Parent-Child Interaction Therapy (PCIT)

PCIT is a research-supported program for young children, typically ages 2 to 7, who struggle with frequent tantrums, defiance or aggression. What makes it different is that the parent is the one who learns and uses the skills, with live coaching from the therapist.

How it works

PCIT has two phases. In the first, you learn to follow your child’s lead in play, which builds warmth and cooperation. In the second, you learn to give clear, calm instructions and follow through consistently. The skills are simple to name and take practice to use: praising specific behavior, repeating back what your child says, joining in their play, describing what they are doing, and showing that you enjoy the time together. Later you practice giving one clear instruction at a time and responding the same way each time.

What a session looks like

You and your child play together in the play room. Dr. Kalnicki watches through a one-way mirror from the next room and coaches you in the moment through a small earpiece. You practice for a few minutes a day at home between sessions. Short daily practice, about five minutes of special play time, is what makes the change last.

How long it takes

Families often complete PCIT in about 12 to 20 weekly sessions, though every family moves at its own pace.

Dr. Kalnicki is a PCIT therapist certified by PCIT International. To ask whether PCIT fits your family, use the Request an appointment button or call (516) 806-6814. You can confirm her certification in the PCIT International provider directory.

Parents often ask whether a child needs a diagnosis, whether both parents should come, whether PCIT can be done by telehealth, and what happens if a child is older than seven. Dr. Kalnicki will go over these with you on the first call.

To read more, see the information for parents from PCIT International.