Therapy is critical for an adopted or foster child. They can start as early as the age of four, when they begin having language; when they can begin processing their experience. It is really important for an adopted or foster child to have a safe environment in which they can heal and express these most intimate and deep parts of themselves that they do have shame about. I do attachment family therapy. I believe it is critical, in my professional opinion, that you work with a therapist who understands the issues around foster care and adoption and knows how to facilitate attachment between you and your child. That's critical. I typically say that children should not be in their own, individual therapy who have attachment issues. That doesn't make sense. They need the parent in the room with them, working on the issues; creating a safe environment, so the child can build trust and can attach.