Ky Carter

With teens, I establish confidentiality and its limits from the beginning in age-appropriate language. I want them to feel safe being honest without assuming everything will automatically be shared with their parents. I explain that I must intervene if there are safety concerns, risk of harm, abuse/neglect, or other mandated reporting situations. I also work with parents on respecting the teen’s privacy while sharing clinically necessary information. My goal is to maintain trust while prioritizing safety and ethical care.

I don’t force a child or teen to open up. I focus first on building rapport and creating a safe, nonjudgmental environment. I meet them where they are, use their interests, humor, or activities to connect, and allow trust to develop naturally. I also explore what may be making it difficult for them to engage. My goal is to show consistency and patience so they eventually feel comfortable enough to share at their own pace.

Every child and family is different, so there isn't a set timeline. The length of therapy depends on your child's needs, goals, progress, and level of support. Some concerns may improve in a few months, while others benefit from longer-term support. I regularly check in on progress and adjust treatment as needed.