Jennifer Chokemesil, LMFT, Marriage and Family Therapy INC.

Child-Parent Psychotherapy (CPP)

CPP is a relationship-based, trauma-informed treatment designed to support young children (ages 0–6) and their caregivers after experiencing trauma, loss, or stress.

This evidence-based therapy helps strengthen the child-caregiver bond and supports emotional healing by restoring a sense of safety, trust, and connection.

CPP is most often used with:

• Children who have experienced trauma, such as abuse, neglect, separation, or violence 
• Families coping with grief or loss 
• Children exposed to domestic violence, substance abuse, or parental mental illness 
• Parents who are struggling with their child’s emotional or behavioral challenges
   

It is effective with infants, toddlers, and preschool-aged children, including those in foster care or reunification settings.

In CPP, the child and caregiver attend sessions together. The therapist helps the caregiver understand the child’s behavior through a trauma-informed lens and supports both child and parent in:

• Processing traumatic experiences 
• Improving emotional regulation 
• Building a secure and nurturing relationship

Why the Relationship Matters

Research shows that a child’s relationship with their primary caregiver is a key factor in healing from trauma. When that relationship is strong, consistent, and attuned, children are better able to:

• Feel safe
• Develop trust in others
• Learn to regulate their emotions 
• Build resilience 

CPP helps repair and strengthen this vital connection.

Sessions typically include:

• Play-based activities to help the child express emotions 
• Joint discussions with the caregiver to reflect on past and present experiences 
• Support for the caregiver to strengthen their parenting confidence and sensitivity

CPP is an evidence-based treatment developed by Alicia Lieberman and colleagues. It integrates principles from:

• Attachment theory 
• Developmental psychology 
• Trauma and psychodynamic theories
   

It is supported by numerous studies showing effectiveness in improving child emotional and behavioral outcomes, caregiver sensitivity, and trauma symptom reduction.

CPP is recommended by the National Child Traumatic Stress Network (NCTSN) and SAMHSA for early childhood trauma treatment.