06/09/2026
Y'all, I get this question almost every week.
"Dr. Kroll, my kid is eight. There is no way she's going to sit on Zoom for an hour. How is this even supposed to work?"
I hear you, Mama. It's a fair worry.
Most parents picture some stiff little video call where their child stares at the ceiling, fidgets through the whole thing, and walks away having gotten exactly nothing out of it. They picture themselves hovering nearby, not sure when to step in or step back. They picture the wifi cutting out at the worst moment, the whole thing falling apart.
I promise you, friend. That is not what virtual therapy with a kid actually looks like.
Here's how almost every session goes with us:
First 10 minutes: you, me, and your child on camera together. You share what you noticed this week. Your child weighs in. We agree on what to focus on today.
Middle 30 to 40 minutes: the clinical work with your child. Cognitive behavioral therapy, DBT skills, exposure-based work, processing - whatever the treatment plan calls for. The actual therapy happens here.
Final 10 minutes: you and your child back on together. We summarize what we worked on, we agree on the home practice for the week, and I make sure you know how to support those skills outside of session.
You are involved at the beginning and end of every single session. That's not me being polite. That's by design. Pediatric mental health work that leaves parents out of the process underperforms, every time, compared to work that brings parents in. We built our whole session structure around that truth.
And honestly? A whole lot of pediatric therapy works better on screen than in person. Anxious kids settle faster in their own homes. Kids in shared custody don't miss sessions because of which house they're at this week. Working parents don't lose half a day to a thirty-five-minute appointment. The therapy that actually helps your child is the therapy your child actually attends.
If you've been putting therapy off because the logistics felt impossible - the schedule, the drive, the missed work, the wrangling - this is the format built for exactly that. We see you. And we're glad you're here.
Read the full post: littledovepsychology.com/blog-virtual-therapy-kids
Virtual sessions across Texas and 42 PSYPACT states. Same-week intake. Evening and weekend appointments. Free 15-minute consultations available throughout the week.