SPACE Therapy for Child Anxiety
in Naples, Florida (and online PSYPACT states)
Watching your child struggle with anxiety can be heartbreaking. You may wonder if you did something wrong, or if your parenting somehow caused your child’s worries. The truth is: parents are not to blame for childhood anxiety.
Anxiety can arise from many factors—genetics, brain chemistry, temperament, life experiences, or developmental stage. Some children are naturally more cautious, while others have faced changes that heighten stress. None of these mean you’ve failed as a parent.
Parents don’t cause anxiety and they are in the best position to help.
Why Parents Are the Key to Helping Children with Anxiety
When a child is anxious, it doesn’t just affect them. It affects the whole family. Anxiety is interpersonal, meaning it shows up in the back-and-forth between children and parents.
Here’s how the Anxiety Accommodation Cycle often works:
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Child feels distress related to anxiety → looks to parent for comfort or help
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Parent steps in to protect or reassure (Family Accommodation)
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Child feels better in the moment (short-term reduction in distress) → but learns they “need” their parent to cope (Continued Dependence on Parents for Regulation) → Symptoms continue (Maintenace of Symptoms)
This cycle is natural. It comes from love. But over time, it can actually make anxiety stronger.
Why Parents Matter in Treating Anxiety
Parents are children’s primary caregivers and role models. With the right support, parents can learn evidence-based strategies that help children:
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Take healthy risks
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Approach rather than avoid anxiety triggers
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Build independence and resilience
Avoidance may bring short-term relief, but it strengthens anxiety over time. For example, staying home from school may calm worries for a day, but the anxiety grows stronger each day attendance is avoided. Parents can break this cycle by learning supportive, step-by-step strategies through SPACE Therapy.
What is SPACE Therapy for Child Anxiety?
SPACE (Supportive Parenting for Anxious Childhood Emotions) therapy is an evidence-based, parent-focused treatment developed at Yale University. Unlike traditional child therapy, SPACE works by teaching parents practical tools to help their children reduce anxiety—without requiring the child to attend sessions.
Research shows SPACE is as effective as child-focused Cognitive Behavioral Therapy (CBT) in reducing anxiety and OCD symptoms.
How SPACE Therapy Helps
In SPACE therapy, parents are the main focus of treatment. Instead of asking children to fight their anxiety alone, we give parents the tools to:
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Respond with warmth and confidence
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Step out of unhelpful “rescue” patterns
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Send the powerful message: “I know you’re anxious, and I believe you can handle this.”
When parents shift their responses, children build strength, independence, and resilience.
Conditions SPACE Therapy Can Help
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SPACE therapy is effective for children, adolescents, and young adults struggling with:
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Separation anxiety
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Social anxiety
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Generalized anxiety
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School refusal/avoidance
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Phobias
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Obsessive-Compulsive Disorder (OCD)
Why Choose SPACE Therapy at NAPLES Behavioral Pediatric Therapy ?
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Evidence-based: Backed by extensive clinical research.
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Parent-focused: Works even when children are reluctant to attend therapy.
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Flexible: Can be used alone or alongside Cognitive Behavioral Therapy (CBT; which involves the child directly) and medication.
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Effective: Shown to reduce child anxiety, increase independence, strengthen family relationships, and improve family functioning.
Benefits of SPACE Therapy
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Empowers parents with concrete skills to help manage child anxiety
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Reduces child and adolescent anxiety
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Increases independence and builds confidence and resilience
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Improves parent-child relationships
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Provides a time-limited, focused treatment approach
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Provides support when a child or adolescent cannot or will not participate in therapy (e.g., due to their own scheduling restraints, therapy refusal, et cetera). For some children, SPACE is the only way they will receive the evidence-based support they need to manage anxiety.
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SPACE Therapy be done with parents in-person in Naples, Florida or online in PSYPACT states via a secure telehealth connection
SPACE Therapy is ideal for families seeking a parent-focused, evidence-based solution for childhood and adolescent anxiety. Parents learn skills to empower their child while reducing stress at home.
Get Started with SPACE Therapy in Naples, Florida or online in PsyPACT States
At Naples Behavioral Pediatric Therapy, you’ll work directly with Dr. Sonya Bhatia, a child psychologist trained in the SPACE Therapy model. Sessions are available in person in Naples, Florida or online across PSYPACT states via secure telehealth.
Call Naples Behavioral Pediatric Therapy today at 239-922-1440 or complete the contact form to request an appointment or learn more about SPACE Therapy.
Together, we can help your child feel less anxious, more independent, and more confident—while strengthening your family’s resilience.
Frequently Asked Questions
What is SPACE Therapy?
SPACE (Supportive Parenting for Anxious Childhood Emotions) is an evidence-based parent coaching program developed at Yale University to help families reduce child and adolescent anxiety or OCD symptoms. Instead of treating the child directly, SPACE focuses on teaching parents how to respond supportively and effectively to anxious behaviors.
How does SPACE Therapy work?
In SPACE, parents learn to decrease accommodating behaviors, the things families do to help their child avoid anxiety while increasing supportive responses that promote independence and resilience. Over time, these changes reduce anxiety and help children feel more confident and capable.
Who can benefit from SPACE Therapy?
SPACE is ideal for parents of children or teens struggling with anxiety, OCD, school refusal, sleep difficulties, separation fears, or excessive reassurance-seeking. It is particularly helpful when a child cannot attend therapy due to scheduling issues or parent disagreement about child participation in therapy, is resistant to traditional therapy, or if the child finds it difficult to engage directly with a therapist.
Do children participate in SPACE Therapy sessions?
No. SPACE works exclusively with parents or caregivers. You’ll meet with our psychologist to learn strategies that create lasting change at home, without requiring your child to attend therapy sessions. Children can, but do not need to, participate in individual therapy as parents participate in SPACE.
How many sessions does SPACE Therapy take?
SPACE is typically 8 to 12 sessions, though the exact number varies depending on the child’s anxiety level and family goals. The psychologist provides structure, guidance, and ongoing support throughout the process. Dr. Bhatia is happy to work with families beyond 12 sessions to ensure maintenance of progress if parents wish to schedule additional follow up sessions.
What kinds of changes can parents expect to see?
Parents often report that their child becomes more confident, independent, and flexible in handling anxiety triggers. Families experience less tension, fewer daily battles, and a stronger sense of teamwork in managing challenges.
Can SPACE Therapy be done online?
Yes. SPACE Therapy is highly effective via telehealth, allowing parents to participate from home anywhere in Florida, Nebraska, or any PSYPACT participating state. Sessions are held through a secure, HIPAA-compliant video platform. Parents residing in or near Naples, Florida have the option to come to the office for in-person meetings.
Is SPACE Therapy effective if my child is already in therapy?
Absolutely. SPACE can be used alongside your child’s individual therapy. Many families find that combining parent coaching through SPACE with child therapy creates faster, more consistent results at home and in daily life.
What if both parents aren’t available for sessions?
While it’s ideal for both parents or caregivers to attend, SPACE Therapy can be effective even with one committed participant. We work with your family’s situation to create realistic and sustainable changes.
How do I get started with SPACE Therapy?
You can schedule an initial consultation through our contact page or by calling the office. During the first meeting, we’ll discuss your family’s goals, explain the SPACE process in detail, and develop a customized plan to begin making positive changes right away.