Adolescent Therapy
in Blackheath Village & Online
Specialist counselling and psychotherapy for young people aged 12 and over.
Adolescence can be exciting, confusing and intensely demanding. Young people are managing changes in their identity, relationships and bodies while facing growing pressure at school, online and within their social lives. Feelings can become difficult to understand or express, and problems that appear manageable to adults may feel overwhelming to a teenager experiencing them.
Some young people become anxious, withdrawn or persistently low. Others struggle with anger, friendships, family relationships, school expectations or uncertainty about who they are. They may find it difficult to explain what is happening, even to the people closest to them.
Therapy offers a private space where a young person can talk openly with someone outside their family, without needing to protect, reassure or please anyone. They can begin to understand what they are experiencing, recognise patterns and find ways of managing difficult emotions and situations.
At Heathwell, we offer counselling and psychotherapy for young people aged 12 and over. Sessions are available in person at our Blackheath practice and online, where appropriate.
How adolescent therapy can help
Adolescent therapy is shaped around the developmental needs of teenagers. Young people are becoming more independent while still relying on the adults around them. They are developing their identity, learning how to manage complex emotions and working out where they belong.
Our therapists understand that teenagers are not simply younger versions of adults. They work in ways that are age-appropriate, respectful and responsive to each young person’s personality and needs.
Therapy can help a young person:
Make sense of difficult or confusing feelings
Understand anxiety, low mood or changes in their behaviour
Express experiences they have found difficult to put into words
Develop healthier ways of coping with distress
Strengthen their confidence and sense of identity
Navigate friendships, family relationships and social pressures
Communicate their needs more clearly
Build emotional resilience
Feel less alone with what they are experiencing
Young people do not need to arrive knowing exactly what is wrong or what they want to discuss. The therapist will help them begin at a pace that feels manageable.
Common reasons young people seek therapy:
Young people seek therapy for many different, reasons, including:
Anxiety, panic or persistent worrying
Depression, low mood or feeling emotionally numb
Self-harm or suicidal thoughts
School-related stress and academic pressure
Bullying, friendship difficulties or social isolation
Difficulties attending or engaging with school
Family conflict, separation or changes at home
Bereavement, grief and loss
Trauma or difficult past experiences
Low self-esteem and lack of confidence
Body image or eating difficulties
Questions about sexuality, gender or identity
Neurodiversity, including autism and ADHD
Feeling overwhelmed, angry or unable to manage emotions
Adjusting to significant changes or transitions
What happens in adolescent therapy?
The first sessions give the young person and therapist time to get to know one another and consider what support might be helpful. Some teenagers begin talking easily, while others need longer to decide whether they feel comfortable and can trust the process.
Sessions usually last 50 minutes and take place weekly. In some circumstances, fortnightly sessions may be appropriate and can be discussed with the therapist.
Therapy is collaborative. The therapist will not lecture the young person, tell them how they should feel or treat them as a problem that needs to be fixed. Instead, they will help the young person explore their experiences, understand their responses and consider what may need to change.
Depending on the therapist and the young person’s needs, sessions may involve conversation, creative work or art therapy. Creative approaches can be especially helpful when feelings are difficult to describe in words, although a young person does not need to be artistic to benefit from them.
Working with parents and carers
Parents and carers often play an important role in supporting therapy, particularly for younger teenagers. Depending on the young person’s age, circumstances and the therapist’s approach, a parent or carer may be involved in the initial assessment or invited to a separate conversation.
There may also be times when joint or parent-only sessions are useful, particularly when difficulties at home are contributing to the young person’s distress. Any involvement will be considered carefully so that the young person’s privacy is respected and the therapeutic relationship remains protected.
Therapy is not about blaming either the young person or their family. It can help everyone understand what is happening and identify changes that may make home life feel safer and more manageable.
Our adolescent therapists
The therapists working with adolescents at Heathwell are highly experienced, with decades of combined experience across the NHS, third sector organisations and private practice. They have undertaken extensive professional training and bring many years of experience supporting teenagers with emotional, relational and developmental difficulties.
We offer psychodynamic therapy, art therapy and play therapy, three well established approaches that can be particularly effective for adolescents. Our therapists have extensive experience and specialist professional training in these approaches.
Psychodynamic therapy helps young people understand the feelings, experiences and relationship patterns beneath their current difficulties. It gives them space to explore what may be hard to communicate elsewhere and gradually develop a clearer understanding of themselves.
Art therapy offers another way to express and explore experiences that may be difficult to put into words. Young people do not need to be skilled at art. The creative process can help them communicate feelings, make sense of complex experiences and approach difficult subjects at a pace that feels manageable.
Play therapy offers a creative and accessible way for young people to explore their emotions and experiences when talking directly may feel difficult. It can support them in expressing feelings, making sense of what they are experiencing and developing greater emotional awareness.
Our therapists know how to connect with teenagers without speaking down to them, pushing them to disclose more than they are ready to share or treating them as a problem to be solved. They understand that trust may take time and adapt their approach to each young person’s age, personality, communication style and individual needs.
Frequently Asked Questions about Adolescent Therapy
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Some signs that professional support might be helpful include persistent changes in mood, behaviour, or functioning that last more than a few weeks. This might look like withdrawal from friends and activities, significant changes in sleep or appetite, declining school performance, increased conflict at home, or your teenager expressing feelings of hopelessness or thoughts of self-harm.
Sometimes the suggestion comes from others ie. teachers, school counsellors, GPs, or other professionals who work with your teenager may recommend therapy based on what they're observing. Trust your instincts. If you're concerned, or if others who know your teenager well are suggesting support, it's worth exploring.
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Many parents worry their teenager won't open up, especially if they're not communicating much at home. Therapists are trained to work with reluctant young people and understand that building trust takes time. Often teenagers are more willing to talk to someone outside the family who isn't emotionally invested in their choices. We start where they are and go at their pace.
That said, sometimes teenagers genuinely don't engage despite our best efforts, and that's okay too. Even when this happens, it's often worth exploring what therapy could offer, sometimes just knowing the option is there, or having one conversation about what's available, can plant a seed for future help when they're more ready.
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Almost everything your teenager shares is confidential, with important exceptions around immediate safety concerns, such as serious thoughts of suicide, self-harm that's dangerous, or disclosure of abuse. We explain these limits clearly at the start so everyone knows what to expect.
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This depends on your teenager's age, the issues they're working on, and what they're comfortable with. Sometimes family sessions are helpful, particularly when family relationships are part of what's being addressed. We always discuss this openly and work out an approach that feels right for everyone involved.
However, our priority is that therapy remains a safe space for your teenager to explore their thoughts and feelings openly. Sometimes maintaining that safety requires keeping the therapeutic space separate from family involvement, at least initially. This isn't about excluding parents, but about ensuring your teenager feels they can speak freely without worry about how it might affect family relationships.
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It's not unusual for teenagers to feel resistant initially. We can often work with some ambivalence, but therapy works best when young people feel they have some choice in the process. Sometimes starting with a one-off session to explore what therapy involves can help reduce anxiety about the unknown.
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Many teenagers actually prefer online sessions, they can feel more comfortable in their own space and it removes barriers like transport. Online therapy can be just as effective as in-person work, though some young people do better with face-to-face contact. We can discuss what might work best for your teenager.
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First, contact us and we'll match you with a therapist who has availability and feels like a good fit for your teenager's needs. The therapist will then arrange a consultation with the parent—this is online and free of charge. They may invite the young person to join this conversation, or they may speak only with the parent initially.
This consultation is an informal conversation for the therapist to understand your child's needs and for you to ask any questions you may have about the process, approach, or practicalities.
Following the consultation, the therapist will typically schedule an assessment session where they first meet your teenager. This is about getting to know each other, explaining how therapy works, discussing confidentiality, and beginning to explore what they'd like to get from the sessions. There's no pressure to share deeply personal information straight away, it's really about building rapport and understanding whether therapy feels like something that could be helpful.
Meet our Therapists for Adolescents
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Emma Nagle
PLAY THERAPIST
Approach: Play therapy
Availability: In person
Specialisms: Neurodivergent Children, Parent and Child Attachment Work, Trauma, Domestic Abuse, Safeguarding, Anxiety, Anger and Emotional Regulation
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Kellie High
ART THERAPIST & PSYCHOTHERAPIST
Approach: Art therapy, Psychodynamic, Psychoanalytical
Availability: In person and Online
Specialisms: Trauma and Emotional Wellbeing, Children’s Mental Health, Learning difficulties, Life transitions
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Poppy Oldham
ART THERAPIST & PSYCHOTHERAPIST
Approach: Art therapy, Psychodynamic,
Availability: In person and Online
Specialisms: Teen counselling, Neurodiversity, LGBTQIA+ Identities, Individuals who hear voices, see visions and hold unusual beliefs
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Ricardo da Costa
PSYCHOTHERAPIST
Approach: Psychodynamic
Availability: In person & Online
Specialisms: Attachment, Adolescent Therapy, Parent work, Addictions, Childhood Trauma, Anxiety and Depression
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Sarah Bastianello
PSYCHOTHERAPIST
Approach: Psychodynamic
Availability: In person and Online
Specialisms: Early Attachment, Adolescent Therapy, Relational Difficulties, Low mood, Childhood trauma, Supporting parents with children who have additional needs.