Skip to main content
Parent-Child Interaction Therapy (PCIT) is one of the most well-researched treatments available for young children experiencing behavioral difficulties, emotional dysregulation, or the effects of trauma. At Guzman & Baker, our PCIT-trained therapists work directly with both you and your child to build a warmer, more secure relationship while reducing challenging behaviors.

​
What is PCIT?

PCIT is a structured, evidence-based therapy for children ages 2 to 7. It is unique because the therapist coaches you — the parent or caregiver — in real time during play sessions with your child. This live coaching happens through a one-way observation window or via a small earpiece, allowing you to practice new skills with your child while the therapist guides you moment by moment.
PCIT has been extensively studied and is recognized as an evidence-based practice by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the American Psychological Association (APA).

​
The two phases of PCIT

PCIT is divided into two structured phases, each with specific skills you will learn and practice.
1

Child-Directed Interaction (CDI)

In this phase, you learn to follow your child’s lead during play. You practice the PRIDE skills: Praise, Reflect, Imitate, Describe, and Enjoy. The goal is to strengthen the parent-child bond and increase your child’s sense of security. You avoid commands, questions, and criticism during CDI practice.
2

Parent-Directed Interaction (PDI)

Once your relationship has strengthened, you move into PDI, where you learn to give effective, calm commands and follow through with consistent, appropriate consequences. This phase reduces defiance, tantrums, and other challenging behaviors.

​
What to expect

PCIT sessions are typically 50–60 minutes. You will spend time both in session and practicing daily 5-minute “special time” sessions at home with your child. Progress is measured each week, and you graduate from each phase when you reach a set of mastery criteria — not on a fixed timeline.

​
Who benefits from PCIT?

PCIT is especially effective for:
  • Oppositional Defiant Disorder (ODD) and conduct problems
  • ADHD-related behavioral challenges
  • Trauma and abuse — PCIT helps restore safety and attachment
  • Anxiety in young children
  • Developmental delays with behavioral components
  • Parenting stress or caregiver burnout
PCIT is designed for caregivers and children to participate together. Grandparents, foster parents, and other primary caregivers are welcome to participate in place of or alongside biological parents.

​
At Guzman & Baker

Our PCIT therapists provide a warm, supportive coaching environment. Progress is collaborative — your therapist celebrates your gains and helps you troubleshoot challenges as they come up. Most families complete PCIT in 14 to 20 sessions, though this varies by family.
The skills you learn in PCIT are designed to become part of your everyday parenting — not just something you do in a therapy office. Most parents find that the changes they see in their child’s behavior during PCIT continue and strengthen long after treatment ends.