Parent-Child Interaction Therapy - Is Your Child Acting Up

How Do I Know if My Child’s Behavior Is “Normal”

Raising a child is hard work. When your little one struggles with tantrums, defiance, or anxiety, the job can feel overwhelming. For example, a Parent-Child Interaction Therapy (PCIT) offers a clear, structured way to help your child—and to restore calm at home.

Behaviors to Watch For

However, some acting out is part of development. In addition, ongoing patterns may signal your child needs extra support. Look for:

• Disrupted family routines
• Frequent tantrums or outbursts
• Persistent defiance or disobedience
• Difficulty following instructions
• High levels of anxiety or sadness
• Aggression toward peers or siblings

If these signs persist, PCIT can teach practical skills that change daily life for the better.

What Is Parent-Child Interaction Therapy (PCIT)?

PCIT is a short-term, evidence-based treatment for children ages 2–7 with behavior challenges. Instead of placing the focus only on the child, PCIT coaches parents in real time so you can confidently guide behavior at home.

The PRIDE Skills (Core Tools)

PCIT builds connection first using the PRIDE skills:

• Praise – use specific, labeled praise (“Thank you for putting the blocks away.”)
• Reflect – repeat or paraphrase your child’s words to show you’re listening
• Imitate – join their play to increase engagement
• Describe – narrate what you see your child doing
• Enthusiasm – show warm, genuine interest

Together, these tools reduce power struggles and increase cooperation.

How PCIT Helps (What Changes)

• Stronger bond. Connection grows as positive attention rises.
• Better behavior. Tantrums, aggression, and noncompliance typically decline.
• Calmer parenting. You learn clear commands, consistent follow-through, and de-escalation.
• More skills for kids. Children practice emotional regulation and listening.
• A more peaceful home. Daily routines get easier; conflict drops.

Over time, families often report lasting gains in confidence, connection, and follow-through.

What Live Coaching Looks Like

In session, you and your child play while a therapist observes from a nearby room. You wear a small earpiece; the therapist provides gentle coaching in the moment—for example, “label that praise” or “give one clear command.”
As a result, you practice the exact skills you’ll use at home.

The Two Phases of PCIT

1) Child-Directed Interaction (CDI)

Goal: build connection and reduce conflict.
You’ll practice:

• PRIDE skills during play
• Catching and praising positive behaviors
• Avoiding criticism, commands, and questions during CDI time

2) Parent-Directed Interaction (PDI)

Goal: increase cooperation and consistency.
You’ll practice:

• Effective commands (calm, clear, one at a time)
• Follow-through with predictable consequences
• Time-out procedures (when appropriate) that are brief, consistent, and calm

Together, CDI and PDI create a balanced approach: warmth and structure.

Session Structure & Timeline

• Initial Assessment. You’ll review goals, complete questionnaires, and observe interaction.
• Orientation. The therapist explains PCIT, answers questions, and sets home practice.
• Weekly Sessions (about 1 hour). Most families attend for several months; length varies by progress.
• Parent Practice at Home. Short, daily practice times accelerate success.

Meanwhile, the therapist tracks progress and adjusts the plan as needed.

Homework & Progress Tracking

Between sessions, you’ll complete brief home practice and note what worked. Then, at your next visit, you’ll refine skills with real-time coaching.
Ultimately, the goal is for you to feel confident using the tools without coaching.

Outcomes You Can Expect

• Improved behavior (fewer tantrums; better listening)
• More effective discipline without yelling
• Clearer communication and feeling heard
• A stronger bond and more joyful time together
• Greater confidence for both parent and child

Finally, many families schedule occasional follow-ups after graduation to keep skills sharp.

Is PCIT Right for Your Family?

If daily life feels stuck in a loop of arguing, pleading, or meltdowns, PCIT offers a proven path forward. You’ll learn exactly what to say and do—step by step—while your therapist supports you in real time.

Ready to get started?
Call 480-235-1682 or request a free 15-minute consultation. Pathways Counseling Services (Scottsdale, AZ) offers weekday, evening, and Saturday appointments—in person or via telehealth.