Elsie Peña

I believe parents and caregivers are an important part of the therapeutic process, especially when working with children and teens. I aim to keep communication open through the parent portal, phone calls, or check-ins when clinically appropriate. I want parents to feel supported, informed, and included while also creating a safe space for the child or teen in therapy. I am always happy to collaborate and answer questions or concerns along the way

At times, I may suggest coping skills, reflections, activities, or small practices between sessions if I feel they could be helpful. I always tailor these recommendations to the client’s age, needs, and comfort level. I never want therapy to feel overwhelming or pressure-filled, so these tools are meant to support growth and self-awareness rather than feel like strict assignments.

With this topic I handle confidentiality with teenagers by creating a sage and trusting therapeutic environment while also maintaining appropriate parent involvement when clinically necessary. I explain confidentiality to teenagers always with the parents present so that both parties can know what the limits are. Safety concerns such as risk of harm to self or others. I aim to protect the teens sense of privacy and autonomy while at the same time collaborating with caregivers/ parents in ways that support treatment goals and emotional safety.

First sessions with me are warm, collaborative, and focused on helping children and teens feel emotionally safe and understood. I spend time building rapport and creating a comfortable environment because I believe trust and connection are an important part of therapy. During the first session, we may talk about current concerns, goals for therapy, background information, and confidentiality in an age-appropriate way. Depending on the child or teens age and comfort level, sessions may include conversation, creative activities, play based interventions etc.