Can online therapy work for children and young people?

When you’re looking for support for your child, it’s natural to wonder what counselling online would actually be like. Would they just sit in front of a screen and talk? Would they stay interested? And would it feel personal enough to help?

Online counselling can be more than a video call. It can offer a flexible way for a child or young person to explore what’s going on, using conversation and creative resources that suit them.

What might happen in an online session?

There isn’t one set way to have a session. Some young people like to talk; others find it easier to begin with an activity or a visual prompt. Depending on what feels helpful, we might use:

• a virtual sand tray, where objects can be placed to create a scene

• drawing or doodling

• emotion cards or a visual feelings scale

• creative prompts to help someone express an idea or feeling

• conversation and reflection

These resources aren’t there to make a young person perform or to turn every session into a game. They’re simply different ways to communicate. A young person can choose what they want to try, and we can change approach if something doesn’t feel right for them.

Sometimes there may be laughter or a playful moment. There can also be quiet, thoughtful conversations. The aim is to make space for the young person to be themselves—not to make them enjoy every activity or find the “right” thing to say.

Why might a family choose online counselling?

Online sessions can make it easier to access support without travelling to an appointment. A child or young person may also feel more at ease joining from a familiar room, using a device they already know.

For some families, this flexibility makes fitting sessions around school and other commitments more manageable. It can also make counselling available to people who live further away.

Online counselling isn’t the right fit for everyone, though. Some children may find it difficult to concentrate on a screen, or may prefer being in the same room as their counsellor. It’s okay to talk about that before deciding. The first step can be a conversation about what your child needs and whether online sessions seem suitable.

Helping your child get ready

A few small practical steps can help an online session feel easier:

• Choose a private, comfortable place where your child can take part without being overheard.

• Check the internet connection and device beforehand, if possible.

• Have headphones available if they help with privacy or concentration.

• Let your child know they don’t need to prepare a speech or know exactly what to say.

• Depending on your child’s age and needs, agree how an adult can be nearby if support is needed.

Privacy and safeguarding arrangements should be discussed clearly before sessions begin. This includes what will happen if a young person needs help during or after an appointment.

Is online counselling right for my child?

That depends on the individual child or young person: their age, preferences, needs and circumstances. Some enjoy the creative options and the familiarity of joining from home. Others may prefer face-to-face sessions, or a different kind of support altogether.

You don’t have to know the answer before getting in touch. We can talk through what has been happening, what your child might find helpful, and whether online counselling could be a suitable option.

At Patchwork Pathways Therapy, online counselling for children and young people can include conversation, creative activities and visual resources. If you’d like to find out more, you’re welcome to arrange a free introductory call through patchworkpathways.co.uk.