Skip to content

In crisis? Call or text 988, or call 911.

Hearthway crestHearthwayBehavioral Health

Child therapist in Maryland for kids and teens, by video or phone

Therapy for children 6 to 12 and teens 13 to 17 with a licensed clinician, by video or phone from home anywhere in Maryland.

Parents involved from intake. No referral needed.

What's included for children and teens

Children and teens meet one-on-one with a licensed clinician by secure video or phone. The therapist gets to know your child, writes a treatment plan with your family using goals in your child's own words, and reviews progress with you regularly.

Your child's therapist uses approaches that fit their age, such as cognitive behavioral therapy and trauma-focused CBT, DBT-informed skills, solution-focused therapy and mindfulness. With younger children, therapy uses play and activities, which helps children who find it hard to talk about feelings directly.

The treatment plan names what your family wants to change, the steps to get there, how often your child will meet, and how progress will be measured. It is reviewed regularly and updated as your child's needs change.

Therapy can ease symptoms, strengthen relationships at home and at school, and give children and teens tools they keep using long after sessions end. Common reasons families reach out:

  • Worry, fears and panic
  • Sadness, low mood or withdrawal
  • Anger, meltdowns and emotional regulation
  • ADHD-related struggles at home and school
  • School stress, friendships and bullying
  • Grief, loss and hard life changes
  • Self-esteem

Ages 6 to 12 compared with 13 to 17

The approach changes as children grow.

For both age groups, you give consent for telehealth before the first visit. If your child also struggles with attention or focus, therapy can sit alongside medication care from our nurse practitioners, who see children from age 6.

Some children do best by video, where they can show drawings or games. Others, especially some teens, prefer a phone call. Your child's therapist helps choose what works and can change it as therapy goes on.

Whichever format you use, we confirm at the start of each visit where your child is and a number to call back if the connection drops.

Children 6 to 12Teens 13 to 17
How sessions workPlay- and activity-based approachesTalk-based help with mood, stress, school and friendships
Parent roleJoins intake, regular check-ins, coaching on behavior strategiesJoins intake; involved as appropriate
PrivacyParents stay closely involvedWe explain at intake how privacy works for your family
SchoolCoordination with your permissionCoordination with your permission

What drives the cost

Each session is billed per visit, and the first appointment is an intake visit billed like the others. Sessions last 45 to 55 minutes, with the first about 60, and most families start weekly or every other week.

With Maryland Medicaid, you can come to us directly without a referral. Medicaid mental health care is managed by Carelon Behavioral Health, and our office requests any approval needed. For other insurance we check coverage before the first visit.

A few terms explained: a copay is a set amount per visit; coinsurance is a percentage after your deductible; a deductible is what you pay each year before your plan pays. We share an estimate after checking benefits. If you don't use insurance, call for self-pay rates and ask for a Good Faith Estimate. Please give 24 hours' notice to cancel.

You'll know the likely cost before your child's first visit. If anything about coverage changes, such as a new plan or a lapse in Medicaid, tell our office and we'll check again before the next session.

Why families in rural Maryland choose telehealth

A weekly therapy appointment can mean pulling a child out of school and driving a long way, especially in rural Maryland. From home, sessions take less time out of the day, and many children open up more in a familiar place.

We see children and teens in every Maryland county and Baltimore City, with a focus on Western Maryland, Southern Maryland and the Eastern Shore. Your child needs to be in Maryland during each visit, in a private space.

For a visit your child needs a private place where they can talk freely, and either a phone, tablet or computer with a camera for video or any phone for audio. If the video drops, rejoin the link, or the clinician calls the number you confirmed and may finish by phone when appropriate.

A regular appointment is easier to keep when nobody has to arrange a ride. For working parents with more than one child, a session from home can make weekly therapy realistic.

Visits use a secure video or phone connection, and we explain at intake how your child's information is protected.

What to expect as a parent

You join the intake visit and help set goals. For younger children you'll have regular check-ins and practical strategies to use at home. For teens, we talk openly at the start about what stays private and when we would involve you.

Therapy doesn't replace emergency care. If your child is in crisis between sessions, call or text 988, or call 911 in an emergency.

Many parents ask how they'll know therapy is working. Your child's therapist reviews progress with you against the goals in the plan, and tells you what they're seeing. If the fit with a particular therapist isn't right, you can ask to switch, and we'll help you find a better match.

Your role changes as your child grows. With a 7-year-old you may be in the room for part of each session; with a 16-year-old you may hear general progress while the details stay between your teen and their therapist, within the limits we explain at intake.

After therapy starts

Your child's therapist reviews progress with you and adjusts the plan. With your written permission, the therapist coordinates with your child's school, pediatrician or nurse practitioner. If medication might help, our nurse practitioners see children from age 6.

We don't offer family therapy or see children under 6. If either would serve your family better, we'll tell you.

If a safety plan is needed, your child's therapist makes one with your child and with you. When goals are met, sessions are spaced out and then finished, with a plan for what to do if things get hard again. Clinicians may provide school letters related to your child's care when appropriate.

How to get started

  1. Step 1: Contact our office

    Call (443) 824-4842 or send the form. Tell us your child's age.

  2. Step 2: Coverage check

    We verify Medicaid or other coverage and explain any costs.

  3. Step 3: Intake with a parent

    About 60 minutes by video or phone. A parent or guardian joins.

  4. Step 4: Regular sessions

    45 to 55 minutes, usually weekly or every other week, with parent check-ins.

Related services

  • Online therapy

    One-on-one therapy with a licensed clinician by secure video or phone, for children from age 6, teens and adults anywhere in Maryland.

  • Medication management

    A psychiatric evaluation and ongoing medication care with a licensed nurse practitioner, by video or phone, for ages 6 and up anywhere in Maryland.

  • In-home ABA therapy

    Applied behavior analysis in your home and community, led by a board certified behavior analyst, for Maryland Medicaid children and young adults under 21 with autism.

Further reading

Questions families ask

How young can my child start therapy?

From age 6. We don't see children under 6.

Do I join my child's sessions?

You join intake and have regular check-ins. For younger children you'll also get coaching on strategies to use at home.

Will you tell me what my teen says?

At intake we explain how privacy works for your family, including when we would involve you.

Can therapy happen during the school day?

Ask about appointment times during intake. Your child needs a private space in Maryland for each visit.

Can you work with my child's school?

Yes, with your written permission.

Do you offer family therapy?

No. We offer individual therapy for your child, with parents involved through intake and check-ins.

Request an appointment

Leave your details and our office will call you back during business hours (Monday to Friday, 9:00 a.m. to 5:00 p.m. Eastern). Or call (443) 824-4842.

Please don't include medical history, diagnoses, Social Security numbers or insurance ID numbers.