PCIT at Clear Lake Psychotherapy: Online Parent-Child Interaction Therapy across Texas.
Julieta Edmond, MA, LPC, is a Certified PCIT Therapist. She provides live-coached parent training in your living room. Serving families across Texas online in Spanish and English.
You love your child. And sometimes parenting feels so hard.
Clear Lake Psychotherapy offers Parent-Child Interaction Therapy (PCIT) to families with children ages 2 to 7 whose behavior at home has gotten bigger than ordinary discipline can handle. Julieta Edmond, MA, LPC, is a certified PCIT Therapist through PCIT International. She provides sessions in English and Spanish, by video, anywhere in Texas.
PCIT is a short-term, evidence-based treatment. You and your child play together while your therapist watches over video and coaches you through an earbud in real time, in the room where the hard moments happen. PCIT asks for a 12 to 16 week commitment, one session per week.
New PCIT clients are scheduled through Clear Lake Psychotherapy's intake team, which handles insurance verification and matches you into Julieta's calendar.
What is PCIT, in plain language?
PCIT trains the parent, with the child there, in real time. You get coached while your child is testing you live.
Psychologist Sheila Eyberg designed PCIT to make the parent-child relationship warmer, and make your instructions work. PCIT does both, in that order.
The coaching happens through an earbud or through your phone on speaker. Your child mostly forgets the therapist is there. You hear things like "nice reflection," or "he just handed you the block, describe what he's doing," while you play.

PCIT is designed for parents of children roughly ages 2 to 7, who are dealing with some version of:
What happens in a PCIT session?
Every session follows the same shape, which is part of why it works:
Check in
You report how the week went, including a short standardized behavior questionnaire (usually the Eyberg Child Behavior Inventory). Your child's score gets tracked week over week, so progress is a number, not a feeling.
Observation
Your therapist watches you and your child play and codes what she sees, without coaching yet.
Live coaching
This is the core of it. You play with your child and get real-time feedback in your ear.
Wrap-up
You set the practice assignment for the week: 5 minutes a day, same time if possible.
Does PCIT work over video?
Research shows PCIT does work over video. A randomized trial published in the Journal of Consulting and Clinical Psychology compared internet-delivered PCIT to clinic-based PCIT for children with disruptive behavior.
Comer et al. (2017) found that most outcomes were comparable across the two formats, that the rate of excellent response at the end of treatment was significantly higher in the internet-delivered group, and that parents in the internet group reported significantly fewer barriers to treatment.
The practical reason for that result is that PCIT is coaching applied to a live parent-child interaction. In a clinic, that interaction happens in a playroom the child has never been in and with unfamiliar toys. Over video, it happens on your living room floor with the toys your child actually fights you over, and the skills do not have to transfer anywhere afterward. They are already home.
Online PCIT vs. Driving to a Clinic

Online
Clinic-based PCIT
Where the session happens
Your home, with your toys and triggers
A clinic playroom
Skill transfer to home
Immediate; you learned it there
Requires a second step
Travel
None
Round trip weekly
Availability in rural Texas
Statewide
Often the nearest provider is hours away
Coaching method
Earbud or phone speaker
Bug-in-ear from behind a one-way mirror
Siblings and childcare
Manageable at home
Frequently the reason families drop out
Evidence base
Randomized trial support (Comer et al., 2017)
Decades of trials
HIPAA-secure video sessions · Same exceptional care as in-office
Certified. Bilingual. And she'll meet you where you are.
PCIT is a specific treatment, and who delivers it matters. Here is what parents notice about working with Julieta.
Meet your PCIT therapist, Julieta Edmond

Julieta Edmond, MA, LPC is a Certified PCIT Therapist through PCIT International and a Licensed Professional Counselor in Texas. She holds a Master of Arts in Clinical Mental Health Counseling from Sam Houston State University. She provides counseling in both English and Spanish, and works with children, teenagers, families, and couples. She is based in Lufkin and sees clients across Texas by video. PCIT asks parents to be watched while they parent, which is uncomfortable for almost everyone in the first few sessions. That discomfort is expected and it fades.
Read Julieta's full bio →
Frequently Asked Questions About PCIT
Don't see your question? Our team is happy to help.
PCIT requires a 12 to 16 week commitment from the parent or caregiver and child, with one session per week. Within that window, PCIT is mastery-based rather than session-limited. Treatment moves forward when two things are true: you have demonstrated the skills at the benchmark level during live coding, and your child's behavior scores on a standardized measure have come down into the typical range. Families who practice 5 minutes a day tend to be on the short end of that range.
A parenting class tells you what to do. PCIT watches you do it and changes it in real time.
Do this five-question PCIT readiness check. PCIT asks something specific of parents, and it is worth knowing that before you start.
- Can you protect 5 minutes a day, most days, for one-on-one play with this child?
- Can you make a weekly 1-hour video session at a consistent time?
- Do you have a room where you and your child can play with the door closed?
- Is at least one caregiver willing to be coached, out loud, while doing it imperfectly?
- Is your child between roughly 2 and 7, and does the behavior show up at home, not only at school?
This comes up often and deserves a straight answer. Phase 2 of standard PCIT includes a structured time-out procedure. It is not the shouted, escalating, open-ended version most people picture. It is short, predictable, unemotional, and taught step by step, and it comes only after weeks of rebuilding warmth in Phase 1.
That said, PCIT is not one-size-fits-all, and families with trauma histories, foster and adoptive placements, or a child with significant sensory needs, benefit from a fit conversation before Phase 2 begins.
Yes, PCIT is used with young children who have an ADHD diagnosis, and the parent skills it teaches address the follow-through, transition, and self-regulation problems that make daily life harder for a family with an ADHD kid at this age. The treatment target is the parent-child interaction, not ADHD itself.
Sí. Julieta Edmond, MA, LPC ofrece PCIT en español, incluyendo el entrenamiento en vivo durante la sesión. La terapia se realiza por video en cualquier parte de Texas. PCIT (Terapia de Interacción entre Padres e Hijos) es un tratamiento breve y basado en evidencia para niños de 2 a 7 años con problemas de conducta como berrinches intensos, desobediencia o agresión.
Usted juega con su hijo mientras la terapeuta lo observa por video y lo guía en tiempo real. La mayoría de las familias termina en 12 a 16 semanas. Si prefiere hablar en español desde la primera llamada, dígalo cuando nos contacte y lo coordinamos.
The standard PCIT protocol is designed for ages 2 to 7. Around age 7 or 8, most children respond better to approaches that involve them more directly, and we would recommend one of those instead. If your child is right at the edge, the consultation will sort it out.
To do PCIT online, you will need a device with a camera, a reliable internet connection and headphones or earbuds for coaching. You want to have a quiet, private space free from distractions with enough room for you and your child to play comfortably. The camera positioned so your therapist can clearly see both of you during play. Your PCIT therapist will provide a specific toy list before you start.
Your child is in every session with you. That is the point. PCIT coaches the interaction between you, so both of you have to be there.
That is normal and expected in the early sessions, and it is information rather than a problem. Some of the most useful coaching happens in exactly those moments.
PCIT runs in two sequenced phases. You do not move to the second one until you have the first one down. Many parents want to skip to Phase 2, because Phase 2 is the discipline part. Phase 1 is what makes Phase 2 work.
Phase 1: CDI (Child-Directed Interaction)
Phase 2: PDI (Parent-Directed Interaction)
Goal
What you learn
What changes at home
How you move on
One caregiver is enough to start. Two is better if both are involved in daily discipline, because consistency across caregivers is a large part of what makes gains hold. Caregivers can be coached in the same session or in separate ones.
PCIT is billed as standard outpatient psychotherapy. Clear Lake Psychotherapy is in network with Aetna, Blue Cross Blue Shield, UnitedHealthcare/Optum, Oxford, GEHA, and other PPO plans. We can verify your benefits before you start.
Yes. All sessions are by video, which is often the difference between having a PCIT provider and not having one. Deep East Texas, the Panhandle, the Valley, and West Texas are all served.
Yes. Julieta Edmond, MA, LPC provides PCIT in Spanish, including live coaching during sessions, by video anywhere in Texas.
Phase 2 includes a structured, brief, predictable time-out procedure taught step by step. It is introduced only after Phase 1 has strengthened the relationship, and families with trauma histories or specific concerns get a fit conversation before that phase begins.
Sources:
Comer, J. S., Furr, J. M., Miguel, E. M., et al. (2017). Remotely delivering real-time parent training to the home: An initial randomized trial of Internet-delivered parent-child interaction therapy (I-PCIT). Journal of Consulting and Clinical Psychology, 85(9), 909-917. https://doi.org/10.1037/ccp0000230 .
About PCIT and provider standards. https://www.pcit.org/
California Evidence-Based Clearinghouse for Child Welfare. Parent-Child Interaction Therapy program profile. https://www.cebc4cw.org/program/parent-child-interaction-therapy/
Last reviewed: Sept. 2026 by Julieta Edmond, MA, LPC, PCIT Therapist
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