What Happens in a Child or Teen Counselling Session?

The idea of sending your child to counselling can feel scary. You might be wondering: What do they talk about? Will I be left out? Will it even help? It’s completely normal to feel uncertain.

Let’s walk through what actually happens in counselling for children and teens—so you can breathe a little easier.

1. The first session is mostly about getting to know each other It’s a chance to understand why you’re seeking support and to start building trust. The counsellor may ask about school, family, hobbies, and how your child has been feeling.

2. It's not always about talking Especially for younger children or teens who struggle to open up, counsellors often use creative tools—like drawing, games, or storytelling. These methods help kids express themselves in a way that feels safe and natural.

3. It’s all about trust and connection A good therapist works hard to create a space where your child feels comfortable and respected. It’s not about judging or diagnosing right away—it’s about connection first.

4. Confidentiality is key—and that’s a good thing One of the most important parts of counselling is confidentiality. Your child needs to know that what they say will stay private—unless there’s a safety concern. While this might feel difficult as a parent, it’s a big part of what helps teens open up.

5. You’re still part of the journey While sessions are private, therapists often check in with parents. You’ll be informed if something serious comes up, and in many cases, you’ll be invited to support your child’s progress at home too.

Counselling is a process, not a quick fix It may take a few sessions for your child to open up. That’s okay. What matters is that they have a consistent, safe space to explore what’s going on inside.