
As a parent in New York City, you juggle a lot. From school and activities to the unique pressures of urban life, ensuring your teenager's well-being is a constant priority. When you notice your adolescent struggling, it's natural to consider therapy as a valuable support. But where do you even begin?
Choosing the right mental health support for your teenager can feel overwhelming, especially with so many options available. You want to make an informed decision that truly benefits your child, ensuring they feel heard, understood, and supported. That's why asking the right questions upfront is so important.
At Mount Behavioral Health, we specialize in telehealth therapy for children and adolescents aged 9-21, serving families across all five NYC boroughs. We understand the specific concerns parents have when exploring telehealth teen therapy sessions. We've put together this guide to help you feel confident and prepared. By asking these 10 essential questions,
You'll be well-equipped to find the best fit for your family and embark on a positive therapeutic journey.
How do you know if your teen's behavior is just normal teenage moodiness or if it's something that truly warrants professional help? It's a common question for many parents. Adolescence is a period of significant change, but certain signs might indicate a need for expert intervention.
In 2023, about 40% of U.S. high school students reported persistent feelings of sadness or hopelessness, while 20% of adolescents aged 12-17 experienced anxiety symptoms in recent years. These statistics highlight a clear need for accessible mental health care. Look for changes in sleep patterns, appetite, sudden drops in grades, withdrawal from friends or hobbies, increased irritability, or expressing feelings of hopelessness. If these changes are persistent, intense, or interfere with daily life, it might be time to consider teen therapy sessions.
Source: https://www.cdc.gov/healthyyouth/mental-health/index.htm
Once you've identified a potential need for support, the next step is to find the right therapist. These questions are designed to help you evaluate potential providers, especially when considering telehealth for teen therapy sessions, ensuring you make an informed choice.
Teens, particularly those between 9 and 21, have unique developmental stages and challenges. A therapist specializing in adolescent mental health understands these nuances. They should be familiar with issues like identity formation, peer pressure, academic stress, social media impact, and family dynamics specific to this age group.
When you ask this question, listen for details about their caseload, specific age ranges they typically work with, and their understanding of different developmental needs. An experienced therapist will demonstrate a clear grasp of how to connect with and support young people effectively in their teen therapy sessions.
Effective therapy is rooted in approaches proven to work. For adolescents, common evidence-based methods include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and trauma-informed care. These approaches help teens develop coping skills, manage emotions, and process difficult experiences.
Ask how they adapt these methods for the unique needs of a teenager, especially in online teen therapy sessions. For example, a therapist might use more interactive, creative, or tech-integrated techniques to keep a teen engaged in a virtual setting. Their answer should show they have a thoughtful, individualized plan for each client.
Confidentiality is crucial for building trust with your teen. They need to feel safe sharing their thoughts and feelings without fear of immediate parental judgment. However, parents also need to know about significant safety concerns.
The therapist should clearly explain their confidentiality policy, adhering to HIPAA regulations, and outlining when they would break confidentiality (e.g., if there's a risk of harm to the teen or others). For telehealth teen therapy sessions, they should also discuss secure platforms, privacy settings, and how they ensure the virtual environment is private and distraction-free for your child.
While the teen needs their own space, parental involvement is often key to lasting change. This doesn't mean you're in every session, but rather that there's a collaborative approach to support your child's growth.
Inquire about their philosophy on parent communication. Will there be regular check-ins? Family sessions? How will they share progress updates without breaching your teen's trust? A good therapist will seek to empower parents with strategies and insights to support their child at home, complementing the work done in teen therapy sessions.
You want to know if the therapy is making a difference. Effective therapists use various ways to track progress beyond just "feeling better." This might include setting specific, measurable
goals with your teen, using assessment tools, or regularly reviewing changes in behavior, mood, and coping skills.
A transparent therapist will explain their methods for assessing improvement and how they communicate these milestones. This ensures accountability and helps everyone involved understand the impact of the teen therapy sessions on your child's well-being.

While therapy aims for long-term improvement, immediate support can be vital during a crisis. Understanding how your therapist handles urgent situations provides peace of mind.
Ask about their emergency protocols: Do they offer after-hours support? What is the best way to reach them or a designated contact in an urgent situation? Knowing these procedures ensures your teen has a safety net beyond their regular teen therapy sessions.
Telehealth offers incredible convenience, especially for busy NYC families, but it requires specific skills from the therapist. The virtual environment must be just as engaging and effective as in-person sessions.
The therapist should describe how they maintain engagement, use interactive tools, or structure sessions to maximize the benefits of online therapy. They might talk about screen-sharing activities, digital worksheets, or how they help teens manage distractions in their home environment during virtual teen therapy sessions. Mount Behavioral Health has extensive experience in making telehealth truly effective for adolescents.
If your teen is struggling with a particular issue like anxiety, depression, ADHD, or academic pressure, it's beneficial to find a therapist with expertise in that area. This specialized knowledge means they'll have a deeper understanding of the challenges and proven strategies to help.
Don't hesitate to ask for details about their work with similar cases. While they can't share client specifics due to confidentiality, they can discuss their general experience, approaches, and success stories related to your teen's specific needs when conducting teen therapy sessions.
Therapy isn't just about the 50 minutes once a week. Sometimes, questions arise, or situations change between appointments. Understanding communication policies helps manage expectations.
Inquire about their policy for calls, emails, or messages between teen therapy sessions. What is their typical response time? Is there an extra charge for brief communications? Clear guidelines ensure you and your teen know how to reach out if needed and understand what to expect.
Before committing, it's essential to understand the practical aspects. This includes session frequency and duration, cancellation policies, fees, and whether they accept your insurance or offer sliding scale options.
Being clear about these details upfront helps prevent misunderstandings and ensures the therapy is financially sustainable for your family. Many providers, including Mount Behavioral Health, offer flexible telehealth scheduling, making it easier to fit teen therapy sessions into a busy NYC schedule.
Living in New York City presents unique challenges and opportunities for teens. The fast pace, competitive academic environment, and diverse social landscape can contribute to stress, anxiety, and identity struggles. At the same time, the city offers a vibrant tapestry of culture and experiences.
When seeking teen therapy sessions, consider how the therapist understands the urban context. Do they recognize the impact of crowded living spaces, long commutes, or the pressure to excel in highly competitive schools? Our telehealth model is especially convenient for NYC families, removing travel time and allowing teens to access support from the comfort and privacy of their own home, whether in Brooklyn, Manhattan, the Bronx, Queens, or Staten Island.
Once you've found a therapist you feel good about, the next step is to talk to your teen about starting therapy. It's normal for adolescents to feel hesitant, embarrassed, or even resistant to the idea. Approaching the conversation with empathy and openness is key.

Explain that therapy is a safe space to talk about feelings and learn new ways to cope. Emphasize that it's a sign of strength to seek help, not weakness. Involve them in the choice if possible, letting them know they'll have a voice in their teen therapy sessions. Reassure them about confidentiality and the convenience of online sessions, meaning no travel time or missing school for appointments.
Extensive research has shown that telehealth therapy is as effective as in-person therapy for many adolescent mental health conditions, including anxiety and depression. The success depends on the therapist's expertise, engagement, and structured therapeutic methods.
Source: https://pubmed.ncbi.nlm.nih.gov/34726992/
At Mount Behavioral Health, we are dedicated to providing high-quality, accessible mental health support for adolescents aged 9-21 across all five boroughs of New York City. Our telehealth model directly addresses many of the questions parents have, ensuring a seamless and effective experience.
We specialize in evidence-based approaches tailored for teens, with experienced therapists who understand the unique developmental needs of this age group. Our commitment to clear communication about confidentiality and parental involvement fosters a collaborative environment. We prioritize measuring progress, provide clear crisis protocols, and offer flexible scheduling to fit your busy life. Our team is adept at making virtual teen therapy sessions engaging and impactful, empowering your child to thrive.
Taking the step to explore therapy for your teenager is a profound act of care and commitment. By arming yourself with these 10 essential questions, you're not just finding a therapist; you're actively engaging in a process to find the best possible support for your child's mental well-being. This thoughtful approach helps ensure that the teen therapy sessions you choose are effective, supportive, and truly transformative.
Don't hesitate to take this vital step. Your child's emotional health is worth investing in. Contact Mount Behavioral Health today to schedule a consultation. We're here to answer all your questions and guide you through finding the right telehealth teen therapy sessions for your family, right here in NYC.
How do I know if my teen's behavior is normal teenage moodiness or something that needs therapy?
It can be tough to distinguish between typical adolescent ups and downs and more serious concerns. Look for changes that are persistent, intense, and interfere with your teen's daily life.
If your teen shows significant changes in sleep, appetite, school performance, or friendships for more than a couple of weeks, or if they express feelings of hopelessness or self-harm, it's wise to seek a professional evaluation. A mental health professional can help determine if teen therapy sessions are needed.
Will my teen hate me for suggesting therapy, and how do I bring it up without making things worse?
It's a common fear that suggesting therapy might alienate your teen. The key is to approach the conversation with empathy, openness, and without judgment. Frame therapy as a tool for personal growth and problem-solving, not as a punishment or a sign of being "broken."
Say something like, "I've noticed you've been having a tough time lately, and I want to make sure you have all the support you need. Many people find it helpful to talk to someone neutral, like a therapist, to work through feelings or challenges. What do you think about trying a few online teen therapy sessions to see if it helps?" Emphasize that it's their space and their choice.
How can I trust that telehealth therapy is as effective as in-person sessions for my teenager?
Extensive research has shown that telehealth therapy can be just as effective as in-person sessions for many mental health conditions, including those affecting adolescents. The success largely depends on the therapist's skill, the teen's engagement, and the quality of the virtual connection.
For teens, telehealth can sometimes even be more effective because it offers convenience, privacy, and the comfort of being in their own environment. This can reduce anxiety about attending appointments and make them more open to participating in their teen therapy
sessions. Our therapists at Mount Behavioral Health are trained in engaging teens effectively through virtual platforms.
What happens if my teen refuses to participate or stops engaging in therapy sessions?
It's not uncommon for teens to show resistance, especially initially. A skilled therapist understands this and has strategies to build rapport and encourage engagement. This might involve exploring the teen's interests, allowing them more control over session topics, or incorporating creative activities.
If engagement remains a challenge, the therapist might involve parents in a limited way to discuss strategies or consider if a different therapeutic approach or therapist might be a better fit. Open communication between you, your teen, and the therapist is crucial to navigate these situations during teen therapy sessions.
How much should I expect to be involved in my teen's therapy, and what information will the therapist share with me?
The level of parental involvement in teen therapy sessions typically varies based on the teen's age, specific issues, and the therapist's approach. Generally, therapists strive to create a safe, confidential space for the teen while also keeping parents informed about general progress and offering guidance on how to support their child.
Expect the therapist to outline their confidentiality policy clearly, including when they would need to break confidentiality (e.g., in cases of harm). They will usually schedule separate parent check-ins to discuss overall themes, progress towards goals, and provide parenting strategies, without revealing specific details shared by the teen in their individual sessions. This collaborative approach helps ensure the best outcomes for your child.