Ciara McClelland

The healing power of therapeutic letter writing

Trainer and arts psychotherapist, Ciara McClelland, offers some guidance on writing letters which are trauma-informed and which build trust and connection.

Letters can be used by social workers, professionals and carers to support life story work, mark transitions or reflect on shared experiences. Trainer and arts psychotherapist, Ciara McClelland, offers some guidance on writing letters which are trauma-informed and which build trust and connection. 

How my own background informs my practice today

I grew up on the border between Northern Ireland and the Republic during the 1980s, directly impacted by The Troubles and the trauma that shaped my community and family of emergency service workers. My personal healing journey, through therapeutic exploration, academic study, and self-discovery, has inspired my commitment to helping others find peace in their relationships.

As a qualified Arts Psychotherapist (Dramatherapist) and independent social worker with over 14 years of experience, my practice is grounded in trauma-informed care and integrates creative and somatic body-based approaches to healing.

Letters that hold and heal

In a world that often rushes past the child’s voice, therapeutic letter writing offers a gentle shift. It invites us to slow down, to see, and to hold space, especially for children and young people who haven’t had their needs met, who feel unseen, unsafe, or misunderstood.

In systems where support is time limited and stretched thin, a letter can offer so many things: an anchor, a container, a bridge between disconnection and belonging.

A therapeutic letter is more than words on a page. It’s something that says, I have taken the time to think about you, and I care about you. It can affirm their worth and offer a sense of felt safety.

A trauma-informed approach to letter writing

A trauma-informed approach embodies the six trauma-informed values: safety, trustworthiness, choice, collaboration, empowerment, and cultural humility.

Creating a felt sense of holding

Letters offer a safe container. They can be revisited, held, tucked away and returned to when needed. The language used should be gentle, predictable and paced. It should not overwhelm but soothe. A letter can say, “You are held in mind,” even when the child feels alone.

Tips:

  • Use soft, affirming language
  • Avoid triggering or ambiguous phrasing
  • Consider the timing and delivery, make it feel intentional and safe

Trustworthiness: Consistency in care

In systems where children experience broken promises and abrupt endings, a letter can be a consistent thread of connection. It shows follow through. It says, “I meant what I said, and I am still here.”

Tips:

  • Follow up with letters after key moments such as transitions or milestones
  • Keep your tone consistent with your relationship
  • Avoid making promises you cannot keep

Choice: Honouring the child’s voice

Therapeutic letters can be child or young person led. They can include metaphors, stories or characters that reflect the child’s strengths. For example, “Leo the Lion reminds me of you, brave, strong and full of heart.”

Tips:

  • Invite the child to choose a theme or symbol
  • Use language that reflects their identity and preferences
  • Offer the option to respond or co create

Collaboration: Building together

Letters can be co-authored or part of a shared ritual. They can reflect joint experiences, shared memories or mutual hopes. They say, “We are in this together.”

Tips:

  • Reflect on shared moments such as “Remember when…”
  • Use inclusive language like “We noticed…” or “Together we…”
  • Invite feedback or additions from the child

Empowerment: Affirming strength and worth

A letter can affirm a child’s place in the world. It can name their resilience, growth, and uniqueness. It says, “You matter. You are enough.”

Tips:

  • Highlight strengths and positive qualities
  • Use metaphors or stories that reflect their journey
  • Avoid deficit based language, think language that soothes and heals

Writing with respect and awareness

Therapeutic letters should reflect the child’s cultural identity, values and lived experience. They are written with care, curiosity and respect. The language we choose matters deeply. As Dr Lisa Cherry reminds us:

“The language we use is the mouthpiece for stigma, trauma and power OR connection, compassion and empathy.”

This quote invites us to pause and reflect. Every word in a letter can either reinforce disconnection or become a bridge to healing. When we write with trauma-informed awareness, we offer children not just information but dignity, safety and relationship.

Tips:

  • Be mindful of tone and phrasing
  • Avoid assumptions and ask, listen and learn
  • Honour the child’s story, identity and context

How foster carers can use letters

Foster carers can use letters to:

  • Welcome a child into their home
  • Mark milestones or transitions
  • Reflect on shared experiences
  • Offer reassurance during difficult times

Suggestions:

  • Keep it simple and heartfelt
  • Use age appropriate and strengths based language
  • Include something sensory or symbolic, such as a drawing or story
  • Let the child know they are held in mind

How social workers and professionals can use letters

Letters can support:

  • Life story work
  • Closure at the end of involvement
  • Check-ins during transitions
  • Reflections on progress and growth

Suggestions:

  • Choose paper and envelope with care
  • Consider how and when the letter is delivered
  • Take time to reflect before writing
  • Ask a trusted colleague to read it over
  • Keep the tone simple

Types of letters to consider

  • Welcome letters
  • “Thinking of you” notes
  • Milestone reflections
  • Life story letters
  • Closure letters
  • Story-based letters such as “This reminds me of you because…”

Final thoughts

Therapeutic letters are a gentle offering in a hurried system. They give children and young people something many never received: to be seen, heard and held in mind. They build connection, foster relational healing and remind us that even the smallest gestures can carry profound meaning.

Learn more about therapeutic letter writing

On 21 January 2026, Ciara will deliver an online Live Classroom on therapeutic letter writing.

Find out more and book a place>>

More resources to support therapeutic letter writing

  1. Trauma Informed Consultancy Services Ltd 
  2. Dr Karen Treisman – A Therapeutic Treasure Box for Working with Children and Adolescents with Developmental Trauma Working with Relational and Developmental Trauma in Children and Adolescents Practical tools and trauma-informed strategies for professionals and carers
  3. Lisa Cherry – Conversations That Make a Difference for Children and Young People. The language we use is the mouthpiece for stigma, trauma, and power, or connection, compassion, and empathy. Focus on relational healing, language, and systemic change
  4. Richard Rose – Life Story Therapy with Traumatised Children. Innovative Therapeutic Life Story Work Emphasises relational repair through narrative and creative approaches
  5. Beacon House – Free resources on trauma, attachment, and therapeutic tools, including letter writing and sensory regulation

About Ciara McClelland

Ciara has over 14 years of practice experience and specialises in working with children, young people, parents, families, and caregivers whose lives have been impacted by adverse childhood experiences. In addition, Ciara works on relationship repair within traumatised systems, organisations and communities. Her approach is innovative, creative, therapeutic, and trauma-informed, combining psychodynamic, dyadic, and somatic therapies. Ciara McClelland is a training practitioner from Trauma Informed Consultancy Services, which offers an extensive range of training sessions related to all aspects of applying a trauma-informed framework to settings, services, and systems. Trauma-Informed Consultancy Services works with education settings, children’s services, the criminal justice system, and adult services.