Miami Beach Mental Health Blog

Differences Between Therapy for Adults and Adolescents

Published January 27th, 2025 by Alexandra Sredni, Psy. D., PLLC

Therapy serves as a powerful means to enhance mental health and overall well-being, yet the approaches used for adults and adolescents can differ considerably. Recognizing these distinctions is essential for patients, families, and healthcare providers to ensure the most effective treatment. The therapeutic methods, goals, and challenges encountered in adult therapy often contrast sharply with those in adolescent therapy. By examining these key differences, individuals can better understand and engage with the therapeutic process, leading to more successful outcomes for both age groups.

Key Differences in Therapy Approaches

While the core principles of therapy remain consistent, several factors distinguish adult therapy from adolescent therapy. Communication styles vary significantly between the two groups. Adults are often more direct and verbal in expressing their thoughts and feelings, while adolescents may require alternative forms of expression like art or play therapy. Confidentiality also differs, with adults receiving full confidentiality except in cases of immediate danger, whereas adolescents have limited confidentiality with parental involvement. The session structure also varies, with adults typically engaging in structured, talk-based sessions, while adolescent therapy is more flexible and may include activities or games.

Common Issues Addressed in Therapy

The focus of therapy often differs between adults and adolescents:

Adult Therapy Issues

Adult therapy often addresses relationship problems, work-related stress, and life transitions such as marriage, parenthood, or career changes. Adults may also seek help for anxiety, depression, and processing past traumas. These issues often reflect the complex responsibilities and life stages that adults navigate.

Adolescent Therapy Issues

  • School-related stress
  •  
  • Peer relationships and bullying
  •  
  • Family conflicts
  •  
  • Identity formation
  •  
  • Substance experimentation

Therapeutic Techniques and Tools

Therapists use various methods depending on the age group:

Adult Therapy Techniques

For adults, therapists often employ Cognitive Behavioral Therapy (CBT) to address thought patterns and behaviors. Mindfulness practices are also common, helping adults manage stress and improve self-awareness. Psychodynamic therapy and group therapy sessions are other effective approaches used in adult therapy, each offering unique benefits depending on the individual's needs and preferences.

Adolescent Therapy Techniques

  1. Play therapy
  2.  
  3. Art therapy
  4.  
  5. Family therapy
  6.  
  7. Behavioral modification techniques

Role of Family in Therapy

Family involvement varies significantly between adult and adolescent therapy:

Adult TherapyAdolescent Therapy
Minimal family involvementSignificant family involvement
Focus on individual's perspectiveConsideration of family dynamics
Client-driven goalsGoals often involve family input

Duration and Frequency of Therapy

The length and regularity of therapy can differ:

  • Adults: Often longer-term, weekly or bi-weekly sessions
  • Adolescents: May be shorter-term, with more frequent sessions initially

Building Therapeutic Relationships

The approach to building trust and rapport varies:

With Adults

  • Direct communication about therapy goals
  • Collaborative approach to treatment planning
  • Emphasis on personal responsibility

With Adolescents

  • Gradual trust-building through activities
  • More guidance and structure provided
  • Focus on creating a safe, non-judgmental space

Measuring Progress in Therapy

Progress assessment methods can differ:

  • Adults: Self-reported improvements, goal achievement
  • Adolescents: Feedback from parents and teachers, behavioral changes

Tailored Approaches for Effective Therapy

Understanding the differences between adult and adolescent therapy is crucial for effective treatment. Each age group has unique needs, challenges, and ways of engaging in the therapeutic process. Recognizing these distinctions allows therapists to provide more targeted, age-appropriate care.

Dr. Alexandra Sredni, Psy. D., PLLC in Miami Beach, specializes in both adult and adolescent therapy. Dr. Sredni's approach is tailored to meet the specific needs of each age group, ensuring the most effective and supportive therapeutic experience.

If you or a family member are considering therapy, don't hesitate to reach out. Contact Dr. Alexandra Sredni at 305-582-6628 to schedule an appointment. Take the step towards better mental health, whether you're an adult seeking personal growth or a parent looking for support for your adolescent.

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