Our counselors in Charlottesville, VA offer child therapy

Elizabeth: Some go-to approaches for child therapy are play therapy or art therapy.

Jamie : My primary approach in child therapy is eclectic, integrating both non-directive and directive play therapy techniques. I tailor interventions to meet each child’s unique needs, combining structure with flexibility to foster growth and healing. I work collaboratively with children, supporting the development of their autonomy and sense of self. This therapeutic style allows children to safely explore their thoughts and emotions, find their voice, and build a positive and empowering experience within the therapeutic environment.

Elizabeth: Important tools that can be taught in child therapy are emotional regulation and expression.

Jamie : "I teach the following tools in child-centered (non-directive and directive) play therapy:

• Free play with toys (e.g., dolls, action figures, puppets, sand tray) to allow children to express internal conflicts and experiences safely
• Art expression (e.g., drawing, painting, clay work without prompts) as a non-intrusive way to explore thoughts and emotions
• Child-initiated storytelling and pretend play that reflects their inner world
• Non-directive sand tray therapy to process trauma or emotional experiences symbolically
• Reflective listening and play tracking to validate and mirror emotions without steering or correcting behavior
• Emotion mirroring and validation to help children feel seen and heard, reducing shame around risky or maladaptive behaviors
• Consistent therapeutic boundaries that create a predictable, safe space for emotional regulation
• Play-based harm reduction by allowing the child to experiment with themes of control, power, or risk in a symbolic and safe environment (e.g., violent or chaotic play is contained and processed rather than shut down)

Elizabeth: A client is making meaningful progress in therapy when reports from home and/or school are more positive.

Jamie : I know a client is making meaningful progress in child therapy when I observe increased emotional expression, improved self-regulation, and greater use of coping strategies both in and outside of sessions. The child may begin to verbalize thoughts and feelings more clearly, show openness to building trusting relationships, and demonstrate healthier ways of managing conflict or stress. I also look for signs of growth through play themes, such as a shift from chaotic or traumatic play to more organized and empowered narratives. Additionally, when caregivers report positive changes at home or school—such as better communication, fewer behavioral challenges, or increased confidence—it often reflects that the therapeutic work is resonating and creating real-world impact.

Elizabeth: Parents can supplement child therapy by continuing to teach tools at home and engaging in family therapy sessions.

Jamie : Clients can supplement their time in child therapy with supportive activities and resources that reinforce therapeutic goals and foster emotional growth. These may include family therapy sessions, parent coaching, school-based supports, social skills groups, structured routines at home, and developmentally appropriate activities such as journaling, mindfulness exercises, or therapeutic games. Involvement in creative outlets like art, music, or physical play can also enhance self-expression and regulation outside of the therapy room. When appropriate, collaboration with caregivers, teachers, and other providers ensures a consistent and holistic support system for the child’s well-being.

Elizabeth: To prepare for their first session, a child can think of what they want to discuss and any concerns or fears they might have.

Jamie : To prepare for their first child therapy session, a child can be gently introduced to the idea of therapy in a way that feels safe and age-appropriate. Caregivers can explain that therapy is a place where they can play, talk, and get help with feelings or challenges they may be having. Reading child-friendly books about therapy, visiting the therapy office in advance (if possible), or allowing the child to bring a comfort item can also ease anxiety. It’s helpful to reassure the child that the therapist is there to support them, not to judge or get them in trouble. Creating a calm and open environment before the first session helps the child feel more comfortable and supported.