Sometimes children need specifically-tailored options in order to engage them in treatment. They are usually more open and expressive if they see the process as fun and not something that is going to necessarily "help them". I have found that interactive games both in the office and online are an important adjunct in this process. Those children who are more verbal and willing to discuss their concerns are often able to use insight to improve their feelings and behavior. With all children, the consistent and active participation of the parents is important.
Adolescents and young adults often feel the most troubled, but they are also the ones who can show the most positive change. Again, the key is engaging them in a therapeutic alliance. They need to feel that the purpose of their therapy is to help them establish a firmer sense of identity and independence.