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12 Signs that Your Teen Needs Psychoanalytic Psychotherapy

12 SignsPsychoanalysis has the misleading reputation of being the talking cure for the adult patient. Well, it is not. Children and adolescents can benefit greatly from early intervention and prevention through psychoanalytic work that can help prevent more serious and long-term problems in the future.

Child psychoanalyst and psychoanalytic therapists work with children (and their parents) as young as infants. Psychoanalytic technique changes depending on the age and developmental needs of each individual patient but I will leave that for another post.

Let’s look at 12 signs that your teenage son or daughter may benefit from psychoanalytic psychotherapy. Some of these signs you may have noticed earlier in your child’s life and the sooner you get some professional help, the better.

Sign #1. Concern from teachers and school counselors or social workers – school staff are usually the first to alert parents that something may be going on with their son or daughter. If the school counselor or social worker expresses concerned for your teen’s behavior or emotional state, you may want to ask them for a referral or consult with a psychoanalytic psychotherapist.

Sign #2. Unusual change or decrease in academic performance – emotional problems are one of the top deterrers to learning and academic success. If your teen is suddenly struggling to perform at school and the teachers are concerned, this may indicate an emotional difficulty that requires a therapeutic intervention.

Sign #3. Skipping school and classes – truancy and delinquent behaviors are another indicator that something may be interfering with your teen’s ability to function academically and or socially. It is often difficult for teens to talk to their parents about what’s going on with them and skipping on classes is usually a sign that something may be going on.

Sign #4. Frequent arguments at home – every teenager argues with their parents in an attempt to assert their independence and sense of autonomy. However, if the arguments are persistent and worrisome, you may want to consult a professional.

Sign #5. Substance abuse (alcohol, marijuana, etc.) – substance abuse is probably the most widely used, self-medicating tool used by both teens and adults to cope with emotional difficulties. Usually, it is used to relieve anxiety, to temporarily improve depressed mood or simply as an avoidance strategy.

Sign #6. Recent change in the family (divorce, separation, etc.) – parental and marital discord is always hard on the children. When parents decide on divorce, the kids experience variety of emotions, including guilt, anger, hope, denial, sadness, etc.  Psychoanalytic psychotherapy offers ways to reduce the negative impact of the disruption for the whole family, especially the child/adolescent.

Sign #7. Loss/death in the family – unexpected life circumstances put strain on every family. Therapy provides a space to make sense of the nonsensical and cope with the loss in a healthy way. If your child/adolescent has experienced a loss in the family, this is a sign that they may benefit from talking to someone.

Sign #8. Traumatic experiences – physical, sexual or emotional abuse are among the most common reasons for people to seek out professional counseling. Trauma is also the number #1 problem that causes severe anxiety in both adults and children. If your teen has gone through a traumatic experience, psychoanalytic psychotherapy is one of the most appropriate therapeutic approaches to address it.

Sign #9. Angry outbursts and getting into fights – what cannot be expressed through words is often communicated through action – fights, delinquent behaviors, drinking, etc. Meeting it with punishments or disapproval does little for the kid and often escalates the internal difficulty. If your teen is angry and violent, this is a clear indication that s/he may benefit from psychotherapy.

Sign #10. Self-injurious and risky behavior – self-injurious and risk taking behaviors are often signs that your teen is struggling with emotional issues and is trying to cope with them the best way they can. It can be very scary for the parents to literally see their child’s pain marked on their body so don’t hesitate and get some help.

Sign #11. Sexual acting out – teens usually engage in sexual exploration one way or another. However, premature sexualized behavior and comments may be signs of deeper struggles.

Sign #12. Withdrawn and isolative behavior can be easily neglected as it is not explosive or loud in any way. However, it may indicate that your teen is depressed and getting a professional opinion is crucial for your kid’s safety.


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12 Signs that Your Teen Needs Psychoanalytic Psychotherapy

Mihaela Bernard, MA, LCPC

Mihaela Bernard, MA, LCPC is a licensed clinical professional counselor and founder of Inside Family Counseling, LLC in Chicago. She is a Professional Member of the American Counseling Association and a member of Chicago Psychoanalytic Circle of the Freudian School of Quebec, Canada. She is the author of Mental Health Digest electronic magazine, your free, easy-to-read electronic resource on common mental health issues affecting you and your family, plus some suggestions on how to address them. She specializes in psychoanalytic psychotherapy for troubled children and adolescents, who face behavioral and emotional challenges at home and at school. Her mission is to empower, support and guide children, adolescents and their parents to a happy and healthy family. Mihaela also writes a Parenting Blog, where parents find helpful resources and practical tips on how to support their child and adolescent's behavioral and emotional development. You may find out more about her at

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APA Reference
, . (2019). 12 Signs that Your Teen Needs Psychoanalytic Psychotherapy. Psych Central. Retrieved on August 14, 2020, from


Last updated: 28 Mar 2019
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