Children ages 2–7Parents
Parent-Child Interaction Therapy (PCIT)
When a young child has frequent tantrums, trouble following directions, or big emotions that are hard to manage, it can wear on the whole family. PCIT is live-coached, evidence-based therapy for children ages 2–7 that strengthens the parent-child bond while giving you practical tools to guide behavior with calm and consistency.
You practice the skills live, with support.
PCIT uses live coaching. During sessions we observe you and your child and give you real-time feedback — in person in the office, or virtually while you and your child play at home with your own toys. You leave able to use positive parenting strategies with real confidence, because you've practiced them in the moment with support.
PCIT has two phases. In Child-Directed Interaction (CDI), you learn to follow your child's lead in play using specific skills that build warmth, attention, and cooperation — the bond that everything else builds on. Once those skills are solid, Parent-Directed Interaction (PDI) helps you give clear instructions, set consistent boundaries, and follow through predictably, which reduces disruptive behavior and helps your child listen and cooperate.
Each phase starts with a teaching session to learn the skills, followed by coaching sessions with real-time guidance until you've mastered them. Treatment usually runs 12–16 weeks, and many parents notice improvement during the first phase.
Focused on your question — nothing you don't need
Teaching sessions
Each phase begins with a session where you learn the skills before putting them into practice.
Live coaching
Real-time feedback while you interact with your child — in the office or virtually at home.
Phase 1: CDI
Child-Directed Interaction builds warmth, attention, and cooperation through play.
Phase 2: PDI
Parent-Directed Interaction builds clear instructions, consistent boundaries, and follow-through.
Progress by mastery
You move forward as the skills click, not just as the weeks pass.
12–16 weeks, typically
Many parents notice improvement during the first phase.
A stronger, warmer relationship with your child, fewer power struggles, and parenting skills you keep long after therapy ends.
Frequently asked questions
What ages is PCIT for?
Children ages 2 to 7 who struggle with tantrums, impulsivity, trouble following directions, disruptive behavior, or managing emotions.
Can PCIT be done virtually?
Yes. Coaching works in person in the office or virtually, with you and your child playing at home using your own toys. Many families find the at-home version especially practical.
How long does PCIT take?
Typically 12–16 weeks, with many parents seeing improvement during the first (CDI) phase. Progress is based on mastering the skills, not just logging weeks.
Do you offer PCIT to families around Richmond, and what does it cost?
Yes, to families across Richmond and the surrounding counties, at 5006 Monument Avenue (Suite B), Richmond, VA 23230. We'll go over fees and insurance at your free consultation. Call 804-205-7624 or email mbrinkley@brinkleypsychology.com.
Not sure where to begin?
Reach out for a brief, free consultation. We’ll talk through what’s going on and figure out the right next step together.