Therapy Activities for Teens and Adolescents

Therapy Activities for Teens and Adolescents
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Article Summary

Motivation. It’s the driving force behind so much of what we do. When we feel a true sense of motivation, it’s amazing what we can put our minds toward. In the world of mental health therapy, clients can be more open and eager to participate in sessions when they are motivated to do so. As we all know, it isn’t always easy to find the motivation...

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Motivation.

It’s the driving force behind so much of what we do. When we feel a true sense of motivation, it’s amazing what we can put our minds toward. In the world of mental health therapy, clients can be more open and eager to participate in sessions when they are motivated to do so.

As we all know, it isn’t always easy to find the motivation or help others find it.

Some therapists may find it particularly challenging to motivate teenagers and adolescents within therapy sessions.

Mental health disorders are common in young people. 1 in 7 meets the diagnostic criteria for a mental health disorder. However, many of those teens and adolescents do not access professional help.

One reason young adults do not seek therapy? Their perceptions of a relationship with professionals. According to one study, 68% reported this as a concern, including the feeling that it might be difficult to trust the professional working with them.

With this perception, those adolescents and teens who do access therapy may not easily engage or participate. They may come into therapy with a wall up, and this barrier can be hard to break through.

Here’s the good news.

Using the right activities can increase a young adult’s motivation in therapy and can effectively help them make progress. Increasing the effectiveness of therapy is a win-win that benefits both therapists and young clients!

Choosing the Most Effective Exercises & Activities

So, how do you find the right activities to use with your young adult clients in therapy?

According to research, creative activities can positively affect adolescents’ behavioral changes, self-confidence, and self-esteem.

That’s right. Traditional talk therapy can be a barrier to communication in sessions with young adults. It can be best for professionals to think out of the box when it comes to planning sessions.

Creative activities might include those that incorporate the client’s interests, and hobbies or involve movement and art. It can also be helpful to incorporate writing and technology into sessions with young adults, to encourage participation from those who might feel a sense of stigma or embarrassment in speaking directly with a professional.

We’ve put together a list of some of the 10 most effective (and fun!) therapy activities for teens and adolescents. Whether you’re treating clients in person or through teletherapy, these activities can help your young adult clients stay motivated, build a positive rapport with you, and make progress.

1: The Candy Game

Candy…at therapy?

Here’s a sweet way to help teens and adolescents effectively open up about their emotions during sessions.

You and the client each get a small bag of M&M’s or Skittles. Make a code that links each color of candy to a certain emotion. For example:

Red = Angry

Yellow = Happy

Blue = Sad

Green = Jealous

Orange = Excited

Take turns taking out one piece of candy from your bag, and find which emotion its color corresponds to. Then, share about what makes you feel that emotion or an experience that brought out the feeling in you.  Of course, your client gets to eat his or her candy in between turns!

Because a professional is not asking the young adult client a series of direct questions (which could be intimidating), the client may be more likely to engage in an activity like this. A snack is a nice way to break the ice and start building a strong, professional client-therapist rapport.

#2: Gratitude Scavenger Hunt

Expressing gratitude is strongly correlated with greater happiness, according to research from Harvard Medical School. It’s a concept frequently targeted in therapy sessions with teenagers because gratitude can lead to positive relationships with others and increased strength in the face of adversity.

But, determining the most effective way to help teenagers identify and express aspects of their life that they are grateful for is not always easy. Asking your client to complete a gratitude scavenger hunt is one way to evoke these feelings!

Your child can look around their room among their possessions and outside to complete the scavenger hunt. For example, finding a picture of a friend they are grateful for. Or, a favorite piece of clothing that they love to wear.

Incorporating movement and visuals, and tapping into the client’s life in this way can be an effective way to work on a concept like gratitude during therapy sessions. If you’re seeing the client in person, he or she can complete the hunt at home and bring it back during the next session.

This is a great activity to complete over a teletherapy session. The client can find and show the therapist things on video that capture their feelings of gratitude!

#3: Exploding Balloons

Adolescents and teenagers can benefit from learning how to identify how holding onto anger and other emotions inside of them can lead to problems. In therapy, these clients might work on learning appropriate strategies for expressing anger and emotions and practice using these strategies.

In the exploding balloon activity, the client and the therapist each get a balloon. The therapist asks the client to think of a time or a situation that made them feel angry but not talk about it. Then the therapist blows some air into a balloon. Then, the client is asked to think of another situation in which they felt anger, and the therapist blows more air into the balloon. This continues until eventually, the balloon pops.

The talking point for this one is that if we continue to hold onto anger, it can lead to other problems.

Next, repeat the above exercise and the client gets a balloon. But this time, after the client thinks of something that made him or her angry, he talks about it. As he or she discusses it, ask the client to let a little air out of the balloon. At the end of the exercise, reinforce to the client that the balloon did not pop!

Explain that by letting some of those feelings out (by talking about them, which was represented by letting air out of the balloon), an extreme consequence was avoided.

This is an engaging, hands-on activity that helps young adults understand how holding in feelings like anger can lead to damaging consequences.

#4: Talk it out Basketball

Movement and sports can be effective ways to engage active young adults in therapy. Some have trouble sitting still, or might open up more in therapy when they are doing something fun – like this talk-it-out basketball game!

Ask the client to help you come up with some questions to write on a few index cards. For example, “When was a time when you felt really happy?” and assign several points to each card. Use masking tape to tape the cards around the room, with a small basketball hoop in the middle.

Take turns making baskets from different cards. After you answer the question on the card, shoot a basket!

#5: Hopes and Fears Tree

Art can be an effective mode of expression for young people who are reluctant to share their feelings or thoughts verbally with someone else.

Creating hopes and fears tree can help your client talk about their goals and also uncomfortable feelings like fears they have that may hold them back from pursuing those goals.

Ask him or her to draw a big tree on a poster board. On the leaves of the tree, ask your client to write their dreams. Under the tree, your client will draw worms. Have them write their fears on the worms.

Hopes and Fears Tree

Explain to the client that instead of running away from their fears, they can identify, name, and face them.

The worms in the picture are helpful, and fertilize the dream tree to help it grow!

#6: Feel the Beat

Experts in the field of mental health report that music can help with stress relief, emotional , and even identity formation in adolescents.

Help your client create a “Mental Health Playlist”. If you’re doing a teletherapy session, you can screen share a music app. Search for songs that can help match the client’s moods at different times. therapists recommend ordering the songs to start with difficult emotions (like anger) and progress to more desired emotions (like happiness.

According to experts, music-based activities like this can be helpful for clients who struggle with verbal expression. It can also help build a positive therapeutic relationship because it involves clinicians relating to teens through something they enjoy!

#7: Yoga

Several studies have proven that Yoga can have positive effects on adolescents and teenagers who have anxiety disorders and stress.

Yoga can be considered trendy, enjoyable, and calming for young adults. Not to mention, effective in providing calming effects. If you’re a clinician holding an in-person session, grab a few yoga mats and turn on some soothing music.

During teletherapy sessions, consider screen sharing a Cosmic Kids Yoga video on YouTube as you and the client follow along.

#8: Make a Self-Esteem Mirror

Mental health therapists who work with adolescents and teens know that helping a client develop a healthy sense of self-esteem is a common focus during sessions.

The theory behind this craft? Positive interventions like this can help children who struggle with mental health feel more confident about themselves.

Ask your child to create a personalized mirror for him or herself, adding colors, charms, and words to attach around the mirror that describes them.

#9: A Letter from My Future Self

Here’s another effective activity that can help teenagers express themselves when they might not be able to do so easily through traditional conversation.

You’ll ask the client to imagine the traits they’d like to have and the goals they hope to reach in the future. Next, have him or her picture what advice their future self might give their current self. For example, to keep working hard or stay positive. Guide your client as you help him or her write this advice in the form of a letter (then, they can keep it to look back on later!).

 #10: Board Games

Board games aren’t just fun, they’re a great opportunity to teach some therapeutic skills!

Let your client choose a game from a selection you have – like Uno and Connect 4. Games like these, which require strategy, help develop impulse control and social thinking skills. The client must consider their opponent’s point of view to win the game.

If you’re in a teletherapy session, many games like these are also available to play virtually!

More Resources for Engaging & Effective Therapy

When clients are engaged in effective, fun activities, they are more likely to commit to and participate in therapy sessions. For adolescents and teenagers especially, using motivating activities is key to positive outcomes!

Looking for more resources you can use working with teens and adolescents? Check out our library of free PDF worksheets and handouts

Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: Therapy Activities for Teens and Adolescents

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.