Neuro-affirming therapy in Lexington, KY for children and adolescents ages 3–18, with specialized support for ADHD, autism, anxiety, and school-based challenges.
Child and teen therapy in Lexington, KY
Twilight Psychology offers therapy for children and adolescents ages 3–18 in Lexington, Kentucky. Our child and teen therapists use evidence-based approaches including Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), adapted for the developmental stage of each client.
Families often reach this page while searching for a child psychologist, child therapist, or local pediatric therapist in Lexington, KY. The right fit depends on whether the primary need is teen anxiety treatment, depression support, behavior help, ADHD or autism care, or a therapy relationship after an evaluation.
Many children come to us after an ADHD or autism evaluation, while others start directly with therapy for anxiety, school difficulties, depression, trauma, or behavioral concerns. Therapy for younger children often involves parents as active participants; teen therapy shifts toward more individual-focused work while keeping families informed when appropriate.
Individual child and teen therapy is often covered by major commercial insurance, Kentucky Medicaid, and Medicare for eligible mental health diagnoses. Our intake team can verify benefits before your first appointment.
Therapy by age group
Young children (ages 3–6)
Play-based and parent-guided therapy for early behavioral concerns, anxiety, sensory differences, and developmental challenges. Parents are active partners in the process.
School-age children (ages 7–12)
Support for ADHD, autism, school-related anxiety, learning differences, social difficulties, and emotional regulation — with evidence-based techniques including CBT and ACT adapted for this age range.
Teens and adolescents (ages 13–18)
Therapy for teens navigating identity, anxiety, depression, academic pressure, neurodivergence, peer relationships, and family dynamics. In-person and virtual options available.
Neurodivergent children and teens
Neuro-affirming therapy for kids with ADHD, autism, PDA profile, or late diagnoses who have not connected with more traditional approaches. We meet children where they are — without pathologizing difference.
Common reasons children and teens start therapy
Anxiety and school refusal
Worry, perfectionism, test anxiety, school refusal, and social fears are among the most common reasons children and teens start therapy.
ADHD and attention difficulties
Therapy for ADHD focuses on regulation strategies, routines, emotional control, and self-understanding — often most effective alongside evaluation and medication support.
Autism and PDA profile
Support for autistic children and teens, including those with a PDA (Pathological Demand Avoidance) profile who need a demand-sensitive, autonomy-first therapeutic approach.
Depression and low mood
Adolescents dealing with persistent sadness, withdrawal, low motivation, and hopelessness benefit from structured therapy tailored to their developmental stage.
Trauma and difficult experiences
Trauma-informed care for children and teens who have experienced adverse events, family disruption, abuse, or other distressing experiences.
School and learning challenges
Therapy that connects emotional support with school-based advocacy, IEP or 504 plan navigation, and coordination with teachers and families.
Child therapists at Twilight Psychology
Ethan Puckett, M.A., T-LPA specializes in child and adolescent therapy for ages 3–18, with strongest clinical fit for ages 7–16. He uses Behavioral, CBT, and ACT techniques and has immediate availability for both therapy and psychological testing for children. Ethan works with ADHD, autism, anxiety, depression, trauma, and school-based concerns.
Tiffany Roundtree, M.A.Ed, M.A., LPCA specializes in adolescent therapy and parenting support. She helps teens and young adults deconstruct limiting beliefs and build a more compassionate understanding of themselves — especially valuable for adolescents navigating neurodivergence, identity, and social pressure.
Emeli Evans, MS, LPA brings a PDA-informed, neuro-affirming approach to child assessments and therapy, with particular strength in supporting neurodivergent children who have not responded well to more traditional frameworks.
Michael Burns, PhD, T-LP works with adolescents and adults facing trauma, substance use concerns, behavioral challenges, and family-system difficulties, including faith-integrated therapy for families who want that integration.
Starting child or teen therapy at Twilight
Families typically begin with a brief intake call or form through our scheduling system. The intake team will ask about the child's age, presenting concerns, insurance coverage, and scheduling preferences before confirming a clinician match.
If you are unsure whether to start with therapy or an evaluation, the new client guide explains the difference and helps you decide. Many children benefit from both, but therapy can begin independently if evaluation is not currently available or not yet needed.
Ethan Puckett currently has immediate availability for child and teen therapy in Lexington, KY — making him the fastest path to care for most families right now.
From Our Blog
- Child and Teen Therapy in Lexington, KY — What Families Should Know
What the therapy process looks like for children and teens, including modalities, what to expect, and how to get started.
- Therapy Services at Twilight Psychology
An overview of Twilight's therapy offerings and what to look for in a Lexington therapist.
Ready to get started?
Child and teen therapy slots in Lexington, KY are available now. Use the new client guide or request an intake directly to find the right clinician fit.