This four-month study investigated the impact of Neuro-linguistic programming (NLP) sessions on the strengths and difficulties of 128 elementary school students from a private school in Lebanon. Paired T-test and Pearson correlation analyses examined changes in behavior and academic performance pre and post-NLP intervention. The findings revealed a significant reduction in headaches, stomachaches, and overall negative emotions such as unhappiness, depression, or tearfulness after NLP sessions. Although the cases group had a higher proportion of females, no notable gender-based differences were observed. Positive correlations were identified between student age and emotional and conduct scores. While there was a decrease in reported fights and bullying post-intervention, it did not reach statistical significance. The study advocates for integrating NLP into traditional medical treatment programs, emphasizing its potential as a non-medical intervention, especially in integrated pain management strategies. The research underscores NLP’s role in addressing emotional and behavioral challenges among students.