Work usually begins with a session with parents, so the therapist can learn about the child's development, the family situation and the concerns. Then the therapist gets to know the child.
With younger children, therapy often happens through play, drawing, stories and simple activities, even online. With older children and teens, conversation plays a bigger role. In many cases an important part of the work is guidance for parents.
The therapist stays in touch with parents along the way so that what is practised in sessions continues at home.