1st Edition

The Therapist’s Notebook for Teletherapy with Children and Adolescents Creative Interventions for Effective Online Therapy

Edited By Rebecca A. Cobb Copyright 2026
404 Pages 56 B/W Illustrations
by Routledge

404 Pages 56 B/W Illustrations
by Routledge

404 Pages 56 B/W Illustrations
by Routledge

This practical text provides mental health professionals with the tools to deliver effective and engaging teletherapy with children, adolescents, and families. The Therapist’s Notebook for Teletherapy with Children and Adolescents: Creative Interventions for Effective Online Therapy provides systemic teletherapy activities and interventions for a variety of topics and presenting problems for... Read more

PART 1:  SETUP AND PREPARATION

1. Can We Meet Remotely? Legal and Ethical Considerations for Teletherapy with Children and Adolescents

 Eric L. Ström

2.  Engaging Children and Adolescents in Teletherapy

Karrison A. Rimon, Carmen V. Nieto, Kimberly N. Usbeck and Katherine M.  Hertlein

3. Explaining Teletherapy to Guardians

Katharine P. Wenocur

4.  Confidentiality in Teletherapy with Children and Adolescents

Eric L. Ström and Rebecca A. Cobb

5. Trauma-Informed Care and Safety Considerations for Teletherapy with Children and Adolescents

 Darlene M. Vander Schuur, Lindsay V. Miller, Nefeteria L. Bolin and Megan Simmons

 

PART 2: MATERIALS

 

6. Materials for Therapy at a Distance

 Rebecca A. Cobb

7.  Homemade Puppets

Rebecca A. Cobb

8. Therapeutic Care Packages

Rebecca A. Cobb

9.  Virtual Playrooms

 Richard Lamb and Jason Perry

10. Digital Tools Consent Forms

Rachel A. Altvater and Ariel Landrum

 

PART 3 : SELF OF THE THERAPIST

 

11. Therapist’s Attitudes About Technology and Teletherapy

 Rebecca A. Cobb, Chrystal McDowell and Dania Tawfiq

12.  Keeping Up Energy

Maxine Notice and Julianna Wisneski

13. Staying in Your Seat: A Guide for Teletherapists with ADHD

Jessica Bahr

 

PART 4:  ASSESSMENT AND GOALS

 

14.  Virtual Crystal Ball

 Lauren Baxley and Danerys Crown

15.  Family Photograph Genogram

Rebecca A. Cobb and Emerald Niakan

16.  Digital Photo Tree of Life

 Hailee Hughston, Tiffany Alexis Leal and Rebecca A. Cobb

17.  Digital Collage: Sharing Stories Through Pictures

 Kimberly Riley, Rebecca A. Cobb and Tiffany Alexis Leal

18.  Mixed-Media Aquarium

Rebecca A. Cobb with Eliana Gil

19. Online Child Outcome Rating Scale: The Partners for Change Outcome Management System

 Lisa Rene Reynolds and Barry L. Duncan

20.  Online Child Session Rating Scale: The Partners for Change Outcome Management System

Lisa Rene Reynolds and Barry L. Duncan

 

PART 5: INTERVENTIONS FOR USE WITH MULTIPLE PRESENTING PROBLEMS

 

21.  Increasing Connection Through Bibliotherapy in a Digital World

Sarah M. Moran

22. Virtual Dollhouse

 Karen Fried

23. Puppet Reflecting Teams for Telehealth Family Therapy

Chelsea L. Cheney, Megan Conrad and Jacob B. Priest

24.  Scavenger Hunts for Specific Presenting Problems

Aaron Norton, Jaclyn Cravens Pickens and Tiffany Smith

25.  Breaking Up Sessions

Kristina Betz, Tiffany Alexis Leal, Anna Wilson and Rebecca A. Cobb

 

SECTION 6:   WORKING WITH EMOTIONS

 

26.  Customizable Feelings Charts

Kristina Betz and Rebecca A. Cobb

27.   Mindful Drawing in Online Play Therapy

 Karen Fried

28.  School-Based Mindfulness Program for Teletherapy

 Deborah J. Buttitta, Teddy Goyer, Shyrea Minton, Jacob Kajiwawa and Dana Stone

 

PART 7:   STRENGTHENING ATTACHMENT

 

29.  Virtual Conjoint Family Drawing

 Krupali S. Joshi and Christie Eppler

30. Virtual Therapeutic Gaming

 Rachel A. Altvater and Fiona Hill

31. The Family Gift: An Experiential Teletherapy Intervention for Families Living Apart

Amy A. Morgan and Kayla Sellers

32. Online Child Parent Relationship Therapy

 Michael R. Whitehead

 

PART 8:  ANXIETY AND TRAUMA

33.   Teddy Goes to the Doctor

Adrian Knauss, Taylor Young and Jennifer L. Hodgson

34 Extended Reality-Based Exposure Therapy

Richard Lamb and Jason Perry

35.  Speaking in Code: Use of Signaling in Teletherapy

Amanda Veldorale-Griffin

 PART 9:  NEURODIVERGENCE

36. Virtual Sensory Play Therapy

 Cary McAdams Hamilton and Sarah M. Moran

 37. Anime with Neurodiverse Teens

 Kevin B. Hull

38. Rolling Virtual: Therapeutically Applied Tabletop Role-Playing Games

Adam D. Davis

PART 10:   GENDER

39. The Gender-Celebratory Safe Relationships Genogram

 Katelyn O. Coburn, Lorin C. Kelly, Kristen E. Benson and Paul R. Springer

40. The Gender-Celebratory Safe Relationships Genogram for Parents

 Kristen E. Benson, Katelyn O. Coburn, Lorin C. Kelly and Paul R. Springer

41. Self-Expression Teletherapy Intervention for Queer and Gender Diverse Youth

 Gabrielle C. Gebel

 42. Cameras Off: Gender Dysphoria in Teletherapy

 Kalen D. Zeiger

 

PART 11:      CULTURE

43. Digital Cultural Play Genograms

Kathryn McNiel, Bianca Rodriguez, Martha Hernández and Rebecca A. Cobb

44. Where I’m From: A Therapeutic Poetic Journey across Cultures

Tiffany Alexis Leal, Ying-Shui Wang and Rebecca A. Cobb

45. Puppet Play Telenovela

 Jacqueline Florian

46. Moksha Patam: Integration of an Ancient Indian Board Game into Culturally Relevant Teletherapy

Simran K. Uppal and Rebecca A. Cobb

PART 12: GREEN SCREENS

47. Green Screens: Tools for Therapeutic Engagement

Sophia Ansari and Amy R. Nelson

 48. Appearing and Disappearing Objects

Sophia Ansari and Amy R. Nelson

 49. Floating Objects Illusion

Sophia Ansari and Amy R. Nelson

 50. Secrets of the Green Screen: The Power of Invisibility

 Sophia Ansari and Amy R. Nelson

 

Biography

Rebecca A. Cobb, PhD, LMFT, is a clinical professor for Seattle University’s Master of Arts in Couples and Family Therapy program. She also has her own Seattle-based private practice where she provides supervision as an American Association for Marriage and Family Therapy (AAMFT)-approved supervisor and supervision mentoring to AAMFT-approved supervisor candidates. She is the editor of The Therapist’s Notebook for Systemic Teletherapy, has authored numerous journal articles and book chapters, is a former president of the Washington Association for Marriage and Family Therapy (WAMFT), and has won awards from AAMFT, WAMFT, and the National Council on Family Relations. When she isn’t working, she enjoys hot yoga, hosting dinner parties, razor clamming, and spending time with her partner and the small humans that have almost succeeded in making her a morning person.

 

Christine Walsh Borst, PhD, LMFT, is an artist, therapist, and creative entrepreneur. She left her role as an assistant professor in family therapy to pursue a creative career, which includes but is not limited to writing and illustrating children’s books and tearing up old magazines to make pretty pictures. Her published books include, What is Coronavirus?, For the Love of Organs: A Quasi-Educational Collection of Poems, Us: An Introduction to Pronouns, and Drawing the Sun, a book about the journey to the authentic self. Additionally, she runs a private coaching practice, where she supports clients in connecting with their wild selves. When she isn’t having fun at work, she is hanging out in Colorado with her husband (the other Dr. Borst), her three wonderful children, and their two dogs and kitten. You can find her on Instagram at @thechristineborst or www.christineborst.com.

 

“The Therapist’s Notebook for Teletherapy with Children and Adolescents provides an impressive look at telehealth for children and adolescents. Parts 1 and 2 provide valuable insights on setup, preparation, and materials. Parts 4 through 12 provide readers with interventions that can be easily implemented through telehealth. These interventions address a wide variety of topics such as mindfulness, emotions, anxiety, trauma, and attachment. For therapists working with children via telehealth, this book is a valuable asset to have within reach of your computer.”

 

Robert Jason Grant, EdD, LPC, RPT-S, AutPlay® Therapy, author of The AutPlay Therapy Handbook and Play Interventions for Neurodivergent Children and Adolescents

 

“When I first started doing teletherapy with kids, I thought, 'How am I supposed to keep their attention through a screen?' This book is the answer I wish I had. It’s packed with 50 creative interventions that take teletherapy from “just talking” to fully engaging. I love how it covers everything – even using green screens to make therapy feel magical. The chapters on culture and gender especially spoke to me because they bring inclusivity and representation front and center. This toolkit can help you make teletherapy effective, fun, and transformative. If you work with young clients online, you need this on your shelf.”

 

Carmen Jimenez-Pride, LCSW, RPTS, ICST-P, RST-C/T, host of the Diversity in Play Therapy Summit 

 

“This book makes the monotony of teletherapy feel full of possibility. It’s thoughtfully packed with creative, developmentally-attuned interventions designed to spark connection and play, even through a screen. The authors offer ideas that are as practical as they are imaginative. A definite go-to guide for bringing joy, movement, and intention back into the virtual therapy space.”


Jamie Watson, LMFT, RPT-S, instructor of clinical mental health counseling, University of Western States, and owner of Jamie Watson Consulting, Inc.

“This impressive resource provides a comprehensive overview of everything you need to know about teletherapy with youth. Whether you’re new to teletherapy, brushing up on knowledge, or supervising clinicians, this book provides a wealth of ideas for strengthening your work in an online environment. With innovative strategies for engaging youth with varied clinical needs, this practical guide is filled with useful information and inspiration.”

 

Morgan Cooley, PhD, LCSW, associate professor of social work, Florida Atlantic University