PCIT is an evidence-based treatment for young children with behavioral problems.
PCIT is conducted through “coaching” sessions during which you and your child are in a playroom while the therapist is in an observation room watching you interact with your child through a live video & audio feed. You wear a headset device through which the therapist provides in-the-moment coaching on skills you are learning to manage your child’s behavior.
PCIT is done across two treatment phases. The first phase of treatment focuses on establishing warmth in your relationship with your child through learning and applying skills proven to help children feel calm, secure in their relationships with their parents, and good about themselves.
Desired outcomes of the first phase of treatment in PCIT include:
Decreased frequency, severity, and/or duration of tantrums
Decreased activity levels
Decreased negative attention-seeking behaviors (such as whining and bossiness)
Decreased parental frustration
Increased feelings of security, safety, and attachment to the primary caregiver
Increased attention span
Increased pro-social behaviors (such as sharing and taking turns)
The second phase of treatment will equip you to manage the most challenging of your child’s behaviors while remaining confident, calm, and consistent in your approach to discipline. In this phase, you will learn proven strategies to help your child accept your limits, comply with your directions, respect house rules, and demonstrate appropriate behavior in public.
Desired outcomes of the second phase of treatment in PCIT include:
Decreased frequency, severity, and/or duration of aggressive behavior
Decreased frequency of destructive behavior (such as breaking toys on purpose)
Increased compliance with adult requests
Increased respect for house rules
Improved behavior in public
Increased parental calmness and confidence during discipline
With consistent attendance and homework completion, PCIT can be completed within 14-24 sessions, though treatment is not time-limited. Treatment is considered complete when you have mastered both sets of skills and rate your child’s behavior within normal limits on a behavior rating scale.