Child Therapy is Family Therapy

There aren’t many more distressing ideas for parents than the thought of their child in emotional pain. Parents contact me often in a panic because they believe their child is struggling, and they feel as if they, as parents, are failing. That may be why it’s often surprising that the first direct question I ask at a parent consultation is, “How are YOU doing?”
Children Don’t Exist in Isolation
What brings a child to therapy is often a reflection of the distress the entire family system is experiencing. From the moment a child is born, their nervous system is shaped by things as seemingly minute as tone of voice and facial expressions. Stress experienced by parents and other caregivers does not go unnoticed. The difference with children is that they, developmentally, do not have the capacity to see themselves as separate from a caregiver’s stress, the boundaries haven’t been formed yet. Something as simple as a string of bad days at work for a caregiver can be interpreted by a child as a failing on their part. In other words, a child’s mental health is not just about their inner world, but about the “relational web” they are a part of every day.
This ABSOLUTELY does not mean caregivers are ‘at fault’ for their child’s distress. It does mean that engaging in the therapy process and growing skills to model within the family system can be the biggest contributor to long-term therapeutic success.
The Family as Co-Therapist; What does it mean to engage in the therapy process?
Child therapists have different views on what constitutes best practice for parental involvement in therapy. Filial play therapists, who work with the entire family system (parents and kids at the same time) through play, have parents attend every session. Child-centered play therapists meet with parents separately on a regular schedule. Other child therapists may meet with parents for a few minutes during each session. There is no one correct model, but there are a few things to expect while working with your child’s therapist.
- Learning new skills: Identifying areas of difficulty (such as co-regulation, routines, or limit setting) and trying new strategies that work for the WHOLE family.
- Becoming situationally reflective, not self derogatory: Working toward a mindset of “What is my child communicating to me right now?” instead of “What am I doing wrong?”
- Growing in confidence and self-compassion: Internalizing the understanding that your job as a parent is not to solve every problem, but to help yourself remain regulated so that you can be with your child as they learn about the world around them.
A Collaborative Journey
The end goal of therapy for a child may not be for the child to be able to perfectly manage all situations. In fact, I would go so far as to say that SHOULDN’T be the end goal. Instead, working with a therapist to uncover what a child is bringing to the family system and finding ways to address the whole system can lead to faster and longer lasting therapeutic change. I challenge all parents to think of therapy for their child as a collaborative journey for the whole family, and find positive change for themselves in the journey as well.
Melanie Freeland is a therapist at Restore Therapy Collective specializing in relational trauma and attachment. When she’s not with clients, she’s likely reading, baking, or spending time with her family. To schedule an appointment with Melanie, please send a secure message through our contact form.
Restore Therapy Collective



