Storytelling is a developmentally sensitive tool to elicit children’s thoughts, identify their distortions, and help them to more accurately make sense of their world. Integration of storytelling into a cognitive approach to child psychotherapy is encouraged due to cognitive therapy’s conceptual richness and flexibility. Cognitive case conceptualization augments the application of the storytelling techniques. Advantages of the storytelling approach such as familiarity to children, relationship enhancement, meaningfulness, and flexibility are delineated. Clinical examples are described and special considerations are outlined.