When a young child struggles to settle, connect, or behave, parents often feel they have nowhere to turn until the child is older. That has changed in Glenwood. Glacial Ridge Health System now offers behavioral health therapy for children from birth through age 7, using two proven, play-based approaches that put parents and caregivers right in the room.

New: Children’s Behavioral Health Care from Birth to Age 7

Therapy at Glacial Ridge now starts at birth. Previously, counseling services were available for children ages 6 and up. Today, families can get specialized support far earlier through Theraplay® and Parent-Child Interaction Therapy (PCIT), both provided by Heather Gerlach, MS, LPCC, LADC, with Behavioral Health Services at Glenwood Medical Center.

The reason matters: the early years shape how a child learns to form healthy attachments and regulate emotions, and getting help sooner can make a lasting difference.

What is Theraplay?

Theraplay is a structured, play-based therapy that strengthens the bond between a child and their caregiver. It can begin at birth and works through warm, guided play rather than talking, which makes it a good fit for babies, toddlers, and young children who are not yet able to express themselves in words. Unlike general play therapy, where a child usually plays one-on-one with a therapist, Theraplay keeps the parent or caregiver in the room, because the goal is to build that specific relationship.

Theraplay is especially helpful for children who: have experienced trauma, are part of a foster or adoptive family, or show social, emotional, or behavioral difficulties. Caregivers are included throughout treatment, and many sessions are recorded so parents can review progress with the therapist.

What is Parent-Child Interaction Therapy (PCIT)?

Parent-Child Interaction Therapy (PCIT) is an evidence-based therapy for children ages 2 to 7 and their caregivers. During sessions, the parent and child play together while the therapist coaches the parent in real time, building practical skills to reduce tantrums, defiance, and daily power struggles.

PCIT happens in two phases: first, child-led play that rebuilds a warm, secure relationship, and second, parent-led interaction that teaches calm, consistent discipline. Heather is currently completing PCIT certification.

Theraplay vs. PCIT: What’s the difference?

• Theraplay (birth and up): Focuses on building secure attachment and connection through nurturing play. Often a fit when bonding, soothing, or trust is the main concern, or after trauma, foster care, or adoption.
• PCIT (ages 2–7): Focuses on behavior and parenting skills. Often a fit when tantrums, defiance, aggression, or not following directions are the main concern.

Many families benefit from one or the other; the right starting point is something you and Heather can decide together.

How do I know if my child needs therapy?

It can be hard to tell what is typical for a young child and what may need extra support. It may be worth reaching out when your child:

• Has frequent or intense tantrums, defiance, or aggression that feels beyond the usual ups and downs.
• Is hard to soothe or avoids closeness and does not seek comfort from a caregiver.
• Seems anxious, withdrawn, or has trouble following directions.
• Has experienced trauma, a major change, or is part of a foster or adoptive family.
• Is causing significant stress at home, or strain on the parent-child relationship.

You know your child best. If something feels off, an early conversation can bring relief and a clear plan.

Can babies and toddlers really benefit from therapy?

Yes. The first years of life are when the brain develops fastest and when a child learns whether the world is safe and whether caregivers can be trusted. Both Theraplay and PCIT are evidence-based and designed specifically for very young children, working through the parent-child relationship rather than expecting a child to sit and talk. That means parents leave with real tools they can use at home every day.

How do I get started?

You can self-refer. No physician referral is required to begin Behavioral Health Services at Glacial Ridge. Most insurance plans require a diagnosis for coverage, so it is a good idea to contact your insurer to confirm your benefits before you start.

To learn more or schedule, call Behavioral Health Services at Glenwood Medical Center at 320.634.5157, or ask to speak with Heather Gerlach about your child’s situation.