child and teen THERAPY

Flourish

Seeing your child in emotional pain can make you feel helpless and overwhelmed. But as a parent, sometimes you’re just too close to the situation to help. We’ll work with your child to make sense of overwhelming feelings, relationship conflicts and difficult experiences. Dr. Agree’s mentalizing approach helps calms the chaos, make feelings manageable, and increase your child’s sense of confidence and security.

Is your child or teen exhibiting

  • School anxiety, social anxiety, general worry
  • Depression, persistent sadness, apathy, withdrawal
  • Distance from you
  • Social isolation, avoidance, difficulty with friends
  • Hyper-socialization, peer group concern
  • Self-loathing, self-criticism, low self-esteem
  • Mood swings or outbursts
  • Grief or loss (loved one, pet)
  • Compulsive behaviors, risky behaviors, substance use concerns
  • Academic struggles, ADHD
  • Academic pressure, perfectionism
  • Bullying (as victim, aggressor, bystander)
  • Aggression, defiance, oppositional behavior
  • Sibling or other family conflict
  • Divorce or separation
  • Other challenging or confusing moods, behaviors, or emotions

We can help children and teens

  • Understand their thoughts, feelings and behaviors
  • Build a stable identity
  • Learn to think for themselves
  • Enhance internal security and self-confidence
  • Increase emotional resilience
  • Manage feelings with words rather than (negative) behaviors
  • Learn to self-soothe when overwhelmed
  • Develop sound judgment
  • Improve cognitive function by diminishing emotional obstacles
  • Reduce self-consciousness and become more socially successful
  • Increase empathic connection to others
  • Identify and develop personal strengths
  • Reduce emotional distress and increase sense of well-being

the THERAPY PROCESS

Consultation

Initial Meeting

The initial meeting may be solely with you, with your child alone, or with you together. The decision regarding who should attend the first meeting is based on your child’s age and your personal preferences. If your child is under the age of 12, it’s generally helpful to meet with you alone first, so that you can express your concerns and perspective. Teens are often comfortable coming alone to the first meeting, but we recommend leaving the decision up to them. There are no rigid rules; Dr. Agree is pleased to accommodate whatever makes you and your child most comfortable.

Dr. Agree, or your therapist, will ask questions to get a sense of the situation, and how we can help. Then we’ll give you our impression of the issues you’ve described, and provide you with a “road map” of our therapy process. Your family’s comfort is imperative, and we’re happy to discuss any questions or concerns you or your child may have.

History & Assessment

After the first session, Dr. Agree spends two to four sessions learning about your child’s background and personal history. With children under age 12, it’s helpful to meet with the parent(s) for one or two sessions in order to obtain relevant information. With older kids, it depends on the circumstances, but we’re always open to hearing from parents. During these sessions, your therapist will gather details, as well as informally assess for various skills, attachment patterns, and other aspects of your child’s experience to help structure therapy to meet his/her specific needs.

Therapy sessions

Therapy with children and teens must be developmentally appropriate. With children ages 5 to 12, we incorporate a combination of play, art and talk therapy. Teens generally prefer talk therapy, but various methods of creative expression are often helpful. At every age, children should feel comfortable, engaged and interested, and Dr. Agree’s toolbox is full of options to ensure that this is the case.

Therapy is most effective when conducted on a consistent. predictable schedule, at least once a week.

Periodic Review

The feelings and opinions your child has about therapy are vital to the success of the relationship. Dr. Agree invites their feedback, regarding what seems to be working for them, or not, and they (as well as you) are always encouraged to bring up any issues whenever they arise. This is an integral aspect of therapy, and enhances the relationship and likelihood of success.

Parents are often completely excluded from their teen’s therapy. However, Dr. Agree has found that leaving parents out can be counterproductive in some circumstances. She believes it’s important to be accessible to parents to address any questions and concerns, and to provide parenting support when needed.

START IMPROVING YOUR CHILD’S LIFE TODAY

What Makes Dr. Agree different

Feature Other Therapies Dr. Agree’s Approach
Personality assessment icon symbolizing Dr. Lena Agree's therapy services, emphasizing emotional understanding and personal growth. Assessment
None
  • Thorough personal history
  • Assessment of developmental vulnerabilities, attachment strategies and mentalizing strengths and deficits to help guide the course of therapy
Focus icon representing clarity and understanding in personality assessments, related to Dr. Lena Agree's therapeutic approach for emotional growth and mentalizing enhancement. Focus and Direction
Vague or undefined
  • Identify underlying reasons for child’s struggles
  • Make sense of experience by connecting thoughts, feelings and behaviors
  • Recognize and leverage personal strengths
  • Foster identity development and self-esteem
  • Regulate emotions
Personality assessment icon representing Dr. Lena Agree's therapeutic services, emphasizing understanding of personality structure and function. Techniques
  • Limited to empathy and cognitive-based approaches
  • Inability to address the non-mentalizing modes that prevent therapeutic change from occurring
  • Mentalize own thoughts, feelings to understand own behavior and motivations
  • Mentalize other people’s thoughts and feelings to make sense of their behavior and distinguish self from others
  • Expand emotional comprehension to manage big feelings with words
  • Encourage curiosity to reduce depressive and anxious experiences
Icon representing potential outcomes in therapy, highlighting emotional growth, clarity, and personal empowerment. Expected Outcomes
  • Initial relief in having access to non-judgmental listener
  • Frustration over time with lack of direction
  • Dissatisfaction with vague explanations
  • More accurate view of self and others
  • Reduced negative emotions
  • More confidence
  • Increased comfort in being alone and with others
  • Greater sense of control

FREQUENTLY ASKED Questions

Feel Connected With Others and Less Alone

If your child or teen is showing signs of emotional distress, behavioral changes, difficulty at school or home, or is struggling with anxiety, sadness, anger, or social issues, therapy can help. It’s best to intervene early, rather than waiting for a crisis. Early support can make a big difference.

Dr. Agree can help your child or teen overcome symptoms of anxiety, depression, irritability, ADHD, trauma, low self-esteem, grief, family conflict, divorce adjustment, school issues, social difficulties, and more. She and her independent therapists are able to address virtually any issue other than active suicidality, psychosis or life-threatening eating disorders.

We typically work with individuals age 5 and up.

Sessions vary by age and personal preference. We allow the child to lead, as that encourages agency, responsibility and independent thinking, but we also provide guidance whenever needed. Younger children usually engage in play-based activities that help them express feelings and work through conflicts. Teens usually talk more directly about their experiences, but some find artistic expression or structured conversations helpful.

Therapy works best when it’s frequent and consistent. Dr. Agree recommends weekly sessions, at least until any major distress has been diminished. She recognizes that scheduling can be difficult and is happy to collaborate with you to create a schedule that meets your child’s needs.

The length of therapy is up to you and your child. It depends on the severity of your child’s distress, his/her goals. Some children need short-term support (8–12 sessions), while others benefit from longer-term therapy.

Yes. Especially for younger children, parent involvement is important. Your therapist will keep you informed and may request your involvement in sessions, or offer parent support to reinforce progress at home.

That’s OK! If you think your child would benefit from therapy, Dr. Agree has had great success in having parents ask him/her to give it a chance by coming 3 times and then making a decision about continuing. When they come in and don’t want to talk, Dr. Agree has lots of creative, non-threatening methods to help children and teens feel comfortable.

We have to respect your child’s privacy to build trust, especially with teens. However, we’ll keep you updated on general themes and progress, and we’ll work with you if we see concerns. If we believe your teen is at risk of harm to self or others, or if there is suspected abuse, we are required to take protective steps. We also encourage open communication between teens and parents when appropriate, and will help you build trust with your teen when needed.

Dr. Agree’s practice is a private-pay provider and does not accept insurance. We accept credit, debit, HAS and FSA cards and can furnish you with superbills to submit to your insurance company in order to receive any out-of-network reimbursement to which you’re entitled. Dr. Agree is available to answer any questions you may have regarding payment or insurance. You may also wish to review the Rates and Insurance page rates.

You may notice your child becoming more calm, communicative, or confident. Sometimes teens begin expressing anger towards their parents more directly. This can be a bit shocking, but it’s a positive sign because when kids verbally express their emotions, they’re less likely to act them out in negative ways. It also provides you with new opportunities to build trust with your teen. Dr. Agree is here to support you and help you navigate these issues as they come up.

Get in touch

Whether you’re seeking therapy for adults, teens, kids, or couples, Dr. Agree and her carefully selected independent therapists are here to help you create meaningful change. Serving clients across Birmingham, Bloomfield Hills, and nearby communities.