What counselling for teenagers involves
Counselling for teenagers is a regular, private conversation with a trained counsellor about whatever is making life hard. At Young Minds Grow sessions last 50 minutes and happen at the same time each week, at our clinic in north Manchester, in school or online by video.
With younger children we work mostly through play. With teenagers it is mainly talking, though plenty of 14-year-olds still like to doodle, fiddle with clay or hold something while they speak. Gitta Strassman has worked with children and young people for 25 years, and she is used to teenagers who arrive saying they don’t know why they are there.
What teenagers bring to counselling
Teenagers come to counselling in Manchester for all sorts of reasons. Common ones are anxiety, panic attacks, low mood, anger, falling out with friends, pressure around exams, worries about how they look, things that happen online, and arguments at home. Some come after a bereavement, a parent’s illness or a separation.
A good number of the teenagers we see are autistic or have ADHD, sometimes diagnosed late. Many have spent years copying what other teenagers do to fit in, and arrive exhausted. For them, a place where they don’t have to keep that up for an hour can be a relief in itself.
Confidentiality for teenagers
Privacy matters more to teenagers than to almost anyone. What a young person says in counselling stays between them and Gitta. Parents hear how things are going in general terms, but not the content.
There is one exception. If we believe a young person, or someone else, is at serious risk of harm, we have to act. We explain this clearly at the first session, in plain terms, so nothing comes as a surprise. Where we can, we tell the young person before we share anything and talk with them about how it will happen.
Helping a reluctant teenager try it
Many parents call us about a teenager who has refused point blank. That is normal, and it doesn’t mean counselling won’t work. Things that often help:
- suggesting a single session ‘just to see’, with no promise to continue
- offering online sessions from their own room
- letting them speak to Gitta on the free call
- choosing a time that doesn’t clash with something they care about
We also meet parents on their own before sessions start, and again every six sessions or so. Those meetings are a chance to talk about what is happening at home and what you can do to help, even before your teenager has agreed to anything.
When a teenager needs more urgent help
Counselling is right for many teenagers, but not for every situation. If your teenager needs psychiatric care, a medication review or an assessment for an eating disorder, start with your GP, who can refer to CAMHS. If they are at immediate risk, call 999 or go to A&E.
Teenagers come to our clinic from across Manchester, Salford, Bury and Whitefield, and from further away for online sessions.