1st Edition
The Therapist’s Notebook for Teletherapy with Children and Adolescents Creative Interventions for Effective Online Therapy
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






