Telehealth services have been around for many years, both with medical and mental health care. As technology becomes more integrated into daily life, accessibility for these services has increased as well. Many families have begun considering virtual therapy for children and teens, but struggle with knowing where to start. While online sessions can be beneficial, there are also things to consider regarding if it is the best fit for your child. Determining its appropriateness depends on their age, developmental profile, presenting concerns, and home environment.
This guide from Reach Counseling covers everything you need to know about virtual therapy! Follow along as we walk through the benefits and limitations of virtual therapy, how it compares to in-person care, and generally what families can expect across different age groups.
What Does Virtual Therapy Look Like?
Let’s break it down by age group.
Ages 7 to 11
Sessions typically last between 45-55 minutes
Therapists will typically incorporate both talk therapy and activity-based therapy depending on the client’s level of engagement.
Activities could include drawing, online games, worksheets, and other digital resources to support processing of session topics.
Check-ins with caregivers are still provided, either before/after the session or in a separate session.
Ages 12 to 17+
Sessions typically last around 50 minutes, as adolescents often adapt well to virtual therapy.
Therapists will typically provide more talk therapy, but will still incorporate other tools if necessary or appropriate for the client.
Caregiver involvement is more flexible, as this is a time of increased autonomy for the client.
Virtual sessions with this age are particularly effective for anxiety, depression, identity exploration, and general stress management.
Ages 18+
Sessions typically last between 50-55 minutes
Therapists will most likely primarily utilize talk therapy, but expressive art activities and other digital tools are often incorporated as well.
As these clients are no longer minors, caregiver involvement will be based on the client’s preference.
Virtual sessions with this age group are helpful for anxiety, depression, life transitions, and identity exploration.
Virtual vs In Person Therapy
Accessibility and Convenience
One of the biggest benefits of virtual therapy in Texas is accessibility. Families can connect with licensed therapists across the state without worrying about transportation or long commutes. This is especially helpful for busy families or those in rural areas. Virtual therapy also offers more scheduling flexibility.
Engagement and Attention
Virtual sessions can be engaging and interactive through the use of digital tools, games, and creative activities. For many tweens and teens, this format feels natural and comfortable.
In-person therapy may offer more hands-on interaction, which can be especially beneficial for younger children. For children under age 7, in-person play therapy is often recommended.
Environment and Comfort
Many children and teens feel more comfortable participating in therapy from home. This can be especially helpful for those experiencing anxiety or depression. A familiar environment can increase openness and emotional safety.
At the same time, home environments can introduce distractions. Setting expectations and preparing a quiet space can improve the effectiveness of online therapy for children and teens.
How Do I Know if Virtual Therapy Is Right for My Child?
Let’s consider the following factors:
1. Presenting Concerns
Virtual therapy is often appropriate for anxiety, depression, school stress, adjustment concerns, social challenges, grief, and mild to moderate trauma. It may not be the best fit for severe behavioral dysregulation, active safety concerns, or complex trauma that requires more intensive support.
2. Age and Development
Children ages 7 and up and most teens tend to do well with virtual therapy. Younger children may benefit more from in-person, play-based approaches.
3. Neurodivergence and Learning Needs
Children with ADHD, autism, or sensory differences may respond differently depending on their needs. Some may prefer virtual sessions due to reduced sensory input and increased comfort at home.
4. Technology and Environment
A stable internet connection, a private space, and access to a device are essential. Having simple materials like paper, markers, or fidget tools can also support engagement.
Final Thoughts
Virtual therapy for tweens and teens in Texas can be a flexible and effective way to support mental health. The right fit depends on your child’s unique needs, and a thorough intake with a licensed therapist can help guide that decision.
At Reach Counseling, we offer both in-person and online therapy for teens, older children, and adults across Texas. Our team is here to help you determine the best option for your child and family.
If you are considering therapy, we would love to connect with you. Our office manager and therapists are happy to answer questions and help you get started.
Meet Elora
Elora is our dedicated virtual therapist here at Reach Counseling, specializing in supporting tweens and teens! Ready to learn more about virtual therapy at Reach Counseling? Contact us today to find the right fit for your child.
