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Therapy Activities for Teens

Seventy-five questions in three depths, a this-or-that game, and a question tower where the block you pull picks the topic. Written for teens, and pass is always allowed.

Free. No sign-up. Nothing you type is stored.

Question cards

DepthEasy, low-stakes, good for warming up
Topic
About meLight

What is a song you have had on repeat lately?

Anyone can pass, any time, no reason needed. The adult answers too.

To come back to

Save a question for later, or play this or that, and it shows up here. Print it or copy it at the end, if that is useful.

Nothing here is saved or sent anywhere. It is gone when you close the page.

Download the free PDFFree to print and share with clients, students and families.

An educational aid to use with a therapist, teacher or parent. It is not a medical device and does not diagnose anything.

Therapy activities for teens

Many teens do not walk into therapy ready to talk. A game gives the session something to do with its hands, so talking can happen on the side. These three activities are built around the same rule: the teen chooses, and the teen can pass.

  • Question cards. 75 questions in five topics and three depths. Pick a depth and a topic, or let it mix. Turn on a twist, like "answer in exactly three words," for a lighter session.
  • This or that. Thirty quick pairs, from "text or call" to "be understood or be liked," each followed by a short question. A good warm-up, and an easy way to learn what matters to someone.
  • Question tower. A tower of 45 colored blocks. Pull one, and its color picks the topic of your question. Pull the wrong one and the tower falls.

Any question can be saved for later, and this-or-that picks are listed as you go. At the end, print or copy the list, or just close the page and it is gone.

Therapy questions for teens

The questions come in three depths, so you can match where the relationship is.

DepthWhat it is forAn example
LightFirst sessions, warm-ups, groupsWhat is something you are weirdly good at?
MediumOnce there is some rapportWhat is something people often get wrong about you?
DeepWhen there is trust, and time to follow upWhat pressure do you put on yourself that nobody else does?

The five topics are about me, feelings, friends and family, school and stress, and the future. Filtering to one topic is useful when you already know what the session is about. Leaving it on Any lets the teen bring up what is on their mind.

Therapy games for teens: how to play the question tower

  1. Choose how deep the questions go: light only, light and medium, or all depths.
  2. Take turns pulling one block from anywhere below the top row. Tap it, or use Pull a random block.
  3. The block's color picks the topic: about me, feelings, friends and family, school and stress, or future and values. Purple is a wild card.
  4. Answer the question, ask for a different one, or pass.
  5. A row stands as long as it keeps its middle block, or both of its side blocks. Leave a row with only one side block and the tower falls. Build a new one and keep going.

Picking a block is picking a topic, and that choice is part of the game. A teen who keeps pulling yellow blocks may want to talk about friends. One who never touches the pink feelings blocks is telling you something too.

Playing it with real blocks

The printable has a color key for playing with any set of wooden stacking blocks. Put a colored dot sticker on each block (8 of each topic color and 5 purple wild cards for a 45-block set), then use the question cards from the PDF or this page for the questions.

Using these in a session

  • Start light, even with a teen you know well. Let them move to deeper questions when they want to.
  • Answer the questions yourself, briefly and honestly. It makes it a conversation, not an interview.
  • Do not chase every answer with "and how did that feel?" Sometimes a nod and the next card is the right move.
  • Notice what they pass on, without commenting on it in the moment. You can come back to it another day.
  • Use Save for later when an answer opens something you do not have time for. It is a promise to return.
  • In family sessions, have a parent and teen both answer. Hearing each other's this-or-that picks can be eye-opening.

Using it over telehealth

  1. Open the page before the session. Share your screen and press Present mode.
  2. Let the teen tell you which block to pull or which side they pick. Giving them the choice keeps them in it.
  3. Or send the link so they can play on their own device while you talk.
  4. At the end, copy the saved questions into your notes if you want them. Nothing is sent to us.

If a question brings up something serious

Deep questions can open hard things, which is part of why they are useful. If a teen says they are thinking about hurting themselves or someone else, follow your safety plan and your practice's protocol. Teens and parents reading this: you can call or text 988, the Suicide and Crisis Lifeline, any time of day. In an emergency, call 911.

If you are a parent looking for support for your teen, Crown Counseling offers counseling for teens in Brooklyn and by video. For more teen activities, see our social skills games and the self-esteem worksheets.

Printable therapy question cards (PDF)

The free PDF has four pages: twenty light, twenty medium and twenty deep question cards to cut out, four from each topic, and a page for playing the question tower with real blocks, with the color key, the rules, the wild cards and a list of this-or-that pairs. It is free to print and share.

Need more than a worksheet?

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Crown Counseling sees adults, teens and children in Crown Heights, Brooklyn, and by video.

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Frequently Asked Questions

What are good therapy activities for teens?

Ones that give a teen some control. Question cards where they choose the depth, a quick this-or-that game to warm up, and a block-pulling game where they pick the topic by picking the block. All three let them pass at any time, which is often what makes them willing to answer.

What are good therapy questions for teens?

Specific ones. "What is something people often get wrong about you?" gets a better answer than "How are you feeling?" This page has 75 questions across five topics (about me, feelings, friends and family, school and stress, and the future) in three depths: light, medium and deep.

Does a teen have to answer every question?

No. Pass is always allowed, with no reason needed, and there is a Pass button everywhere a question appears. A pass tells you something too, and respecting it builds the trust that makes later questions easier.

How do you play the question tower?

Take turns pulling a block from below the top row. The color of the block picks the topic, and a question from that topic appears. Answer it or pass. A row stays up as long as it keeps its middle block or both side blocks, so pull carefully: the wrong block knocks the tower down.

Can we use these over telehealth or in a group?

Yes. Over video, share your screen and use Present mode, and let the teen tell you which block to pull or which side to pick. In a group, go around the circle; everyone can answer the same question, and anyone can pass.

Is anything saved?

No. Everything stays in the browser. Saved questions and this-or-that picks are kept only on the screen until you close the page, and nothing is sent to Crown Counseling or anyone else.