When it comes to working with kids in therapy, it's easy to overlook how critical a role parents play in ensuring the success of treatment. But when so many parents are just as anxious as their children, and many have had negative experiences with therapy in the past, what's the best course of action? In the following interview, therapist Lynn Lyons explains the first thing you need to do when working with young clients and their parents.

By Sue Young - When it comes to bullying, students’ knowledge of their lives in school makes even young children skilled at knowing the small but significant actions they can take to help make another child happy.

By Howard Honigsfeld - As a school social worker in a South Bronx elementary school, the kids I see have a vast range of personal, social, economic, and medical issues. With so much stacked against these children, what can a school counselor do? The rewards of time, dogged persistence, and ordinary kindness in a supportive school environment can work their own kind of wonders.

Wouldn’t it be great if we had a magic therapy wand to wave in front of our young clients and give them all the answers they need? What if this magic wand could conjure rainbow lizards and talking dogs to sit on our clients’ shoulders, bypass their defense systems, and whisper good, therapeutic advice in their ears? That’s exactly the kind of approach Charlotte Reznick uses with her young clients.

By Matthew Selekman - Trying to get in the door with provocative, therapy-savvy adolescents can be a challenging task for even the most seasoned of therapists. I've developed several engagement strategies that I regularly use, singly or in combination, that have consistently helped me to establish a therapeutic alliance with even the toughest teen client.

By Ryan Howes - Several years ago, pediatrician Nadine Burke Harris had a eureka moment when she discovered the adverse childhood experiences study (ACEs), which helped her realize her young patients with the most stubborn physical ailments were coping with all kinds of traumas.

By Esther Perel - Sex makes babies. So it is ironic that the child, the embodiment of the couple's love, so often threatens the very romance that brought that child into being. But the brave and determined couple who maintains an erotic connection is, above all, the couple who values it. They know that it's not children who extinguish the flame of desire: it's adults who fail to keep the spark alive.

By Aureen Pinto Wagner - While CBT is widely considered the treatment of choice for children with OCD, effectiveness is contingent on overcoming a formidable obstacle: children's reluctance to engage in exposure therapy because they think that facing their fears without performing rituals will be too scary and impossible. Here's a fun yet effective approach that tackles this problem.

Fourteen-year-old client Tyler’s parents brought him to therapy because they say he rarely engages with classmates or teachers, isn’t interested in extracurriculars, and heads straight to his room after school to play video games. They worry he’s depressed, but he’s mostly responsive in therapy and insists he’s happy. Here's how five therapists say they'd proceed.

By David Treadway - How do any of us therapists know what’s good enough in the unfolding of people’s lives? I know I practice an often intuitive craft, not an exact and predictable science. The truth is that all too often, like most practitioners, I can never be quite sure how much difference my bit part plays in the unfolding drama of clients' lives.