7,163 people sought teen counseling help in Massachusetts in the last year

Discover how starting therapy with a teen counseling can support your own journey toward a happier, more fulfilling life.

Meet with a provider as soon as this week

Good news! We have 35 therapists in Massachusetts available for an online or in-person session.
Francesca Vitale

Hear from Francesca Vitale, Licensed Independent Clinical Social Worker (LICSW)

View Francesca Vitale's profile

What is your go-to approach for teen counseling?

My go-to approach for helping teens in therapy is using person-centered, mindfulness, strengths-based, and compassion-focused approaches. I find the best benefit in getting to know each other in the beginning because cultivating trust in the therapeutic relationship is key to our work together. I place substantial significance on how an individual’s childhood, environment, relationships, and psychosocial characteristics contribute to their mental health.

What tools do you teach in teen counseling?

I utilize a holistic approach to collaborate with clients, while also highlighting the benefits that physical activity, nature, nutrition, sleep, and mindfulness have on our overall well-being. Some tools we can explore together:

  • Values - Reviewing your values using a values list and exploring which resonate and how they are connected to your dreams and daily life.
  • Self-care - Developing a grounding self-care practice that seamlessly embodies your values, daily life tasks, and future goals, balancing daily rhythms and routines.
  • Mindfulness practice (emotion regulation tools) - Becoming aware of the mind, body, emotions, and feelings connection through breath work, movement, and exploring coping tools.
  • Communication and connection (interpersonal effectiveness tools) - These are tools to clearly express your needs, listen to others, and build connections with others. We can use templates, worksheets, and role-play.

How do you know when a client is making meaningful progress in teen counseling?

​​I know a client is making meaningful progress in teen counseling when they report less distress as they move toward their goals.

What can clients do in their personal time to supplement teen counseling?

While in therapy, the client can practice and explore the tools they want to use outside therapy. Clients can supplement their time in individual therapy with by practicing what we do together in sessions. This might include but is not limited to a sustainable self-care and mindfulness practice that includes breath work, movement, and routine. Clients may also begin to map their days and reflect on their values.

What should someone do to prepare for starting teen counseling?

For our first session, I hope the person feels authentically seen, heard, and understood as a whole person, so we collaborate on their treatment goals and have a clear path that guides our work together. Much of the clinical work is based on relationships. It’s okay to build this at your pace; let’s take this one step at a time and get to know each other. During our first meeting, I’d like to understand: What brings you to meet with me? What would be helpful for you? What do you hope to get out of our meetings together? As we get to know each other, the answers to these questions may evolve. That’s okay — we’re in this together. If it's helpful, feel free to write some thoughts down and we can review and explore what's on your mind.

Starting Teen counseling

What is teen counseling?

Teen counseling helps young individuals better understand and manage the challenges that affect their mental health. Common challenges amongst teens include anxiety, depression, ADHD, and problematic relationships with food.

How does teen counseling work?

Teen counseling works by using multiple techniques, tailored to fit the teen’s unique needs — based on their age group, their challenges, and the severity of their challenges. It might involve cognitive behavioral therapy, dialectical behavior therapy, art therapy, and others for varying ages. In any case, Thriveworks teen therapists in Lexington have the expertise and experience to help young individuals at their level.

Does my teen need therapy?

Signs that teens might need Teen counseling can be very subjective, as they are experiencing many changes and can have intense reactions to them. As parents, you know your child best and are best equipped to judge whether certain reactions are standard behaviors for your teen or whether they might be hinting at a larger problem. Even so, there are a few common signs and events that often point to a need for therapy, such as experiencing divorce or loss, grief, consistent low moods, teens distancing themselves and becoming isolated, losing interest in hobbies, excessive anger or irritability, substance use issues, and suicidal ideation, among others.

Is teen counseling conducted in person or online?

Teen counseling providers at Thriveworks in Lexington, MA offer both in person and online therapy by video. We encourage you to choose the option that works best for you.

How long does teen counseling last?

The length of teen counseling depends on your teen’s needs as well as the goals that you and their therapist might have for them. Generally, teen counseling sessions will last for several months.

Pricing & insurance

Our therapists accept most major insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our Lexington therapists and counselors accept 29 insurance plans

  • Aetna

  • Blue Cross Blue Shield of Massachusetts | BCBS Medicare Advantage (HMO | PPO)

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Blue Cross and Blue Shield of Massachusetts | BCBS

  • Carelon

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • Fallon Health | Medicare Advantage

  • First Health Network

  • Harvard Pilgrim

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Self-pay costs at Lexington
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Thriveworks Lexington reviews are collected through Thriveworks.com.
★★★★★
Sara is a dedicated, compassionate, organized, and kinds therapist. She will work with your schedule and your specific needs as to why you are in therapy. I have had the chance to work with her and love her dedication to this field.
Read more Sara is a dedicated, compassionate, organized, and kinds therapist. She will work with your schedule and your specific needs as to why you are in therapy. I have had the chance to work with her and love her dedication to this field.
Lexington Sep 2021
Review left on Thriveworks.com
★★★★★
Genevieve is a caring and nurturing therapist. She goes out of her way to make sure that she finds the resources her clients need.
Read more Genevieve is a caring and nurturing therapist. She goes out of her way to make sure that she finds the resources her clients need.
Lexington Jul 2020
Review left on Thriveworks.com
★★★★★
Genevieve is an outstanding counselor that always shows her clients compassion and empathy. She's well informed about area resources and has a lot of experience. She is committed to confidentiality and always follows through. With a good heart and the best intentions she provides amazing support to the families and clients she works with. I would highly recommend her!
Read more Genevieve is an outstanding counselor that always shows her clients compassion and empathy. She's well informed about area resources and has a lot of experience. She is committed to confidentiality and always follows through. With a good heart and the best intentions she provides amazing support to the families and clients she works with. I would highly recommend her!
Lexington Jul 2020
Review left on Thriveworks.com
★★★★★
I've met with Francesca at her previous practice, and she is far and above the absolute best. From a personal one on one basics she helped me immensely. I recommend her to anyone.
Read more I've met with Francesca at her previous practice, and she is far and above the absolute best. From a personal one on one basics she helped me immensely. I recommend her to anyone.
Lexington Nov 2019
Review left on Thriveworks.com
★★★★★
Sumio Shinohara has provided me with outstanding counseling, life coaching and consulting services. His information, desire to be of utmost help and advocacy have been extremely valuable.
Read more Sumio Shinohara has provided me with outstanding counseling, life coaching and consulting services. His information, desire to be of utmost help and advocacy have been extremely valuable.
Lexington Jan 2019
Review left on Thriveworks.com
★★★★★
I had a lovely experience meeting with Emily, I’m looking forward to attending another session soon!
Read more I had a lovely experience meeting with Emily, I’m looking forward to attending another session soon!
Lexington Apr 2018
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Lexington is located off of Massachusetts Ave. We share a building with other businesses, including Clay Oven and Limited to Endodontics. Our office is on the second floor. Across the street is a post office.

Phone number

(781) 386-0443

Languages spoken by MA providers

  • English
  • Spanish
  • Mandarin
  • Farsi
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm
Saturday 8:00am - 9:00pm
Sunday 8:00am - 9:00pm
Monday 8:00am - 9:00pm
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm

Shown in ET

Thursday 7:00am - 9:30pm
Friday 7:00am - 9:30pm
Saturday 7:00am - 6:00pm
Sunday 8:00am - 5:00pm
Monday 7:00am - 9:30pm
Tuesday 7:00am - 9:30pm
Wednesday 7:00am - 9:30pm

Shown in ET

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