An elderly man and a young girl are smiling and playing together, giving high fives while sitting on metal chairs outside, with a brick wall in the background.

Child & Teen Trauma Therapy in Center City, Philadelphia

and online across PA & NJ

Helping Children & Teens Feel Safe, Connected, and Understood After Trauma

Trauma in childhood isn’t just something a child remembers. It’s something their brain and body reorganize around.

It affects how they play. How they sleep. How they connect. It can show up in sudden outbursts, frozen stares, hyper-control, panic, or shutdown. It can look like defiance—but it’s usually protection.

At All of You Therapy, we specialize in working with children whose nervous systems have learned to live in survival mode. Some have experienced acute traumas. Others have spent years in environments where connection wasn’t safe or consistent.

We don’t treat this as a behavior issue. But that doesn’t mean we deny or avoid acknowledging how big and baffling their behaviors can really be.
We see it for what it is: a child doing exactly what their system learned to do in order to cope. We draw on brain- and body-based approaches to help your child feel safe again. When children feel truly connected and supported, their behavior naturally starts to reflect that safety—often becoming more regulated, responsive, and in line with where they are developmentally.

A young girl with curly hair in a ponytail, wearing a grey shirt with colorful triangle patterns and a beaded necklace, bending backwards over a black yoga or gym mat in a playroom, with colorful toy buildings in the background.
A young girl wearing a medical hat and dress plays doctor with a woman, possibly her mother, on the floor in a bright living room. The girl holds a spoon and smiles as she offers it to the woman, who is leaning forward smiling. The scene includes a toy medical kit, toy stethoscopes, and other doctor's tools.
A young boy sitting on the floor playing with a toy train set and colorful balls, in a room with a play area and a kitchen in the background.

This isn’t just a nice idea—it’s how the brain actually works.

When a child is dysregulated—screaming, shutting down, lashing out—they’re not in a state where logic or language can reach them. Their nervous system is focused on survival, not conversation.

That’s why we don’t typically start with completing a “trauma narrative” or even with teaching coping skills. These may be a part of therapy, but in alignment with a neurosequential model of therapy, we start with helping your child feel physically and emotionally safe. That might mean sensory play, rhythm, structure, or quiet, predictable connection. We attune to what their body needs first.

Only once your child feels more regulated can they begin to engage in relationship. And only then can they begin to reflect, process, and try new ways of being.

This approach comes from the work of Dr. Bruce Perry—and it’s foundational to everything we do.

Regulate. Relate. Then Reason.

In That Order.

What “Bottom-Up” Actually Means, and Why It Matters

Two people balancing on a curved wooden rocker in a bedroom.

When children experience trauma, the brain doesn’t file it away as a story.
It lives in the body, the brainstem, the limbic system—in the parts of the brain responsible for detecting danger and keeping them alive.

That’s why we work “bottom-up.” It means we start with the body, not the intellect. We support the parts of the nervous system that hold the fear, the freeze, the urge to run or lash out.

This might look like:

  • Rhythmic or sensory play

  • Predictable structure

  • Symbolic repetition in sand tray or art

  • Shared regulation through movement or interaction

  • A steady adult who isn’t shaken by big feelings

Only when the nervous system begins to settle can the child start to try on different ways of being—without bracing for what might happen next.

A woman and a girl are close together, smiling and looking at each other, with colorful stickers on their cheeks, against a plain white background.

This Isn’t Protocol-Driven Therapy.

It’s Individualized, Responsive, and Rooted in Relationship.

We don’t plug children into pre-set treatment plans.
We start with a deep assessment of what your child actually needs, developmentally and relationally.

We ask:

  • What does their behavior protect them from?

  • What overwhelms their system?

  • Where do they need more structure—or more freedom?

  • Are they ready to engage, or do they need space first?

  • What is their body communicating that their words cannot?

From there, we choose the most fitting therapeutic approach. Not the one-size-fits-all method. The one that meets your child, just as they are.

Modalities We Draw From

A happy family of three, with two parents and a daughter, playing in a park during the daytime. The daughter is jumping in the air between her parents, holding hands with both of them. All are wearing casual white tops and jeans, and they are surrounded by green trees and a grassy area.

We Don’t Just Work With the Child. We Strengthen the Relationships That Hold Them.

Trauma doesn’t just impact what happened to your child—it changes how they experience relationships. It makes it harder to trust closeness, harder to let others lead, harder to feel safe with someone who’s trying to help.

That’s why we don’t just work with your child in isolation. We bring the relationship into the therapy process—especially the one between you and your child.

You’re not the problem. You’re part of the healing. And we’ll support you in showing up in ways that help your child feel safer with you.

We’ll help you:

  • Know what to do when your child pushes you away after you set a limit

  • Understand why praise or affection might make your child uncomfortable—and what to do instead

  • Learn how to repair after a meltdown or a fight, without guilt or power struggles

  • Recognize when your own nervous system is getting overwhelmed, and how to reset

  • Feel less alone, less confused, and more confident in what your child actually needs from you

We’re not here to tell you to stay calm no matter what. We’re here to help you understand what’s happening, respond in a way that builds trust, and recover when things go off track—which they will, and that’s okay.

What Trauma Therapy with Children Actually Looks Like

It might look like:

  • A child crashing toy cars into each other again and again—not randomly, but to make sense of something that felt out of control

  • A sand tray where everything is buried or blocked off—and then slowly, over time, starts to open

  • A child who used to scream at every transition now pausing, checking in, and reaching for support (even if it’s clumsy)

  • A parent learning to notice the moment before the meltdown—and respond in a way that calms instead of escalates

  • A kid laughing during a shared game for the first time in months—because the weight they’ve been carrying finally got a little lighter

You might not see instant results. But you will start to notice subtle shifts:

  • Your child starts sleeping more soundly

  • They let you hug them without stiffening

  • They can handle a "no" without falling apart every time

  • They recover from a hard moment faster

  • You feel less afraid, less alone, and more confident in how to show up

This work doesn’t promise quick fixes (you already know that, even though you wish it would). But it does lead to deep, real change—in your child, in your relationship, and in how your family moves through the hard stuff together.