Signs that teens might need Teen counseling can be very subjective, as they are experiencing many changes and can have intense reactions to them. As parents, you know your child best and are best equipped to judge whether certain reactions are standard behaviors for your teen or whether they might be hinting at a larger problem. Even so, there are a few common signs and events that often point to a need for therapy, such as experiencing divorce or loss, grief, consistent low moods, teens distancing themselves and becoming isolated, losing interest in hobbies, excessive anger or irritability, substance use issues, and suicidal ideation, among others.