming environment to make this transition as smooth as possible.
How Therapists Build Trust and Connection
Trust is at the heart of effective therapy, and skilled therapists dedicate time and effort to developing a strong connection with your child. Through active listening, validation, and consistent support, therapists create a space where your child feels safe and respected. For younger children, this connection is often built through play therapy, where games, art, and storytelling allow emotions and thoughts to surface naturally. Adolescents may respond to open-ended conversations or collaborative goal-setting.
This trust-building phase is a critical step toward helping your child feel comfortable opening up about their challenges. It fosters a sense of security, ultimately empowering your child to explore their emotions and begin the healing process.
Parental Role and Communication
Parents or guardians play a key role in supporting their child’s therapy journey. Open communication with the therapist is important for understanding progress and addressing any ongoing challenges at home. While respecting the child’s confidentiality, therapists often provide feedback or strategies parents can implement to reinforce progress outside of sessions.
Encouraging your child to share, not forcing them, is key. Respect their privacy by allowing them to decide how much they’d like to disclose about their sessions. Additionally, being patient and compassionate during this time of change will help reassure your child that they have a strong support system in you.
Setting Goals and Monitoring Progress
Therapy involves setting clear, achievable goals tailored to your child’s unique needs. These goals might focus on improving emotional regulation, building self-esteem, managing stress, or improving relationships. Therapists will work collaboratively with your family to identify the most meaningful objectives and create an actionable plan to help your child succeed.
Progress may look different for each child, and it’s important to celebrate small wins along the way. Some benefits of therapy, such as improved communication or decreased emotional outbursts, might appear gradually. Regular check-ins with the therapist ensure that goals remain relevant and adjustments are made as needed.
Addressing Common Concerns and Emotions
It’s normal for both parents and children to have concerns or conflicting emotions when starting therapy. Parents might worry about whether their child will engage fully, while children may feel unsure about sharing their thoughts with a new person. Therapy is a process that requires patience and consistency. Remember, it’s perfectly fine if your child doesn’t open up right away.
Sometimes, parents might feel guilty or question whether seeking therapy means they’ve “failed” as a caregiver. Please know that seeking help is a sign of strength, not weakness. Therapy is a proactive step toward helping your child thrive emotionally and mentally.

Keller Child and Family Therapy Difference
At Keller Child and Family Therapy, we take a compassionate, personalized approach to every child and family we serve. Our experienced therapists specialize in creating safe, nurturing environments where children and families feel supported. Whether utilizing play therapy for younger children, cognitive-behavioral techniques for teens, or family counseling services or child, teen & adolescent therapy we tailor every session to meet your specific needs.
We believe in fostering collaboration between families and therapists to address concerns holistically. Our goal isn’t just to address current challenges but to empower families to build lasting communication, resilience, and harmony.
Reach Out to Keller Child and Family Therapy for More Guidance
Starting therapy is a courageous step, and we are here to guide you every step of the way. If you’re ready to take the next step or have additional questions about what to expect, please don’t hesitate to contact us. At Keller Child and Family Therapy, we’re committed to helping your family grow closer, stronger, and more connected. Contact us today to schedule an appointment.
