Emotion Management
especially for kids and tweens age 9-13
teletherapy offered in North Carolina, Utah, and Arizona
Signs Your Child Would Benefit from Therapy for Managing Strong Emotions
Experiences anxiety
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Causes of anxiety can vary drastically from child to child. Kids are not all that different from adults when it comes to what they might be nervous about. Frequent causes of anxiety include middle school, navigating the social media experience, sleeping alone or staying home alone, performing in front of others, or fear that something bad will happen. Anxious children sometimes have physical symptoms such as stomachaches, or emotional symptoms like meltdowns or tantrums.
Often appears angry
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Kids at this developmental stage are often very preoccupied with what is fair. If something does not seem fair to them, anger is a common emotion. Many kids do not have the coping skills to manage their anger effectively and end up melting down, getting a smart mouth, or becoming physically aggressive.
Is overwhelmed by change
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Lots of kids at this age are concrete thinkers and still have not grown into their ability to be flexible and adaptable to change. Some families find transitions (such as ending screen time) to be the breeding grounds for serious power struggles. While this is a classic battle for kids on the autism spectrum, many kids are literal thinkers and have a hard time adapting to new plans, especially if unexpected.
Displays tantrum behavior
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Often kids have tantrums when they feel overwhelmed and don’t know what else to do. Whether intentional or not, this behavior can become manipulative and causes parents a lot of stress. Parents frequently disagree on how to handle tantrums which can cause arguments between them at a time when it would really benefit everybody for parents to present a united front. Most kids hate tantrum behavior (almost) as much as their parents do and want to learn how to feel not so out of control.
Reports suicidal thoughts
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As terrifying as it is for parents, kids this age sometimes say they want to kill themselves. What many kids really mean is “I’m overwhelmed and I don’t know what to do about it!” Other kids post messages on social media about suicidality, with a limited understanding of how such a post will be handled by others. Still other kids actually feel low self-worth and wish that they were not alive. Some kids say it for attention. All talk of suicidality should be taken seriously and evaluated by a therapist.
Has had a recent loss
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Some kids who have had a recent loss like a death in the family or who have experienced something traumatic do not know how to handle the strong emotions that come up for them while trying to move forward with life. Sometimes parents are also overwhelmed with their own emotions about the event and are not sure how to help their children.
Has problems at school
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Problems at school can vary widely from learning how to manage perfectionism and personal expectations about grades, to learning how to navigate social experiences with difficult kids or teachers. Other kids with poor grades struggle to manage the conflict that this creates with their parents.
Affects family conflict
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It probably feels to you like your kid creates all the family conflict, but be honest, you probably also struggle at times to keep your cool. Kids who struggle to manage their own emotions often affect the climate of the household. Sometimes the extra attention spent tending to the child with emotional outbursts can cause resentment or behavior problems in a sibling.
Feels inclined to self-harm
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Sadly, it is not unheard of at this age for kids to experiment with risky self-harm behavior like cutting. Some kids become curious about it when a friend tells them they’ve tried it. For others, it feels like an outlet to handle the strong emotions of feeling depressed or misunderstood. Actual or threatened self-harm should be taken seriously and evaluated by a therapist.
Is impulsive
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Your child does not have to have a diagnosis of ADHD to struggle with the consequences of impulsive behavior. When kids get worked up they often say or do things that they regret and would not do if they were able to stay calm.
Has body image issues
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Girls, in particular, can become preoccupied with their appearance as they struggle to understand and live up to cultural expectations of femininity. Dissatisfaction with minor imperfections in their hairstyle or concern about acne can cause a great deal of anxiety. Fatphobia, a desire to be thin, and body dissatisfaction begin upsettingly early for many girls today.
Has extreme shyness
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Extreme shyness becomes a problem for some kids when the fear of embarrassment prevents them from having fun or fully participating in activities like dancing or being goofy with their friends and family.
Therapy designed to help your child and your family

Cognitive Behavioral Therapy
When I work with tweens, I begin with a therapist-led, structured approach to teaching emotional regulation skills. This tends to work well for kids who are hesitant to begin therapy and are not initially interested in talking about their feelings. We decide together whether parents will sit in on the sessions or just check-in at the end.

Applied With Caregivers
Once your child develops foundational skills, we practice applying them to real-life situations. Parental involvement and insight is often crucial to crafting and implementing useful gradual exposure experiences. As we work together, we can address unpleasant family dynamics and create space for you and your child to develop healthier patterns for interacting with each other.
Frequently Asked Questions
What coping skills will my child learn?
Your child will learn how to identify emotions in themselves and others, how to recognize feelings in their body, how to use relaxation techniques, how to challenge unhelpful thoughts, and problems solving skills, among other things.
My child is slightly older/younger than your recommended age range. Can he/she still do the program?
Send me an email and we can discuss your child’s individual situation. I have worked successfully with kids as young as age 6/kindergarten. However, kids this young tend to benefit from therapy in person and telehealth may not be as effective. Older teens who enjoy structure may benefit from the program or may find that they prefer a looser, client-led individual therapy experience.
How long will my child be in therapy?
This is largely dependent on the severity of your child’s symptoms. Most kids see significant improvement after 10-15 sessions, if not before. This is usually over a period of 3-6 months depending on whether you schedule weekly or every other week. Most clients then switch to a maintenance phase for another 6 months where we check-in together every month or two to make sure your child continues to do well.
Is telehealth effective for tweens?
I tend to think that in-person therapy is always ideal, but ideals are not always practical. There are advantages to telehealth such as comfort and convenience. It can be really difficult to find a therapist that is a good fit for your child! Today we are doing all kinds of activities on the internet that we never thought possible. Effective therapy is one of them.
Do you work with kids on the autism spectrum?
Yes. The structured approach I take with cognitive behavioral therapy can be a very good fit for older kids, teens, and young adults with mild autism who are high-functioning. As a former special education teacher, I am happy to work with you and your neurodiverse child.
Is therapy at this age effective?
Yes. I find that kids this age are particularly receptive to a structred, skills-based approach that does not require extensive talking about feelings. Forming a trusting therapeutic relationship in pre-teen years can also be helpful in the event that they run into some bumps in their older teen years.
Still have questions?
Contact Me
I look forward to hearing from you! Email is the best way to get in touch with me. Both email and phone/voicemail are secure and HIPAA compliant.