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Teen psychology

Adolescent and Teen Psychologist in Wollongong

If you are searching for a teenage psychologist near me in the Illawarra, Perfectly Aligned Psychology in Balgownie sees young people aged 13 to 18, in person and by video. Teens come for anxiety, low mood, school and HSC pressure, friendships, identity, family conflict and the constant noise of social media.

This page is written for two readers. Teenagers, the sections addressed to you explain what happens in a session and what stays private. Parents and carers, the sections for you explain how you are involved, how consent works and what you will be told.

Adolescence is a period of big change. Bodies, brains, friendships and expectations are all shifting at once, and it is normal for mood and behaviour to swing. What matters is when those changes start to shrink a young person's world: skipping school, dropping sport, staying in their room, or seeming flat for weeks.

Seeing a psychologist at this age is not a sign that something is badly wrong. It is often a way to get ahead of problems before they settle in. The rest of this page covers concerns, confidentiality, parent involvement, school stress, telehealth, assessments and costs. For every other service at the practice, including child and adult therapy, visit psychology services in Wollongong.

Teenager with a backpack sitting on a bench looking out over the sea
Ages 13 to 18Confidential, with parents informed
Teenager sitting on a coastal headland looking out to sea, representing support from a teen psychologist in Wollongong
The role

What does a teen psychologist do?

A teen psychologist helps young people understand what is going on for them and build practical skills to cope, in a way that respects their privacy and their say. For anyone looking for a teenage psychologist near me in Wollongong, sessions here mix conversation, practical tools and clear goals the teen helps set.

The first job is building trust. Many teenagers arrive reluctant, sometimes because a parent booked the appointment. The psychologist expects that, and does not try to force a conversation. Early sessions are often more relaxed than people expect.

Once there is some trust, the work gets specific. That could be learning to manage panic before exams, tackling the thoughts behind low mood, handling conflict at home, or working out how to stop social media from wrecking sleep.

A first session with a teenager might start with music, sport, school or whatever is easiest to talk about. The aim is to get a sense of the person before the problem. By the end, most teens have a clearer idea of what therapy could help with, even if they arrived unsure.

The methods are the same evidence-based ones used with adults, adapted for age. Cognitive behaviour therapy, acceptance-based skills, problem solving and, where trauma is involved, trauma-focused approaches are all used.

A teen psychologist also bridges the gap between young person and family. With the teen's agreement, parents are brought into planning, so home becomes a place that supports change rather than one that works against it.

What we help with

Which concerns do you help teenagers with?

The most common concerns are anxiety, low mood, school and exam stress, self-esteem and identity, conflict at home, and problems with sleep and social media. Many teens bring more than one, and treatment works on the whole picture rather than a single label.

According to Beyond Blue, anxiety and depression are among the most common mental health conditions affecting young Australians. They are also among the most treatable, especially when help starts early.

The difference between ordinary teenage ups and downs and something more is usually duration and spread. A bad week after a breakup is normal. Weeks of withdrawal that reach into school, sleep, eating and friendships deserve a closer look.

Anxiety

Worry that will not switch off, panic attacks, social fears or dread about school. Our teenage anxiety therapy page explains treatment in detail.

Low mood

Feeling flat, irritable or hopeless, losing interest in friends and activities, or sleeping far more or less than usual.

School and exams

Pressure around assessments and the HSC, perfectionism, falling behind, or not wanting to go at all.

Self-esteem and identity

Body image, sexuality, gender, cultural identity and working out who you are and where you fit.

Family conflict

Arguments that escalate, separation, blended families, or feeling misunderstood at home.

Sleep and screens

Late nights on the phone, trouble winding down, and online pressure from group chats and social media.

Self-harm and thoughts of suicide are taken seriously and talked about openly, because asking directly is safer than avoiding the subject. A safety plan is made with the young person and, where needed, with their family. Some concerns, such as eating disorders, are best treated by specialist teams; when that is the case, the psychologist will help the family find the right service rather than trying to manage it alone.

For teenagers

For teenagers: what happens in a session, and what stays private?

Sessions are fifty minutes and mostly just you and the psychologist talking, working through things at your pace. What you say stays private, with a few safety exceptions that are explained at your first session. Your parents are not told the details of what you discuss unless you agree.

At the start, you will be asked what you want to get out of coming. You do not have to have a neat answer. You can say you do not know, or that you are only here because someone made you. That is fine, and it is a good place to start.

If it does not feel like the right fit after a few sessions, say so. Sometimes a different approach helps, and sometimes a different psychologist is better. Either way, saying it is not a problem.

Nobody will make you talk about things you are not ready for. You can ask questions, disagree, or say something is not helping. Therapy works better when it is honest in both directions.

What stays private

  • What you talk about in sessions
  • Your thoughts, feelings and worries
  • Things about friends, relationships or identity
  • Anything you ask to keep between us, within the limits opposite

When something might need to be shared

  • If you or someone else is at serious risk of harm
  • If a child is being harmed or is at risk
  • If a court orders information to be released
  • If you agree to share something with your parents
  • In these cases you will be told first, wherever possible
For parents

For parents: how are you involved?

Parents are involved in the first appointment, in setting broad goals and in regular reviews, while the teen's individual sessions stay private. You will be told if there are safety concerns and how things are going overall, but not the content of what your teenager shares, unless they agree.

Many parents find this hard at first. It helps to know that privacy is what allows most teenagers to speak openly, and that open conversation is what makes therapy work. You are not being shut out; you are being kept informed about what matters.

Consent depends on age and maturity. Young people aged 15 and over can hold their own Medicare card. From around 16, most teenagers can consent to their own treatment, and younger teens can also consent if the psychologist is satisfied they understand what therapy involves. In practice, the practice prefers to work with families together wherever it is safe to do so.

Between sessions, the most useful things parents can do are usually simple: keep routines predictable, notice effort rather than only results, and make space for conversations without turning them into lectures. The psychologist can suggest specific strategies that match what your teen is working on.

Joint sessions can be arranged when it would help, for example to reset how conflict is handled at home or to agree on a plan around school. Where parents are separated, please share any parenting orders when booking.

The psychologist will not report to a school, a coach or anyone else about your teenager without consent, and will not take sides in family disagreements. The role is to help your young person, and to help the family support them.

Study desk covered in notes before an exam, representing HSC and school stress in teenagers
School pressure

Can a psychologist help with school, HSC and performance stress?

Yes. School and HSC stress are among the most common reasons teenagers are seen at the practice. Therapy targets the worry and perfectionism behind the stress, builds practical study and sleep routines, and helps with panic before exams, while keeping the rest of life in view.

Some pressure helps performance. Too much shuts it down. Signs that stress has tipped over include not being able to start work, all-nighters, crying over results, headaches or stomach aches before school, and dropping everything outside study.

Perfectionism is a common driver. It can look like high standards, but it often shows up as procrastination, because starting feels risky when anything less than perfect counts as failure. Therapy helps loosen those rules so effort feels possible again.

Rest is part of the plan, not a reward for finishing. Teens who protect sleep, exercise and time with friends through exam periods usually do better than those who cut everything else to study.

Performance anxiety in sport, music, drama or public speaking is treated in a similar way, with practice in real situations once the worry is more manageable.

With the teen's and parents' consent, the psychologist can work with the school on adjustments such as extra time, a quiet space for exams, or a plan for attending when anxiety is high.

Telehealth

Do teenagers do well with telehealth?

Many teenagers do well with telehealth, and some prefer it because they are more comfortable at home. It works best when there is a private space with headphones where family members cannot overhear. For some teens, especially at the start, meeting in person builds trust faster.

Video sessions fit around school, sport and part-time jobs, and they save a trip after a long day. They also help families who live away from Wollongong.

The biggest practical issue is privacy. A teen who worries a sibling or parent might be listening will not talk openly. Using a bedroom with the door shut, headphones on and a clear household agreement solves that for most families.

Telehealth is also useful for students at boarding school or living away for study or training, who can keep seeing the same psychologist during term.

Some young people start in person and move to video once they are settled, or alternate between the two. You can read more about how video sessions work, including the platform used, on the telehealth psychologist Australia-wide service.

Assessments

Do you offer assessments for adolescents?

Yes. Teenagers can be assessed for ADHD, autism, or differences in thinking and learning whenever a clear question needs a clear answer. Teenagers often seek assessment when school demands increase and difficulties that were manageable earlier start to show.

Some young people have always struggled with attention, organisation or social situations, but coped until high school. The jump to multiple teachers, assignments and exams can expose difficulties that were hidden in primary school.

At the end, the family receives a written report setting out what was found and what should happen next at school, at home and with other professionals, including suggestions for exam adjustments where relevant. The teen is involved in the process and in the feedback, in language that makes sense to them.

Girls and young women are often identified later than boys for both ADHD and autism, because their difficulties can look quieter or be masked by working very hard to fit in. A careful assessment looks beyond the obvious signs.

The process, timeframes and costs for each type are explained in the overview of psychological assessments for children and adolescents.

Costs

What are the fees, and can teenagers claim Medicare?

Yes, teenagers can claim Medicare. A GP can prepare a Mental Health Treatment Plan for a young person, and each session then attracts a rebate of $[rebate amount], for up to ten sessions in a calendar year. Standard sessions are $[fee]. Teens can see a GP for a plan without a parent if they are old enough to consent.

Many teenagers prefer to see their GP alone for the plan, especially if the concern is personal. GPs are used to that, and it is a good first step towards independence in managing their own health. Details of that visit are explained under how a Mental Health Treatment Plan works.

After-school and school-holiday appointments are popular, so it helps to book a few weeks ahead during term. If a session clashes with an exam or excursion, give as much notice as you can so the time can be offered to someone else.

If the family has private health insurance with extras cover, it may contribute instead of Medicare for some sessions. Assessments are priced separately as fixed packages.

Booking

How do I book an appointment for a teenager?

Parents or teenagers can book online or by calling 0435 165 763. The first appointment usually includes the parent for part of it, then time with the teen alone. If a GP has already written a plan, bring it along, together with any school information that seems relevant.

If your teenager is reluctant, it can help to present it as one appointment to see what it is like, rather than a commitment. Some teens agree to come if they can choose the day, or if the first session is by video.

If you are a parent trying to work out whether your teen needs help at all, our parent guide to teenage warning signs is a good place to start. For a child still in primary school, the child psychologist Wollongong service is the right fit.

After booking, you will receive intake forms by email, including a short one for the teen to complete in their own words if they are willing. It helps the first session start from their point of view.

If a young person is ever at immediate risk, call 000. Teenagers can also contact Kids Helpline on 1800 55 1800, free and at any time. The new clients guide walks through intake forms and consent, and you can learn more about the practice itself from the Perfectly Aligned Psychology homepage.

Questions

Questions from parents and teens

Can my teenager see you without me knowing what is said?

Yes. Teen sessions are confidential, and parents are not told the details of what is discussed unless the teen agrees. You will be told about safety concerns and general progress. This privacy is what allows most teenagers to speak openly, and it is explained to both of you at the first appointment.

At what age can a teen consent to therapy?

There is no single age. From around 16, most young people can consent to their own treatment. Younger teenagers can also consent if the psychologist is satisfied they understand what therapy involves. Young people can get their own Medicare card from 15. The practice prefers to involve families wherever it is safe.

Do you see teens by telehealth?

Yes. Many teenagers are comfortable with video sessions, and some prefer them. The key is privacy: a room with the door closed and headphones, so family members cannot overhear. Some teens start in person to build trust and then move online, or mix the two.

Can you help with HSC stress?

Yes. HSC and exam stress are common reasons teens are seen. Therapy works on worry, perfectionism and panic, builds realistic study and sleep routines, and can include liaising with the school about adjustments. The aim is to protect wellbeing while giving the young person the best chance to perform.

What if my teen refuses to come?

That is common, and it is not the end of the road. Suggest one appointment to see what it is like, offer a choice of time or video, and avoid framing it as punishment. Parents can also book a session alone to get advice on supporting their teenager in the meantime.

A space that belongs to them

The first appointment is low-pressure, private for the teen and informative for parents. It is often the start of a conversation that has been hard to have at home.