20 Questions

Questions to Ask a Child Psychologist

Evidence-based prompts for consultations with child psychologists—covering assessment approach, family involvement, and practical care plans.

1

How do you tailor assessments to a child’s age, neurotype, and culture?

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Why this works

Ensures equitable, developmentally informed evaluation.

2

What are the likely differential diagnoses you’re considering and why?

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Why this works

Clarifies clinical reasoning and rules in/out related conditions.

3

How will you gather input from school, caregivers, and the child?

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Why this works

Strong assessments triangulate multiple contexts and observers.

4

What interventions have the best evidence for this concern?

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Why this works

Connects recommendations to research, not opinion.

5

What does a realistic treatment timeline look like?

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Why this works

Sets expectations on pace of change and review points.

6

How can we track progress at home and school?

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Why this works

Creates measurable markers beyond session notes.

7

What is the parent’s role between sessions?

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Why this works

Translates therapy into daily routines and supports generalization.

8

How do you adapt sessions for motivation or sensory needs?

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Why this works

Assures flexibility for engagement and comfort.

9

When is referral to psychiatry or other specialists appropriate?

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Why this works

Defines thresholds for medication or additional services.

10

How do you handle crises or safety concerns?

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Why this works

Outlines protocols for urgent situations and after-hours support.

11

What is your approach to culturally responsive care?

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Why this works

Seeks respect for family values and identities in treatment.

12

How do you involve siblings or extended family when helpful?

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Why this works

Leverages family systems while protecting boundaries.

13

What accommodations should we request at school (504/IEP)?

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Why this works

Connects clinical findings to practical supports in class.

14

How will we decide when to adjust or end treatment?

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Why this works

Prevents endless therapy by defining success criteria.

15

What are common setbacks and how do families navigate them?

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Why this works

Normalizes relapses and prepares coping strategies.

16

What is your experience with our child’s specific concern?

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Why this works

Checks fit and relevant expertise for the case.

17

How do you ensure confidentiality while keeping parents informed?

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Why this works

Balances trust with safety and legal requirements.

18

What should we read or practice between visits?

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Why this works

Creates a home program for faster progress.

19

How do you coordinate care with pediatricians and teachers?

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Why this works

Ensures integrated support across settings.

20

What would a successful first month look like?

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Why this works

Sets early, observable wins to build momentum.

Making the Most of Consults

Expert tips and techniques for getting the most out of these questions.

Plan, Observe, Follow Through

Bring Examples

Concrete notes and videos (if allowed) make patterns clear.

Ask for Measures

Rating scales and goals enable shared progress tracking.

Agree on Roles

Clarify who does what at home, school, and sessions.

Parent–Provider Check-In

Five-Minute Agenda

1
Wins
2
Stuck points
3
Home practice
4
School update
5
Next week focus

Common Pitfalls

Vague Goals

Define observable behaviors to avoid misalignment.

Overloading the Child

Right-size changes; too many tasks reduce adherence.

Behavior Plan Starter

ABC Tracker

1
Step 1: Antecedent
2
Step 2: Behavior
3
Step 3: Consequence
4
Step 4: Adjustments

Further Reading

AAP guidelines
CBT for children resources

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