
Parent-Child Interaction Therapy (PCIT)
An evidence-based treatment for young children with behavioral problems that places emphasis on improving the quality of the parent-child relationship.
Parent-Child Interaction Therapy (PCIT)
Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for young children with behavioral problems. PCIT places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns.
In PCIT, parents are coached by a therapist in real-time as they interact with their child. The therapist observes the interaction through a one-way mirror or via live video feed, providing immediate guidance to the parent through an earpiece.
The treatment focuses on two main phases: Child-Directed Interaction (CDI), which strengthens the parent-child relationship, and Parent-Directed Interaction (PDI), which helps parents manage their child's challenging behaviors effectively.
How PCIT Works
Child-Directed Interaction (CDI)
In this first phase, parents learn to follow their child's lead during play by using the PRIDE skills: Praise, Reflect, Imitate, Describe, and Enjoy. Parents also learn to avoid commands, questions, and criticism during this special play time.
Parent-Directed Interaction (PDI)
In the second phase, parents learn to give effective commands and consistently follow through with appropriate consequences. They practice these skills while maintaining the warm relationship developed during CDI.
Live Coaching
Throughout both phases, the therapist provides immediate feedback and coaching to help parents master these skills. This real-time guidance is a unique and powerful aspect of PCIT.
Benefits of PCIT
- Reduces child behavior problems
- Improves parent-child attachment
- Decreases parental stress and frustration
- Enhances child compliance with parental requests
- Builds child self-esteem and confidence
- Provides parents with effective discipline strategies
Who Can Benefit from PCIT?
PCIT is most effective for families with children between 2 and 7 years old who are experiencing behavioral challenges such as:
- Defiance and non-compliance
- Aggression and tantrums
- Difficulty following directions
- Attention problems
- Disruptive behavior at home or school
PCIT can also be beneficial for children who have experienced trauma or who are in foster care, as it helps build secure attachment relationships.

Explore Other Early Childhood Approaches
Child-Parent Psychotherapy (CPP)
An intervention for children aged 0-5 who have experienced traumatic events
Attachment Biobehavioral Catch-up (ABC)
An intervention that helps caregivers provide nurturing care
View All Early Childhood Approaches
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Ready to Transform Your Relationship with Your Child?
PCIT can help you build a stronger, more positive relationship with your child while effectively managing challenging behaviors.
