Children ages 2–7Parents
Parent-Child Interaction Therapy (PCIT)
When a young child has frequent tantrums, trouble following directions, or big emotions that are hard to manage, it can wear on the whole family. PCIT is live-coached, evidence-based therapy for children ages 2–7 that strengthens the parent-child bond while giving you practical tools to guide behavior with calm and consistency.
You practice the skills live, with support.
PCIT uses live coaching. While you and your child play together, Dr. Brinkley watches and coaches you in the moment through an earpiece — quiet guidance only you can hear, so your child stays focused on you. You leave able to use positive parenting strategies with real confidence, because you've practiced them in the moment with support.
PCIT has two phases. In Child-Directed Interaction (CDI), you learn to follow your child's lead in play using specific skills that build warmth, attention, and cooperation — the bond that everything else builds on. Once those skills are solid, Parent-Directed Interaction (PDI) helps you give clear instructions, set consistent boundaries, and follow through predictably, which reduces disruptive behavior and helps your child listen and cooperate.
Each phase starts with a teaching session to learn the skills, followed by coaching sessions with real-time guidance until you've mastered them. Treatment usually runs 12–16 weeks, and many parents notice improvement during the first phase.
Two ways to do PCIT: at home or in our office.
Traditional PCIT clinics coach parents from behind a one-way mirror. We get the same result with simpler tools: a video connection and an earpiece. Dr. Brinkley sees and hears everything as it happens without being in the room, so your child's attention stays on you. Choose whichever setup fits your family.
Coaching in your own living room
You and your child play at home with your own toys, and you join Dr. Brinkley on a video call so she can watch the two of you together. Through your earbuds, you hear her coaching in real time while your child just hears you. You practice the skills right where the tough moments happen, with no drive across town.
A playroom set up for your child
You and your child come to our office on Monument Avenue, where a room is stocked with toys and games. Dr. Brinkley observes through a small camera from her own office nearby and coaches you through your earpiece. Your child gets a fresh space built for play, and your full attention while they're in it.
Focused on your question — nothing you don't need
Teaching sessions
Each phase begins with a session where you learn the skills before putting them into practice.
Live coaching
Real-time coaching through an earpiece while you play with your child — at home over video or in our office playroom.
Phase 1: CDI
Child-Directed Interaction builds warmth, attention, and cooperation through play.
Phase 2: PDI
Parent-Directed Interaction builds clear instructions, consistent boundaries, and follow-through.
Progress by mastery
You move forward as the skills click, not just as the weeks pass.
12–16 weeks, typically
Many parents notice improvement during the first phase.
A stronger, warmer relationship with your child, fewer power struggles, and parenting skills you keep long after therapy ends.
Frequently asked questions
What ages is PCIT for?
Children ages 2 to 7 who struggle with tantrums, impulsivity, trouble following directions, disruptive behavior, or managing emotions.
Can PCIT be done virtually?
Yes. You and your child play at home with your own toys while Dr. Brinkley watches over a video call and coaches you through your earbuds. Many families find this the most practical option, and it lets you practice right where the tough moments happen.
How does coaching work without Dr. Brinkley in the room?
In the office, you and your child play in a room set up with toys and games while Dr. Brinkley observes through a small camera from her own office and coaches you through an earpiece. She sees everything as it happens, and your child stays focused on you instead of a visitor. Traditional PCIT clinics do this with a one-way mirror; the camera does the same job.
How long does PCIT take?
Typically 12–16 weeks, with many parents seeing improvement during the first (CDI) phase. Progress is based on mastering the skills, not just logging weeks.
Do you offer PCIT to families around Richmond, and what does it cost?
Yes, to families across Richmond and the surrounding counties, at 5006 Monument Avenue (Suite B), Richmond, VA 23230. We'll go over fees and insurance at your free consultation. Call 804-205-7624 or email mbrinkley@brinkleypsychology.com.
Not sure where to begin?
Reach out for a brief, free consultation. We’ll talk through what’s going on and figure out the right next step together.