Anger is a completely normal, healthy, and necessary emotion. It serves as a vital signal that something deeply matters, whether a boundary has been crossed, an important need is going unmet, or a young person feels under threat. The concern is usually not the anger itself, but rather when those feelings become frequent, explosive, or sustained, or are expressed in ways that cause pain to the young person and the family around them. When a child reaches this point, it is often a sign of distress or overwhelm, rather than a matter of bad behaviour, though every child's reasons are different.
Article summary
Key takeaways
- Anger is a normal emotion. The concern is anger that's explosive, sustained or turned inward.
- Anger can be the tip of an iceberg: underneath there may be anxiety, sadness, shame, powerlessness, an unmet need, or trauma.
- During an outburst your child may have much less access to reasoning. Lowering your voice and dropping the demand tends to help more than arguing.
- In some teenagers, anger can be a sign of depression. It's rarely the diagnosis itself, more often a signal of something underneath.
- Counselling can help a young person understand what's underneath, spot the warning signs and build tools.

When it comes to children's mental health, anger can be one of the hardest topics for parents to bring up. It can carry its own kind of stigma. A child who is anxious may get sympathy. A child who shouts, swears, slams doors, or hits is sometimes labelled badly behaved, disrespectful, or out of control. The parents may feel judged too. Many of the families we meet have been managing intense anger at home for years before they feel able to ask for help, often because they were afraid of being seen as failing.
This guide is for parents whose child's anger has started to feel bigger than they know what to do with. It covers what anger actually is, what can be underneath it, how it shows up at different ages, why teenage boys in particular sometimes channel everything through anger, and how counselling helps.
What is anger?
Anger is a normal, healthy human emotion. Everyone feels it. In its functional form, anger is the signal that something matters: that a boundary has been crossed, a need is unmet, an injustice has happened, or a threat is present. It mobilises us to act. Without it, children couldn't stand up for themselves, name what's wrong, or protect themselves from harm.
The concern is not anger itself. The concern is anger that's disproportionate, frequent, sustained, or expressed in ways that harm the young person, the family, or others. Common patterns include:
- Explosive outbursts: Shouting, screaming, swearing, hitting, throwing things, slamming doors, breaking objects.
- Sustained irritability: A constant low-level edge of frustration. Everything is annoying. Every request is an attack.
- Aggression directed at people: Hitting a sibling, kicking a parent, threatening behaviour.
- Withdrawal and shutdown: Some children turn anger inward and disappear, going silent, stonewalling, refusing to engage. This is anger too, just expressed differently.
- Self-directed anger: Harsh self-criticism, or anger turned on themselves rather than others.
When anger becomes the dominant emotion of the household, when family life is being organised around avoiding the next outburst, or when a young person is harming themselves or others, it's worth taking seriously and worth seeking support for. It's usually more helpful to see it as a sign that something needs understanding than as bad behaviour to be punished. Understanding anger doesn't mean accepting harmful behaviour, though. If your child is hurting or threatening people, or anyone at home feels unsafe with them, safety comes first. Repeated violence or threats need specialist help: talk to your GP about an assessment and a plan for keeping everyone safe, and call 999 if anyone is in immediate danger.
The biology of anger: what's happening in the brain and body
One helpful way to understand an outburst is through the body's stress response. When a young person feels angry, the sympathetic nervous system (the body's "fight or flight" system) activates. Brain systems involved in spotting threat react to what feels like a threat or an injustice, and stress hormones such as adrenaline rise. The heart rate climbs. Muscles tense. The visual field narrows. Crucially, the prefrontal cortex, one of the brain areas involved in impulse control, planning, and considered response, may not work as well as usual.
This last point is critical for parents. When your child is in the middle of an angry outburst, they may have much less access to reasoning, problem-solving and their own emotional regulation. In that moment, it can be much harder for them to stop, think and choose how to respond. Lectures and consequences delivered mid-rage are unlikely to land, because the stress response makes it much harder to think things through.
The prefrontal cortex continues to develop into early adulthood. In children and teenagers, the ability to manage strong feelings is still developing. This is not a defect. It's the normal developmental pattern, and one reason why asking a young person to calm down mid-rage often doesn't help.
When a young person feels unsafe, anger can be part of a "fight" response. Helping them feel safe again usually does more than arguing with what they are reacting to.
Anger as an iceberg: what can be underneath
Anger is often more than just anger. For many young people, it's the visible tip of something else, an emotion the young person hasn't been able to name, process, or express in another way. Experiences differ from child to child, and if your child's behaviour has changed a lot, or the anger is persistent or severe, it's worth getting it assessed rather than guessing what's underneath. Some common experiences are:
- Anxiety and overwhelm: A young person who is anxious and can't find safety often flips into fight. For some, anger is easier to feel than fear.
- Sadness and grief: Loss is hard to feel directly. Anger can feel more bearable than the underlying ache.
- Shame: A young person who feels stupid, exposed, or judged will often defend with anger before they can register the shame underneath.
- Powerlessness: Anger is energising. Helplessness is depleting. Some young people reach for the energising emotion when they can.
- Unmet needs: Hunger, tiredness, sensory overload, social pressure, and exam stress can all feed irritability and rage.
- Trauma: Past experiences of being hurt, abandoned, or unsafe can leave a young person more on alert, so that uncertain situations feel threatening.
The behaviour you're seeing is the surface; the work is to understand what's under it. A child shouting "I hate you" rarely means it literally. They may be saying "I feel something unbearable and I don't know how to handle it."
How anger shows up at different ages
Under sevens: Tantrums are developmentally normal. Young children are still learning to manage intense emotion, and a tantrum is often the visible sign of an overloaded system. From the "terrible twos" to around age five, many children have frequent tantrums, often around tiredness, hunger, transitions, and frustration. Much of this is a normal part of development. It’s worth seeking help if the intensity, frequency, or duration of tantrums is markedly outside what other children the same age are doing, or if there is significant aggression toward others.
Primary-age children: For many children, tantrums become less frequent at this stage, although they still happen, particularly when tired or overstimulated. Watch out for sustained irritability, frequent aggression at school, sibling violence, or a pattern of "rage and then collapse" that doesn't seem to be resolving with age.
Early adolescents (11 to 14): Hormonal change, the demands of secondary school, peer pressure, sleep changes, and the slow construction of identity all converge in this age range. For some young people, anger increases at this age. A pattern many parents describe is "my child has become a different person", with sudden door-slamming, silence, irritability, and outbursts that feel disproportionate. Some of this is developmentally normal. The concern signal is when anger becomes the dominant emotion, when it tips into violence, or when there is real distress underneath.
Older teenagers and young adults (15 and over): Anger at this age often points to something specific. It might be depression presenting as irritability (which can be easy to miss), substance use, the aftermath of a relationship or friendship breakdown, exam pressure, family conflict, identity struggle, or unmet needs linked to ADHD or autism that haven't been recognised.
There seems to be more than one kind of childhood irritability: an earlier pattern linked to ADHD, and a later, adolescent pattern more closely tied to depression.
Anger that explodes outward vs anger that turns inward
Two children with the same underlying distress can present very differently. Anger that goes outward is louder and more visible: shouting, slamming, hitting, throwing. Anger that turns inward is quieter and easier to miss: silence, withdrawal, harsh self-criticism. Both are anger, and both are signals. Self-harm is different. It can sit alongside anger, but it can mean many other things too, and it needs looking at in its own right rather than being read as a style of anger.
Externalising anger is more often picked up by schools and parents, because it's harder to ignore. Internalising anger is more often missed for years, because the young person looks "fine" or "moody" or "quiet". The young people who are missed for longest are often the quiet ones who never argue and never disagree. Some of them are struggling far more than anyone realises, occasionally to the point of harming themselves silently, so quietness isn't always a sign that a young person is fine.
It's worth knowing where on this spectrum your child sits. The interventions that help an explosive child (de-escalation, co-regulation, safety planning, agreed scripts) are not quite the same as the interventions that help a shut-down child (relationship repair, slow drawing-out of feeling, work on shame, exploration of what is not being said).
Anger and neurodivergence
Research links difficulty managing big feelings with neurodivergence, particularly ADHD:
The Faraone et al. International Consensus Statement on ADHD reports research finding that young people with ADHD often find it much harder to manage their reactions to new or stressful events. Emotional difficulties are not part of the formal diagnosis, and whether they should be is still an open question.
In Autistic young people, what looks from the outside like a temper tantrum is often a meltdown: a response to being overwhelmed by sensory or social input, when a young person has much less capacity to regulate. Meltdowns are not bad behaviour. They're better understood as a sign that a young person has been pushed past what they can manage in that moment. Suppressing them, demanding apology mid-meltdown, or punishing the behaviour, tends to make things harder. Safety still comes first, though: if anyone could get hurt, act to keep everyone safe. You can hold boundaries without treating the meltdown itself as deliberate bad behaviour. Our Autism hub covers this in detail.
Being ADHD or Autistic is not the problem in itself. Anger in neurodivergent young people often builds when needs go unmet: sensory overload, too many demands at once, being misunderstood, or experiences such as bullying.
A separate caution: don't blame everything on neurodivergence either. A young person can be ADHD or Autistic and be reacting to a separate, real situation that needs addressing, like bullying, family stress, or a friendship that has gone wrong. Each anger pattern deserves its own thoughtful look.
of the link between childhood neurodevelopmental differences and teenage depression was accounted for by childhood irritability
Anger, trauma, and the nervous system
UK government guidance describes trauma as an event, a series of events or a set of circumstances that a person experiences as harmful or life-threatening [4]. That can include ongoing experiences, such as neglect or bullying, as well as single events. Trauma can leave a young person more on alert, so that uncertain situations feel threatening. A young person with a trauma history may flip into fight far faster, and from less stimulus, than peers without that history.
This matters for parents because the behaviour can look entirely disproportionate to the trigger. A request to switch off a screen produces a rage that doesn't fit the size of the request. The disproportion can be a clue. The young person may be responding not just to the request, but to everything they have been holding onto.
Trauma-informed work with anger often doesn't start with anger management. It usually starts with helping the young person feel safe. After that, the work slowly builds a sense that the present moment is not the past, and moves on to regulation strategies from a calmer place. Punishment, sanctions and consequences on their own are unlikely to ease anger that is linked to trauma. Connection, safety, and skilled therapeutic work can help. If your child has significant trauma symptoms, such as flashbacks, nightmares or feeling constantly on edge, a proper assessment can help decide whether a specific trauma-focused treatment is needed.
Anger in teenage boys: sometimes depression in disguise
A specific pattern worth flagging. Some teenage boys with depression don't show it mainly as sadness or withdrawal. Instead, it may come out as irritability, anger, risk-taking, or aggression. The depression may still be there underneath, expressed through the feelings some boys find easier to show than sadness.
The NHS Digital survey of children's mental health in England found that rates of probable mental disorder in young people rose between 2017 and 2020 and were broadly stable between 2022 and 2023[5], and separately, depression can be easy to miss when it shows up as anger or irritability rather than sadness. If your son is angrier than he used to be, lost interest in things he used to love, sleeping badly, withdrawing from friendships, and being short with everyone, depression deserves to be on the list of possibilities. This fits a wider pattern: a 2024 review in the American Journal of Psychiatry describes irritability as a recognised symptom of youth depression, and notes that chronic childhood irritability is linked with later depression and anxiety.[6]
Irritability is common in young people, and especially high in those with ADHD, autism, or a mood or anxiety disorder. Persistent childhood irritability is linked with a higher risk of depression and anxiety later on.
The same logic applies in reverse to girls: a teenage girl with severe anger problems may be dealing with trauma or depression, or with ADHD or autism and needs that haven't been recognised. Anger is rarely the diagnosis. It's often a signal of something needing identification underneath.
The role of screens, gaming, and sleep
A practical note often missed in the clinical picture. Three things that can play a part in some young people's anger are sleep deprivation, excessive screen time (particularly late at night), and competitive online gaming environments that can stir up a lot of frustration, defeat, and adrenaline.
This is not a moral panic about phones. Poor sleep can make it much harder for young people to manage their emotions, and late-night gaming followed by a difficult morning routine can mean shorter fuses. Some online environments (competitive multi-player games, certain social media platforms) can keep some young people wound up for long stretches, with no easy off-switch.
If your child's anger is escalating, an honest audit of sleep, late-night screen use, and the specific games or platforms they're using is worth doing. Many families find that shifting these patterns makes a noticeable difference to mood and reactivity, though how much varies from child to child.
What it's like for parents
Parenting an angry child or young person is genuinely exhausting. The unpredictability is corrosive: the eggshells, the bracing for the next outburst, the careful watching of mood signals, the bedrooms with broken doors, the siblings who learn to keep their heads down, the family events declined because the risk feels too high.
You may also be carrying judgement. From schools, from family members, from strangers in the supermarket. "He just needs firmer boundaries." "You're being too soft." "My child would never speak to me like that." These messages miss two things: that anger this big is often pointing at something else, and that "firmer boundaries" delivered without understanding can fuel rather than reduce the rage.
You may also be feeling angry yourself. This is normal. Living with frequent outbursts at home leaves any parent depleted, frustrated, and sometimes furious. The ability to come back to calm and reconnect, repeatedly, is an important parenting skill, and it can't be sustained on an empty tank.
What to do in the moment of an angry outburst
In the moment, it often helps to steady yourself first. Your own calm can help settle the room. If you go up, your child's anger often goes up too.
Safety comes first. If the anger is turning into aggression and anyone could get hurt, act straight away: move other people away, keep yourself safe, and call 999 if anyone is in immediate danger. Beyond that, a few practical things help:
Drop the immediate demand: Whatever you were trying to get them to do can wait five minutes. Pursuing the original demand mid-rage is unlikely to work.
Lower your voice and slow down: Counter-intuitive, but it often helps. A quieter, slower adult voice can help your child feel safer. A louder adult voice can feel more threatening.
Reduce input: Lower lights, fewer people, fewer words. Some young people need quiet space; others need a steady, calm adult nearby. Read your child.
Don't try to discuss anything substantive: In that moment your child may have much less access to reasoning, so a useful conversation is unlikely. The conversation can happen later.
Hold the safety line firmly and quietly: Hitting, throwing things at people, breaking objects, threats: these are not okay. The boundary can be held without escalation. "I'm here, you're safe, but I can't let you hit your sister. Let's step away from each other for a few minutes."
Let the wave pass: Many outbursts pass more quickly if they are not fed, though how long they last varies a lot from child to child. Your child will usually be able to think things through again once the wave has passed. The repair conversation is for then, not now.
What you can do as a parent in the longer term
Beyond the moment, several things can help.
Talk about emotions outside of conflict moments: When everyone is calm, build the vocabulary. "That sounded really frustrating earlier. What was going on for you?" Mid-rage is not the moment. The quiet afterwards, or the next day, often is.
Build a "calm-down plan" together: Where does the young person go when they feel rage building? What helps? A walk, music, a sensory tool, a specific room, a hot shower, time alone, time with a pet. Build the plan when they're calm, and refer to it when needed.
Look for the patterns: When does it happen? Around what triggers, what times of day, what people, what tasks? Many anger patterns have repeatable shapes that are addressable once spotted.
Make repair the rule, not the exception: After every storm, the connection needs to be rebuilt. This doesn't mean letting the behaviour go. It means returning to the relationship, naming what happened, and reaffirming the bond. "That was hard. I love you. We'll work this out together."
Set boundaries with kindness: Anger doesn't mean rules disappear. It does mean the conversation about consequences happens later, calmly, in a way that doesn't reactivate the original threat response.
Look at your own anger: Many parents of angry children find their own patience worn thin. Your own regulation strategies, support, and rest are not luxuries. They're part of the intervention.
When to seek professional help
It's worth seeking professional support when:
- Anger is affecting school, friendships, sleep, eating, or family life.
- There is physical aggression to people or sustained property damage.
- Your child seems deeply unhappy, withdrawn, or anxious between outbursts.
- You're walking on eggshells daily.
- Nothing you've tried is shifting it.
- Your child is turning things in on themselves rather than outward. If there are any signs of self-harm, or your child talks about not wanting to be here, treat that separately from the anger: contact your GP and ask for an urgent appointment, or call NHS 111. If your child or someone else is in immediate danger, call 999 or go to A&E. Your child can talk to Childline free and in confidence on 0800 1111 if they're under 19, and you can reach the Samaritans on 116 123 or text SHOUT to 85258 at any hour. Finding Therapy isn't a crisis or emergency service. Our self-harm guide covers this properly.
These are prompts, not a checklist. A child can be struggling without showing any of them, and if you're worried, that's reason enough to ask for support. It can help to think about three things, which we call the "3 Ds". Duration: the pattern is settling in rather than passing. Distress: your child is genuinely overwhelmed between episodes. Disruption: it's getting in the way of normal life.
How counselling helps with anger
A common misconception is that anger therapy is about teaching children to suppress or control their anger. Counselling for anger usually aims to do something different: to help the young person understand what's underneath their anger, name it, process it, and develop a wider emotional vocabulary so anger doesn't have to do all the work.
NICE guidance on antisocial behaviour and conduct disorders (CG158) recommends parent training for children aged 3 to 11 and problem-solving programmes for children aged 9 to 14. Both are for children who have, or are at high risk of, oppositional defiant or conduct disorder. That's a narrower group than every child who struggles with anger.[7]
A 2016 review in the Journal of Child and Adolescent Psychopharmacology sets out two behavioural approaches for anger, irritability and aggression in young people, both well studied in trials with children who have disruptive behaviour disorders: parent management training, which works on the patterns around the child, and cognitive behavioural therapy, which builds emotion regulation and problem-solving skills with the young person themselves.
Counselling for anger can include:
- Understanding what’s happening: Understanding what anger is, what is happening in the brain and body, and what can be underneath it.
- Identifying triggers and warning signs: Recognising the body's early signals (tight chest, hot face, clenched fists) so the young person can intervene before the rage takes over.
- Building a wider emotional vocabulary: Helping the young person name what's underneath: fear, shame, sadness, powerlessness.
- Practical regulation tools: Breathing techniques, grounding, physical outlets, walking away, sensory tools.
- Problem-solving and conflict resolution: Working through specific situations that keep producing the same explosions.
- Working with the underlying cause: Trauma, anxiety, depression, neurodivergence, family stress, or whatever else is feeding the pattern. Where an underlying condition is suspected or has been diagnosed, counselling can support your child alongside the right assessment and treatment, not instead of it.
The multilevel meta-analysis by Roest and colleagues, covering 99 studies on child and adolescent psychotherapy, found that the therapeutic relationship is consistently associated with better outcomes.[9] For an angry young person, who has often spent years being told they're bad, the experience of being warmly accepted by a calm, non-judgemental adult can itself be an important part of the change.
A clinical perspective from one of our counsellors
Mandy Clarkson, MBACP, a Finding Therapy counsellor with experience in working with anger in children and young people, shares how she works in her sessions:
"I've worked with a lot of young people who struggle with anger over the years, and it shows up in very different ways. Sometimes it's explosive: shouting, slamming doors, hitting, breaking things. Other times it's hidden: sulking, withdrawal, silence. Whatever form it takes, my first priority is always the same. We start by creating a safe, calm space where they can begin to feel in control of their emotions again. Before we work directly on the anger, I spend time understanding the bigger picture: any underlying causes, like trauma, bullying, family stress, or unmet needs. Together we identify the early warning signs and build a 'calm-down plan' that feels realistic for them."
"I often use the interactive Finding Therapy platform to explore anger triggers, patterns, and intensity. Canvases like the 'anger iceberg' can help a young person see what's underneath the emotion, and the 'anger thermometer' helps them learn to gauge and regulate the intensity. Drawing and other creative activities give them a way to express complex emotions safely. Some young people don't want structured or creative work at all, and that's fine too. The session takes the shape they need it to take."
"A big part of the work is helping the young person label feelings beyond just 'angry', and understand the thoughts and behaviours that come with those emotions. We practise coping skills together: breathing, physical outlets, de-escalation strategies, problem-solving, and conflict resolution. Over time, many children and young people notice positive change: feeling calmer, responding more thoughtfully instead of reacting explosively, and having tools to manage big emotions when they arise. Progress is different for everyone, and there can be setbacks along the way. What I want every young person I work with to know is this: anger doesn't have to define them. With patience, understanding, and practice, things can really change."
Why online therapy can work for angry young people
Online therapy is well-suited to many angry young people. The familiar home environment can make it easier to get to a session. Sessions can include creative, interactive work via the Finding Therapy platform, which can help keep young people engaged who might find a face-to-face room across a coffee table genuinely uncomfortable. Many young people also find online sessions less exposing than walking into an unfamiliar clinic.
For anxiety and depression in children and young people, research suggests therapy delivered through a screen can work about as well as meeting in person.[10] That research was not about anger specifically, so treat it as general reassurance about online therapy for young people rather than proof for this.
A useful additional point: working from home means the young person can engage from their own regulated space, with their own resources nearby (water, fidget tools, their pet, their preferred lighting). For young people whose anger is often triggered by sensory or environmental factors, this matters. Online counselling isn't right for every situation: where there is serious violence, a significant risk to safety, a safeguarding concern, or a need for more intensive or specialist assessment, other support may be better.
A brief note on medication
Medication isn't usually prescribed just for anger in children and young people. Where there is an underlying condition, or aggression or irritability is severe, a specialist may consider whether medication has a role. Where anger is occurring in the context of ADHD, ADHD treatment (which may include stimulant medication) may help with the underlying difficulty in managing feelings. Where anger is part of a depressive picture, particularly in older adolescents, antidepressants may be considered by a specialist. Any decision about medication is a clinical one, led by a specialist such as a paediatrician or CAMHS psychiatrist, and made together with the young person and the family. We don't recommend or prescribe medication. We work alongside whatever medical pathway your child is on.
Recovery is realistic
Many young people's anger responds well to support, particularly when the work is matched to the underlying cause. Recovery doesn't mean a young person never feels angry again. Anger is a normal human emotion. For some young people, recovery may involve understanding what's underneath their anger, recognising the warning signs and having tools to interrupt the cycle. It can also mean expressing what they actually feel, rather than channelling everything through rage.
With consistent support, meaningful change is realistic, though how long it takes varies a great deal from child to child, and there can be setbacks along the way. Shifts parents often tell us about include: longer windows between outbursts, faster recovery after them, better repair conversations afterwards, a wider emotional vocabulary, and a more connected, present young person at home.
A final word
If your child's anger has started to feel bigger than the family can manage on its own, it's worth remembering that things can change. Your child is doing what they can with the resources they have, and with the right support those resources can grow. With support, many young people learn to use anger as a useful, articulate emotion as they grow up.
At Finding Therapy, our counsellors are experienced in working with anger across a wide range of ages and needs, from primary-age children with explosive meltdowns through to teenagers whose anger has gone underground. If you'd like to talk to someone experienced in this, browse our directory of children's and young people's counsellors, or book a free consultation and you'll speak to our Head of Counselling, who can help with a recommendation.
Frequently asked questions
References
- Riglin et al., American Journal of Psychiatry (2019). Identifying Novel Types of Irritability Using a Developmental Genetic Approach, American Journal of Psychiatry. https://doi.org/10.1176/appi.ajp.2019.18101134 ↩
- Faraone et al. (2021). The World Federation of ADHD International Consensus Statement: 208 Evidence-based conclusions about the disorder, Neuroscience & Biobehavioral Reviews. https://doi.org/10.1016/j.neubiorev.2021.01.022 ↩
- Eyre et al. (ALSPAC, UK) (2019). of the link between childhood neurodevelopmental differences and teenage depression was accounted for by childhood irritability. https://doi.org/10.1111/jcpp.13053 ↩
- Office for Health Improvement and Disparities (2022). Working definition of trauma-informed practice, Office for Health Improvement and Disparities (OHID). https://www.gov.uk/government/publications/working-definition-of-trauma-informed-practice/working-definition-of-trauma-informed-practice Accessed 13 October 2026. ↩
- NHS Digital (2023). Mental Health of Children and Young People in England, 2023 - wave 4 follow up to the 2017 survey, NHS England Digital. https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2023-wave-4-follow-up Accessed 12 June 2026. ↩
- Leibenluft, E., et al. (2024). Irritability in Youths: A Critical Integrative Review, American Journal of Psychiatry, 181(4), 275-290. https://doi.org/10.1176/appi.ajp.20230256 Accessed 17 June 2026. ↩
- National Institute for Health and Care Excellence (NICE) (2017). Antisocial behaviour and conduct disorders in children and young people: recognition and management (CG158), NICE. https://www.nice.org.uk/guidance/cg158 Accessed 12 June 2026. ↩
- Sukhodolsky et al. (2016). Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents, Journal of Child and Adolescent Psychopharmacology. https://doi.org/10.1089/cap.2015.0120 ↩
- Roest, J., Welmers-van de Poll, M., Van der Helm, G. H. P., Stams, G. J. J. M., & Hoeve, M. (2022). A Three-Level Meta-Analysis on the Alliance-Outcome Association in Child and Adolescent Psychotherapy, Research on Child and Adolescent Psychopathology. https://link.springer.com/article/10.1007/s10802-022-00986-2 Accessed 12 June 2026. ↩
- Bevilacqua et al. (2024). Effectiveness of technology-assisted vs face-to-face cognitive behavioural therapy for anxiety and depression in children and young people., Clinical Child Psychology and Psychiatry. https://doi.org/10.1177/13591045241259070 Accessed 19 August 2026. ↩



