Therapists for Teens in Portland, OR

Photo of Cj Spaulding, MSW, CSWA, Pre-Licensed Professional
Cj Spaulding
Pre-Licensed Professional, MSW, CSWA
Verified Verified
Portland, OR 97213
CJ is experienced providing individual and family counseling to support you with: Anxiety Adoption, Child and Adolescent Mental Health, Depression, Mindfulness, and Relationship Issues.
OPEN to new clients! CJ grew up in the Midwest and moved to Colorado to earn their Master’s degree in Social Work from Colorado State University. They have experience working with children, adolescents and families in school-based mental health services and foster care/adoption settings. CJ uses a compassionate person-centered, mindfulness and strengths-based approach to help you identify what you need in order to move forward. They will meet you where you are in your healing journey and provides a safe space for all identities.
CJ is experienced providing individual and family counseling to support you with: Anxiety Adoption, Child and Adolescent Mental Health, Depression, Mindfulness, and Relationship Issues.
OPEN to new clients! CJ grew up in the Midwest and moved to Colorado to earn their Master’s degree in Social Work from Colorado State University. They have experience working with children, adolescents and families in school-based mental health services and foster care/adoption settings. CJ uses a compassionate person-centered, mindfulness and strengths-based approach to help you identify what you need in order to move forward. They will meet you where you are in your healing journey and provides a safe space for all identities.
(503) 782-1831 View (503) 782-1831
Photo of Richard Seigler, MS, LMFT, Marriage & Family Therapist
Richard Seigler
Marriage & Family Therapist, MS, LMFT
Verified Verified
Portland, OR 97232
***Currently available for in-person and Teletherapy appointments*** I am passionate about people leading empowered, connected, and purposeful lives. I provide counseling services to diverse clients as they learn, change, grow, and function in increasingly inspired, creative, healthy, and adaptive ways. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. I am experienced in working with adults, couples, families, as well as adolescent clients, on issues including depression, anxiety, trauma, grief, anger, identity, and unwanted thoughts or emotions.
***Currently available for in-person and Teletherapy appointments*** I am passionate about people leading empowered, connected, and purposeful lives. I provide counseling services to diverse clients as they learn, change, grow, and function in increasingly inspired, creative, healthy, and adaptive ways. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. I am experienced in working with adults, couples, families, as well as adolescent clients, on issues including depression, anxiety, trauma, grief, anger, identity, and unwanted thoughts or emotions.
(503) 483-8565 View (503) 483-8565
Photo of Dr. Justin Bush, PhD, Psychologist
Dr. Justin Bush
Psychologist, PhD
Verified Verified
5 Endorsed
Portland, OR 97215  (Online Only)
Hello! As a licensed psychologist in Oregon and Washington State, I provide online help to parents, children, teenagers, and young adults. I have the necessary training and experience to provide family therapy, adolescent treatment, and counseling for parents to improve their positive parenting skills. My expertise lies in cognitive-behavioral treatment and mindfulness-based and ACT (Acceptance and Commitment Therapy) & DBT (Dialectical Behavioral Therapy)- informed approaches. Collaboratively, we will work as a team to enhance your mental health, livelihood, and overall well-being.
Hello! As a licensed psychologist in Oregon and Washington State, I provide online help to parents, children, teenagers, and young adults. I have the necessary training and experience to provide family therapy, adolescent treatment, and counseling for parents to improve their positive parenting skills. My expertise lies in cognitive-behavioral treatment and mindfulness-based and ACT (Acceptance and Commitment Therapy) & DBT (Dialectical Behavioral Therapy)- informed approaches. Collaboratively, we will work as a team to enhance your mental health, livelihood, and overall well-being.
(971) 351-2916 View (971) 351-2916
Photo of Kate Degenhardt, PhD, Pre-Licensed Professional
Kate Degenhardt
Pre-Licensed Professional, PhD
Verified Verified
Portland, OR 97227
Is your child struggling with OCD or anxiety? Are you a teen who feels overwhelmed with stress, academic or social pressure, anxiety, or just feeling like you don’t belong? Are you a parent who wants some concrete tools and strategies to help best support your adolescent? You are not alone and there are things that can help. I provide evidence-based psychotherapy for kids and teens ages 8-18 and their parents. Working with adolescents who struggle with OCD is both my specialty and my passion. My clients also often struggle with depression, chronic pain or illness, trauma, or adjustment to disability in addition to their anxiety.
Is your child struggling with OCD or anxiety? Are you a teen who feels overwhelmed with stress, academic or social pressure, anxiety, or just feeling like you don’t belong? Are you a parent who wants some concrete tools and strategies to help best support your adolescent? You are not alone and there are things that can help. I provide evidence-based psychotherapy for kids and teens ages 8-18 and their parents. Working with adolescents who struggle with OCD is both my specialty and my passion. My clients also often struggle with depression, chronic pain or illness, trauma, or adjustment to disability in addition to their anxiety.
(971) 364-3794 View (971) 364-3794
Photo of David A Norwood, MSW, LCSW, Clinical Social Work/Therapist
David A Norwood
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97214
Welcome to a nurturing and mindful approach to therapy. You may have experienced a trauma, stressful life event, bad relationship or family conflict. You have worked hard to provide yourself and your family a good foundation. Now you are ready for deeper work of healing, growth and improving relationships. Perhaps you are a parent wanting to connect with your adolescent or you are an adolescent going through a stressful time. Adolescence is a time of great change and challenge. It's so clear that we are meant to navigate this as a tribe when adolescents and adults are more isolated than ever before in our society.
Welcome to a nurturing and mindful approach to therapy. You may have experienced a trauma, stressful life event, bad relationship or family conflict. You have worked hard to provide yourself and your family a good foundation. Now you are ready for deeper work of healing, growth and improving relationships. Perhaps you are a parent wanting to connect with your adolescent or you are an adolescent going through a stressful time. Adolescence is a time of great change and challenge. It's so clear that we are meant to navigate this as a tribe when adolescents and adults are more isolated than ever before in our society.
(971) 366-2945 View (971) 366-2945
Photo of Zanita B Zody, PhD, LMFT, Marriage & Family Therapist
Zanita B Zody
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Portland, OR 97206  (Online Only)
I hold an MS & PhD in child, adolescent & family development with a specialty in marriage and family therapy and have devoted the past 20+ years to my work in the eating disorder community.
My work focuses on creating body trust and respect, healing from disordered eating behaviors and thoughts, and recovering from diagnosable eating disorders. I have worked across the continuum of all levels of care, age groups, genders, sexual orientations, races, and religions. My work combines honoring your individual story and path toward recovery with evidenced-based interventions to provide you with the tools and information you need for that journey. For my younger clients, this often also includes working with parents so they can effectively support their loved one's recovery.
I hold an MS & PhD in child, adolescent & family development with a specialty in marriage and family therapy and have devoted the past 20+ years to my work in the eating disorder community.
My work focuses on creating body trust and respect, healing from disordered eating behaviors and thoughts, and recovering from diagnosable eating disorders. I have worked across the continuum of all levels of care, age groups, genders, sexual orientations, races, and religions. My work combines honoring your individual story and path toward recovery with evidenced-based interventions to provide you with the tools and information you need for that journey. For my younger clients, this often also includes working with parents so they can effectively support their loved one's recovery.
(971) 351-2835 View (971) 351-2835
Photo of undefined - Dr. Nicholas Hong, PhD, PhD, Psychologist
Dr. Nicholas Hong, PhD
Psychologist, PhD
Verified Verified
Portland, OR 97219
I am a licensed psychologist who has worked with adults and teen for over 25 years. Prior to life in Montana and Oregon, I was at Stanford Medicine in the Department of Psychiatry and Behavioral Sciences, where I was awarded a fellowship following my clinical internship at University of New Mexico Medical. I received my PhD in Clinical Psychology at the University of Oregon. I have worked with clients in various clinical settings, given national and international talks, facilitated many group therapy sessions and workshops for families, parents, and couples. I have been in private practice since 2014. I love what I do.
I am a licensed psychologist who has worked with adults and teen for over 25 years. Prior to life in Montana and Oregon, I was at Stanford Medicine in the Department of Psychiatry and Behavioral Sciences, where I was awarded a fellowship following my clinical internship at University of New Mexico Medical. I received my PhD in Clinical Psychology at the University of Oregon. I have worked with clients in various clinical settings, given national and international talks, facilitated many group therapy sessions and workshops for families, parents, and couples. I have been in private practice since 2014. I love what I do.
(503) 755-8571 View (503) 755-8571
Photo of Dr. Joyce Cha, PsyD, Psychologist
Dr. Joyce Cha
Psychologist, PsyD
Verified Verified
Portland, OR 97239
I integrate my specialized training in child and adolescent development, Gestalt Approaches, and EFT.
I am currently accepting new patients -
I integrate my specialized training in child and adolescent development, Gestalt Approaches, and EFT.
I am currently accepting new patients -
(971) 545-4130 View (971) 545-4130
Photo of undefined - Skip Shewell Counseling, LLC, LPC, LMHC, Licensed Professional Counselor
Skip Shewell Counseling, LLC
Licensed Professional Counselor, LPC, LMHC
Verified Verified
Portland, OR 97220
I am a queer trans-identified licensed professional therapist practicing clinical psychotherapy for over 16 years. My practice is based out of Portland, OR and Seattle, WA. I specialize in working with teen and adult queer, non-binary, poly populations. I have extensive experience and work with counseling both individuals and couples in a wide variety settings such as primary health care clinics, urban and rural tribal health care, community mental health treatment centers, and major healthcare facilities. received my master's degree in Psychology at Antioch University Seattle in 2008.
I am a queer trans-identified licensed professional therapist practicing clinical psychotherapy for over 16 years. My practice is based out of Portland, OR and Seattle, WA. I specialize in working with teen and adult queer, non-binary, poly populations. I have extensive experience and work with counseling both individuals and couples in a wide variety settings such as primary health care clinics, urban and rural tribal health care, community mental health treatment centers, and major healthcare facilities. received my master's degree in Psychology at Antioch University Seattle in 2008.
(503) 461-7427 View (503) 461-7427
Photo of Bob Dobres, MSW, LCSW, Clinical Social Work/Therapist
Bob Dobres
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97210
Because of my experience with a broad range of therapeutic approaches, including adolescent, adult, family and couples counseling, and brief and longer term therapy, I can provide expert care for the work you want to do.
Are you curious about how counseling can help you? I enjoy working with people who would like to gain a deeper understanding of themselves and of the relationships in their lives. We work collaboratively to identify your priorities and therapy goals -- and to explore internal conflicts that may be getting in your way. When you feel heard and understood, you can start to discover the many unrealized facets of yourself, learn self acceptance and find clarity and purpose. Together we find meaning and direction.
Because of my experience with a broad range of therapeutic approaches, including adolescent, adult, family and couples counseling, and brief and longer term therapy, I can provide expert care for the work you want to do.
Are you curious about how counseling can help you? I enjoy working with people who would like to gain a deeper understanding of themselves and of the relationships in their lives. We work collaboratively to identify your priorities and therapy goals -- and to explore internal conflicts that may be getting in your way. When you feel heard and understood, you can start to discover the many unrealized facets of yourself, learn self acceptance and find clarity and purpose. Together we find meaning and direction.
(503) 766-5540 View (503) 766-5540
Photo of undefined - MindTree Holistic Counseling & Wellness Center LLC, LMFT, LCSW, LPC, Marriage & Family Therapist
MindTree Holistic Counseling & Wellness Center LLC
Marriage & Family Therapist, LMFT, LCSW, LPC
Verified Verified
1 Endorsed
Portland, OR 97221
MindTree offers individual therapy for adults, child/teen therapy, family therapy, play therapy, trauma psychotherapy, marriage & couples counseling, gender affirming care, Grief & Loss.
At MindTree we treat the person as a whole, by integrating the healing of mind and Body. Our team of holistic practitioners provide a collaborative health care model and create a personalized Holistic Wellness plan for adults, younger children, teens, elderly adults, couples and families. We believe in the philosophy that mind and body do not operate separately, rather interdependently. All of the Holistic Counseling techniques that MindTree offers are evidence-based, peer reviewed, and represent current best practices in the field.
MindTree offers individual therapy for adults, child/teen therapy, family therapy, play therapy, trauma psychotherapy, marriage & couples counseling, gender affirming care, Grief & Loss.
At MindTree we treat the person as a whole, by integrating the healing of mind and Body. Our team of holistic practitioners provide a collaborative health care model and create a personalized Holistic Wellness plan for adults, younger children, teens, elderly adults, couples and families. We believe in the philosophy that mind and body do not operate separately, rather interdependently. All of the Holistic Counseling techniques that MindTree offers are evidence-based, peer reviewed, and represent current best practices in the field.
(503) 210-9420 View (503) 210-9420
Photo of Naomi Wright, PhD, Psychologist
Naomi Wright
Psychologist, PhD
Verified Verified
Portland, OR 97227
I work with children, teens, and young adults. There are so many ways a young person or family can get stuck. Maybe you’re a caregiver caught in a loop with a child who has trouble with tantrums, sleep, or toileting. Or you’re a middle-schooler, teen, or young adult who can’t do the stuff you care about most because you’re feeling sad, anxious, angry, or having a hard time getting along with people. Or you might be struggling to heal from trauma, manage health problems, or navigate neurodiversity in an unsupportive world. It’s not your fault that you got stuck and it’s not your fault that nothing you tried has worked just yet.
I work with children, teens, and young adults. There are so many ways a young person or family can get stuck. Maybe you’re a caregiver caught in a loop with a child who has trouble with tantrums, sleep, or toileting. Or you’re a middle-schooler, teen, or young adult who can’t do the stuff you care about most because you’re feeling sad, anxious, angry, or having a hard time getting along with people. Or you might be struggling to heal from trauma, manage health problems, or navigate neurodiversity in an unsupportive world. It’s not your fault that you got stuck and it’s not your fault that nothing you tried has worked just yet.
(971) 293-4871 View (971) 293-4871
Photo of Dr. Lily Iteld Child And Adolescent Psychologist, PhD, ABPP, Psychologist
Dr. Lily Iteld Child And Adolescent Psychologist
Psychologist, PhD, ABPP
Verified Verified
Portland, OR 97239
I'm Dr. Lily, a board certified child and adolescent psychologist. Put simply, I work with kids and their parents to make daily life easier. I help kids develop skills and strategies to manage the difficulties they are facing and help parents develop tools to allow their child to thrive. I love the work I do and am honored to help families during their challenging times. With over a decade of experience in school and medical settings, I specialize in working with children and adolescents with anxiety, depression, challenges with self-regulation, chronic illness, pain management, picky eating/ARFID, encopresis, and tic disorders.
I'm Dr. Lily, a board certified child and adolescent psychologist. Put simply, I work with kids and their parents to make daily life easier. I help kids develop skills and strategies to manage the difficulties they are facing and help parents develop tools to allow their child to thrive. I love the work I do and am honored to help families during their challenging times. With over a decade of experience in school and medical settings, I specialize in working with children and adolescents with anxiety, depression, challenges with self-regulation, chronic illness, pain management, picky eating/ARFID, encopresis, and tic disorders.
(971) 251-1761 View (971) 251-1761
Photo of Andrea Grace Karpinski, MSW, LCSW, Clinical Social Work/Therapist
Andrea Grace Karpinski
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97214
I am a Licensed Clinical Social Worker. I have dedicated much of my professional life to working with children and families. In my family work, I have enjoyed working with adults and have expanded my practice to include adults. I have worked in a variety of positions which include the following: therapist, youth advocate, teacher, youth employment specialist, Big Brother/Big Sister Coordinator, parent/teen mediator, mentor, coach, youth crew leader and Peace Corps Volunteer. These experiences have provided a wealth of insight into the human condition. They have enriched my life and often inform my work as a therapist.
I am a Licensed Clinical Social Worker. I have dedicated much of my professional life to working with children and families. In my family work, I have enjoyed working with adults and have expanded my practice to include adults. I have worked in a variety of positions which include the following: therapist, youth advocate, teacher, youth employment specialist, Big Brother/Big Sister Coordinator, parent/teen mediator, mentor, coach, youth crew leader and Peace Corps Volunteer. These experiences have provided a wealth of insight into the human condition. They have enriched my life and often inform my work as a therapist.
(503) 406-9103 View (503) 406-9103
Photo of Joann Lundberg, MA , LPC , ATR-BC, Licensed Professional Counselor
Joann Lundberg
Licensed Professional Counselor, MA , LPC , ATR-BC
Verified Verified
Portland, OR 97210
Is your child experiencing behavioral problems that interfere with school, family, or friendships? Is your teen distant, defiant or have mood swings? While facing challenges in childhood is a normal part of growing up, sometimes kids need additional help learning the skills needed to navigate big feelings, worries, upsetting and confusing events and the stressors of modern life. I offer kids an opportunity to learn and practice new skills, a safe space to explore big feelings and can help them learn to communicate their thoughts, feelings, and emotions in a helpful way using creative, and fun approaches and evidence based practices
Is your child experiencing behavioral problems that interfere with school, family, or friendships? Is your teen distant, defiant or have mood swings? While facing challenges in childhood is a normal part of growing up, sometimes kids need additional help learning the skills needed to navigate big feelings, worries, upsetting and confusing events and the stressors of modern life. I offer kids an opportunity to learn and practice new skills, a safe space to explore big feelings and can help them learn to communicate their thoughts, feelings, and emotions in a helpful way using creative, and fun approaches and evidence based practices
(971) 308-5321 View (971) 308-5321
Photo of Madeline Harmon, LCSW, Clinical Social Work/Therapist
Madeline Harmon
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97211
Thanks for taking a moment to consider my practice. If you're seeking therapy, I applaud you! Seeking support to navigate chaotic moments in life is not easy and is also a wonderful gift to give your self. Therapy has been an instrumental support throughout my life since I was a teenager. Through my journey I've found healing and medicine in talk therapy, yoga, herbalism, intuitive readings, nature immersion and countless writings by Black feminist authors (Alexis Pauline Gumbs, Audre Lorde, Prentice Hemphill). I'd like to offer you a space to bring both your wins and your struggles, knowing you'll receive compassionate care.
Thanks for taking a moment to consider my practice. If you're seeking therapy, I applaud you! Seeking support to navigate chaotic moments in life is not easy and is also a wonderful gift to give your self. Therapy has been an instrumental support throughout my life since I was a teenager. Through my journey I've found healing and medicine in talk therapy, yoga, herbalism, intuitive readings, nature immersion and countless writings by Black feminist authors (Alexis Pauline Gumbs, Audre Lorde, Prentice Hemphill). I'd like to offer you a space to bring both your wins and your struggles, knowing you'll receive compassionate care.
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Photo of Dan Rothenberg, LCSW, Clinical Social Work/Therapist
Dan Rothenberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97239
As a parent, it is difficult to see worry and self-doubt stand in the way of your teenager’s well-being and potential. You want your child to be happy and thrive, yet they appear anxious and unmotivated. You might lecture or give them advice, but that seems to create a larger wedge between you. Or even sets them off. You’re caught in a power struggle with the person you love the most. And all you want is to see them smile. I can help you.
As a parent, it is difficult to see worry and self-doubt stand in the way of your teenager’s well-being and potential. You want your child to be happy and thrive, yet they appear anxious and unmotivated. You might lecture or give them advice, but that seems to create a larger wedge between you. Or even sets them off. You’re caught in a power struggle with the person you love the most. And all you want is to see them smile. I can help you.
(971) 252-7133 View (971) 252-7133
Photo of Amelia Bird, MA, LMFT, PPSC, Marriage & Family Therapist
Amelia Bird
Marriage & Family Therapist, MA, LMFT, PPSC
Verified Verified
Portland, OR 97219
I work primarily with adolescent and young women, moms/parents, and those in helping professions such as counseling and education.
I am a counselor and psychotherapist with a passion for working with children over 10, adolescents, and adults who are recovering from childhood wounds, or who want to find new ways of relating to themselves or others. I have a master's degree in counseling psychology from Saint Mary's College of California and a state license in Marriage and Family Therapy. I also hold a credential in school counseling and served as a mental health provider and counselor at all K-12 grade levels. I was a counseling-skills trainer and adjunct faculty member in the graduate counseling department at Saint Mary's College.
I work primarily with adolescent and young women, moms/parents, and those in helping professions such as counseling and education.
I am a counselor and psychotherapist with a passion for working with children over 10, adolescents, and adults who are recovering from childhood wounds, or who want to find new ways of relating to themselves or others. I have a master's degree in counseling psychology from Saint Mary's College of California and a state license in Marriage and Family Therapy. I also hold a credential in school counseling and served as a mental health provider and counselor at all K-12 grade levels. I was a counseling-skills trainer and adjunct faculty member in the graduate counseling department at Saint Mary's College.
(503) 549-4943 View (503) 549-4943
Photo of Madison Thomas, LPC, Licensed Professional Counselor
Madison Thomas
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Portland, OR 97202
I am available for new clients, individually or family sessions. I am also taking clients for a teen DBT skills group (ages 12-18 if still in high school). I see our work together as a team that balances putting in the hard work while understanding you have to have some laughs along the way! Above all modalities, the therapeutic relationship is what I value most in our work together. I primarily use Dialectical Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Art Therapy. Despite my degree in art therapy, my dual license allows me to provide more traditional talk therapy, too.
I am available for new clients, individually or family sessions. I am also taking clients for a teen DBT skills group (ages 12-18 if still in high school). I see our work together as a team that balances putting in the hard work while understanding you have to have some laughs along the way! Above all modalities, the therapeutic relationship is what I value most in our work together. I primarily use Dialectical Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Art Therapy. Despite my degree in art therapy, my dual license allows me to provide more traditional talk therapy, too.
(503) 563-2503 View (503) 563-2503
Photo of Andrea R Shepherd, LCSW, LICSW, Clinical Social Work/Therapist
Andrea R Shepherd
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Portland, OR 97221  (Online Only)
Waitlist for new clients
Hello! I’m so glad you are here. I work with adolescents and adults to treat a variety of mental and behavioral health conditions that include depression, anxiety, poor self-esteem, family conflict, challenging behaviors, ADHD, cognitive distortions, and pre and postpartum mental health. I have a decade of experience as a therapist for children, adolescents and their families. I have found great joy working with parents/caregivers in various stages providing support and coaching with current evidenced based research interventions. I am passionate about child and adolescent development and parenting of sanity and social change.
Hello! I’m so glad you are here. I work with adolescents and adults to treat a variety of mental and behavioral health conditions that include depression, anxiety, poor self-esteem, family conflict, challenging behaviors, ADHD, cognitive distortions, and pre and postpartum mental health. I have a decade of experience as a therapist for children, adolescents and their families. I have found great joy working with parents/caregivers in various stages providing support and coaching with current evidenced based research interventions. I am passionate about child and adolescent development and parenting of sanity and social change.
(503) 966-3645 View (503) 966-3645
Teen Therapists

What does therapy for teenagers look like?

When a therapist works with a teenager, the pair will talk about what the teen is struggling with and explore solutions, which may involve interpersonal skills, coping strategies, medication, or lifestyle changes related to sleep, diet, and exercise. Different therapists employ different modalities, but most involve a combination of conversation and skill building.

How long does therapy for teenagers generally take to work?

There’s variability in teenagers’ experiences and challenges; some may begin to improve from therapy within a few weeks while others may take several months or longer. Teens can discuss their progress with their therapist periodically to assess how they’re improving and any changes to the treatment plan that could potentially accelerate that progress.

How do you encourage a teenager to go to therapy?

It’s helpful to express your concern and love while framing therapy as an opportunity to explore a tool that could help improve their life; just like they practice baseball or dance, now they can practice their emotional skills. Give your teen control over the process where you can—maybe by weighing in on choice of therapist and signaling that therapy involves confidentiality, so a parent need not know all that is discussed in sessions.

How do you prepare teens for therapy?

You can prepare your teenager for therapy by describing what the process will look like and setting expectations for timeline, if requested. You can explain that the first session may begin with an assessment phase, that they can describe their experiences but that the therapist will ask questions too, and that it may take time to feel comfortable opening up. Ask how they’re feeling about the process and answer any questions calmly and supportively.