Child Therapy
in Blackheath Village & Online
Therapy for Children, Support for Families
Children do not always have the words to explain what is troubling them. Parents may notice changes in their child’s mood, behaviour, friendships or willingness to go to school, without knowing what has brought them about. A child might become unusually quiet or clingy, have frequent outbursts, or need repeated reassurance. Sometimes they can say that something feels wrong; sometimes the adults around them are left trying to understand.
There may be an identifiable difficulty, such as bereavement, bullying or family separation. At other times, concerns build gradually, and it can be hard to know whether to seek help or give things more time.
At Heathwell, our children’s therapists offer different ways for children to express themselves and receive support, including play therapy, art therapy and psychodynamic psychotherapy. We also work with parents and carers, recognising how much of a child’s emotional life is connected to their relationships and everyday surroundings.
Children’s therapy is available in person at our Blackheath Village practice. The age ranges accepted vary between practitioners, and we can help you find someone appropriate for your child.
When your child seems to be struggling
You do not need to wait until difficulties become severe before seeking support. Therapy may be worth considering when distress persists, affects everyday life or leaves you concerned about how your child is managing.
Some children hold everything together at school and become overwhelmed once they get home. Others find separation difficult, struggle to join in with other children, or become increasingly worried about ordinary activities. Changes in behaviour can have several possible explanations; a conversation with a therapist can help you consider what support might be useful.
Families contact us about:
Worries, fears and a frequent need for reassurance
Anger, frustration or emotional outbursts
Sadness, withdrawal or loss of interest in familiar activities
Separation anxiety and difficulties being away from parents or carers
Friendship problems, bullying or feeling excluded
School-related distress and difficulties attending school
Bereavement, illness and other experiences of loss
Parental separation, family conflict or changes in living arrangements
Traumatic experiences, abuse or exposure to domestic abuse
Low confidence, shame or being very hard on themselves
Difficulties expressing feelings or asking for help
Emotional and relationship difficulties experienced by autistic children and children with ADHD
Adjusting to a new school, a new sibling or other significant changes
You can get in touch even if you are unsure how to describe the problem. What you have noticed is a useful starting point.
Different ways to express what is happening
Talking is one way into therapy, but children also communicate through play, images, stories and their interactions with other people. Having a choice of approaches allows families to find support suited to the child’s age, interests, communication and emotional needs.
Play therapy
Play gives children ways to explore experiences that they may find difficult to explain directly. Through imaginative and creative activity, they can express feelings, return to things that concern them and explore different responses.
A play therapist is trained to work therapeutically with this process. Play therapy can give a child room to communicate without being expected to answer adult questions or provide a clear account of what is wrong.
Art therapy
Art therapy combines creative expression with a therapeutic relationship. Drawing, painting and other forms of making can offer a starting point for exploring feelings and experiences, particularly when words are difficult to find.
Children do not need artistic skill or confidence. Their artwork does not have to look a particular way, and they can make choices about what they create and share. An art therapist can help them explore meaning without assuming that every image has a fixed interpretation.
Psychodynamic psychotherapy
Psychodynamic psychotherapy considers a child’s emotional world, relationships and experiences, including feelings they may not yet recognise or understand. It can help explore what lies beneath recurring worries, distress or difficulties in relationships.
Depending on the child’s age and the practitioner’s approach, this may involve conversation, play or creative expression. The therapeutic relationship provides an opportunity for feelings and patterns to become more understandable over time.
The choice of approach can be discussed with the therapist. Children do not need to be able to explain themselves clearly before therapy can begin.
Working with parents and carers
Seeking therapy for a child often comes with questions of your own. You may feel worried, exhausted, uncertain about how to respond, or concerned that something important has been missed. Parents and carers need space to be heard too.
Depending on the practitioner and your family’s circumstances, parental involvement may include an initial consultation, review conversations, separate parent sessions or some work together with your child. The therapist will explain what they offer and agree arrangements with you.
These conversations can help you think about your child’s needs, understand difficult interactions and consider responses that may support them at home. They also give you an opportunity to share relevant developments in family or school life.
Your child will need an appropriate degree of privacy within therapy. The therapist will explain how this is balanced with keeping parents informed and responding to any concerns about safety.
Where parents want more sustained space to explore their own concerns, our parenting support service is also available.
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.