Play Therapy Questions & Answers

In this episode, I respond to Sally’s question about attendance and attrition in Child-Centered Play Therapy. Many therapists are noticing families stop coming around the fifth or sixth session, and I explain why this usually reflects a breakdown in articulation. When...

In this episode, I respond to a question from Lungile, a clinician in South Africa working with a 9-year-old girl who engages in highly directive role play—assigning roles, limiting dialogue, and scripting the session. When sessions become this structured, how do we...

In this episode, I walk you through one of the most challenging—but entirely normal—scenarios in child-centered play therapy: when a child refuses to go back to the playroom. Whether it's the lobby, hallway, or even the car, I share how we can handle these moments...

In this episode, I answer two questions from Chloe in Georgia. First, I talk about how to navigate physical limitations or health issues—like pregnancy, illness, or injury—in the playroom without disrupting the child’s experience or compromising the therapeutic...

In this Q&A episode, I answer three questions from Emily. First, I share how I guide parents to respond when a child—or their sibling—asks why they’re going to therapy. I offer simple, CCPT-aligned language that keeps the explanation safe, supportive, and...

In this episode, I respond to a powerful and relatable question from Liba in Pennsylvania about working with a highly anxious, intensely resistant 8-year-old diagnosed with ADHD. Liba shares details about his anger, avoidance, control-seeking behavior, and outright...

In this episode, I answer a question from Juliet in Georgia about how to communicate effectively with parents during the initial parent consultation and ongoing 5-week consults. I break down what to share (and what not to), how to avoid clinical jargon, and why...

In this episode, I respond to a question from Jordan in New York about handling repeated limit “testing” in the playroom—especially in the context of children navigating divorce. I walk through the essential components of CCPT-aligned limit setting, clarify what...

In this episode, I respond to a question from Kaylia in Arkansas about how to handle children who want to look something up on a phone during a play session. As screens become more prevalent in kids’ lives, this issue is surfacing more frequently in the playroom. I...

In this episode, I respond to a listener question that highlights two very different—but equally important—play therapy dynamics. One child clings to the therapist immediately, handcuffing herself to me in the first session and refusing to leave in the second. Another...

In this episode, I respond to a listener question about how to handle situations where children want their creations or work in the playroom to remain untouched between sessions. Whether it’s a LEGO build, a coloring page, or a carefully constructed scene, children...

In this Q&A episode, I answer two questions from Mara in North Carolina—one about the House-Tree-Person drawing assessment and one about the use of consumables like glue and paint in the playroom. I clarify when the HTP assessment is developmentally appropriate...

In this episode, I respond to a question from Crystal, a school-based clinician in Minnesota, about how to end sessions when a child is emotionally dysregulated. Especially in settings like schools, where transitions can be abrupt and expectations are high, it can be...

In this episode, I answer a unique and surprisingly common question from Zoe in Texas: what do you do when a child in CCPT is consistently farting in session—and seems to be doing it on purpose? We unpack how repetitive, attention-seeking behaviors like this often...

In this episode, I answer a question from Hope in Kentucky about incorporating parents into the CCPT process. Her case involved a foster mom participating in session—and the outcome revealed why that’s not aligned with the CCPT model. I explain how parent presence in...

In this episode, I respond to a thoughtful question from Cassie in North Carolina about integrative play therapy and the belief that there’s no “one size fits all” approach. As a CCPT purist, I explain why I believe in full adherence to a single theoretical model and...

In this episode, I answer two great questions from Joy in Maryland. First, we talk about kids who spend most of their session playing with slime. I explain why that kind of repetitive play often falls into the competence theme and why it’s important not to jump to...

In this episode, I respond to a question from Mara in North Carolina—and a handful of other listeners—about working with very young children in Child-Centered Play Therapy, specifically those under the age of five. I share what you can expect when seeing toddlers and...

In this episode, I respond to a question from Rachel in Missouri about a 5½-year-old client who refuses to poop in the toilet and insists on using a pull-up. We explore how this long-standing habit is likely a reflection of control and vulnerability, and how...

In this episode, I respond to a question from Sarah in California about how to explain the difference between bribery and choice giving in CCPT—specifically after a parent watched the Cookies, Choices, and Kids video and thought it sounded like a bribe. I walk through...

In this episode, I answer a question from Jill in Pennsylvania about how to handle playrooms that share a wall with a waiting area—and the issues that come with that setup. From parents commenting on sessions to kids reacting to sounds from the lobby, these scenarios...

In this episode, I respond to a question from Tess in Illinois about coaching parents with personality disorders—specifically borderline and narcissism—within the CPRT (Child-Parent Relationship Therapy) framework. This is a tough but important topic because it forces...

In this episode, I answer a question from Robin in New York, a school-based counselor who’s navigating how to implement Child-Centered Play Therapy (CCPT) in an academic setting. From managing large caseloads and working in group formats to responding to teacher...

In this episode, I respond to a question from Lujaina in Texas about what to do when you've clearly communicated that you won’t participate in court proceedings—only to be served a subpoena anyway. I walk through how to handle the ethical, professional, and relational...

In this episode, I respond to powerful questions from Angelica and Mikayla about how to approach suicidal statements made by children in CCPT sessions. These statements—like “I want to die” or “I wish I was never born”—can be deeply unsettling. But they don’t always...

In this episode, I answer a thoughtful series of questions from Mikayla in Illinois that touch on several important topics in CCPT practice: confidentiality when sharing success stories, using neutral versus character-based toys, the use of books and bibliotherapy,...

In this episode, I respond to a question from Melissa in Colorado about how to handle sessions where children aren't showing much emotion or verbalizing content—especially when they spend multiple sessions simply coloring. Melissa shared that she often feels stuck...

In this episode, I answer a question from Amanda in Wisconsin about how to respond when a child assigns us a role in play and expects us to make choices—like picking a color or drawing freely—within that role. While the child offers “freedom,” the session still feels...

In this episode, I answer a question from Kelli in Washington about how to respond when children use baby talk in the playroom. While it may seem like a small thing, baby talk always carries meaning in a session. I walk through three common reasons it shows...

In this episode, I answer a question from Laura, a grad student in Canada who’s navigating how to stay fully adherent to the CCPT model during dramatic play—especially when a child assigns her a role and expects her to act it out. I walk through how we maintain a...

In this episode, I answer four questions from three different listeners in another Q&A Lightning Round. I talk with Megan in Pennsylvania about how to present CCPT case conceptualizations in group supervision meetings when others don't understand or support the...

In this episode, I answer a question from Mia in California about how to approach dollhouse families and representation in the CCPT playroom. We don’t often talk about specific toys, so I enjoyed diving into how children use dolls and figures to create family...

In this episode, I answer questions from Heather, who provides play therapy in a boys’ home setting for ages 10–12. We cover a wide range of topics, including how to respond when a child says “stop copying me” during reflective responding, how to handle requests to do...

In this episode, I respond to a question from Sasha in Oregon about a challenging session with a 9-year-old client. She attempted to incorporate directive techniques to help him process his anger, but he resisted by shutting down and saying "no" to everything. This...

In this episode, I answer a question from Danielle in Georgia about a six-year-old child processing grief after the loss of his father. His play includes room wrecking, risk-taking, and sensory-seeking behaviors, and Danielle wanted insight into how these might relate...

In this episode, I answer a question from Hannah in Texas about what to do when a child leaves the playroom mid-session—especially when limits have already been set. This is one of the most common challenges in CCPT, and it brings up important questions about...

In this episode, I answer two questions from Michal in New York. The first question explores whether setting limits in CCPT could feel manipulative or coercive to a child, particularly when giving ultimate choices. I clarify how proper limit-setting—when done with...

In this episode, I answer a question from Chris about working with a 14-year-old client who frequently falls asleep during play therapy sessions. This situation raises important considerations about the role of trusting the process in CCPT, recognizing when a child is...

In this episode, I address a question about the role of verbal communication in CCPT. Research shows that play therapy is effective even when the therapist and child don’t speak the same language, yet verbal interaction is a key part of the process. I explain how both...

In this episode, I answer a question from Lisa in Maryland about the role of Child-Centered Play Therapy (CCPT) in cases involving trauma and sexual behavior. Many legal and child protection systems lean toward directive interventions, often dismissing CCPT. However,...

In this episode of the Play Therapy Podcast, I answer two questions from Terry in Ireland. First, I break down the role of enlargement and self-esteem-building responses in CCPT. I explain when and how to use these more advanced skills, emphasizing that enlargement...

In this episode of the Play Therapy Podcast, I answer a fantastic question from Tess in Illinois about balancing boundaries and customer service in private practice. As child-centered play therapists, we want to provide an exceptional experience for families while...

In this episode of the Play Therapy Podcast, I answer a great question from Zoe in Texas about why I use the House-Tree-Person (HTP) and Kinetic Family Drawing assessments in my practice. I share how I was first introduced to HTP in graduate school and why I believe...

In this episode of the Play Therapy Podcast, I continue our neutrality series by exploring what neutrality truly looks like in child-centered play therapy (CCPT). I break down the practical components of neutrality into four key principles: not taking sides,...

In this episode of the Play Therapy Podcast, I respond to Michelle from Ireland, who posed three important questions about challenges in child-centered play therapy (CCPT). First, I discuss how to communicate with parents when their responses to their child’s anxiety...

In this episode of the Play Therapy Podcast, I answer three questions from Melissa in Colorado, covering early termination with clients, the use of rewards for desired behaviors, and how to help children experiencing night terrors. I share guidance on managing early...

In this special live Q&A episode of the Play Therapy Podcast, I connected with listeners from around the world to answer their most pressing questions about practicing child-centered play therapy (CCPT). We covered a wide range of topics, including how to...

In this episode of the Play Therapy Podcast, I respond to a question from Chiara in Florida about working with clients over the age of 14. I explain how child-centered play therapy (CCPT) naturally evolves from a wholly person-centered approach for older teens and...

In this episode of the Play Therapy Podcast, I respond to a question from Christy in New Mexico about working with a 12-year-old client who has a history of cutting and suicidal thoughts. I explore how to approach such sensitive issues within the child-centered play...

In this episode of the Play Therapy Podcast, I answer a series of thoughtful questions from Emily in Washington State, who runs an outdoor playschool. Emily asks about integrating CCPT principles into a preschool setting, how to provide therapeutic benefits without...

In this episode of the Play Therapy Podcast, I answer a question from Bracha in New York about working with children who might be on the autism spectrum. Bracha asks how to discuss concerns with parents without directly diagnosing, whether CCPT is appropriate for a...

In this episode of the Play Therapy Podcast, I respond to Anna from Virginia, a new child-centered play therapist, who seeks advice on a variety of scenarios with her young client. Anna’s questions revolve around how to handle moments when a child makes assumptions...

In this episode of the Play Therapy Podcast, I answer three questions from Mai in Bahrain, a mental health counselor in training. Mai asks about integrating brief interventions within the child-centered play therapy (CCPT) framework, handling power struggles in the...

In this episode of the Play Therapy Podcast, I respond to a question from Rob in Arizona about a child who hides toys and asks if they will be safe while he’s gone. Rob has been using reflective responses and recognizing the child’s investment in these toys, but he’s...

In this episode of the Play Therapy Podcast, I address two questions from Alison in Arkansas related to separation anxiety and resistance in child-centered play therapy (CCPT). Alison shares concerns about a 2-year-old client who exhibits extreme separation anxiety...

In this episode of the Play Therapy Podcast, I answer a question from Monica in California about how to handle “potty talk” in child-centered play therapy (CCPT). Monica shares that her 5-year-old client often says words like “butt” and giggles during sessions, and...

In this episode of the Play Therapy Podcast, I address a question from Yehudis in New York about the growing belief that child therapy should be a “last resort” and that the focus should be on working with parents instead. I discuss why this perspective is misleading...

In this episode of the Play Therapy Podcast, I answer a question from Ailene in North Carolina, a clinical counseling student working with a partially deaf child who speaks Spanish. Ailene is concerned about having only eight sessions to help the child, who...

In this episode of the Play Therapy Podcast, I answer two thoughtful questions from Mikayla, a graduate student and new play therapist in Illinois. Mikayla asks whether child-centered play therapy (CCPT) will still work if she doesn’t have a fully stocked playroom and...

In this episode of the Play Therapy Podcast, I answer two questions from Alyssa in California, a therapist in training, about working with children in child-centered play therapy (CCPT). First, Alyssa asks about transitioning a six-year-old client with separation...

In this episode of the Play Therapy Podcast, I address a question from Jess in Florida about how to handle a child who refuses to leave the playroom after being asked to return a toy. Jess shares her experience with a seven-year-old client who initially resisted...

In this episode of the Play Therapy Podcast, I answer a question from Mary Clare in Illinois, who is working with a 10-year-old client and feeling unsure if child-centered play therapy (CCPT) is the right approach for him. I address her concerns about the child’s...

In this episode of the Play Therapy Podcast, I respond to a question from Laura in Washington about incorporating sand trays in a child-centered play therapy (CCPT) playroom. Laura is hesitant due to her dislike of sand and the practical challenges of working in a...

In this episode of the Play Therapy Podcast, I address a thoughtful question from Malley in Texas, who wonders how not having children might influence her work as a play therapist, especially in building trust with parents. Malley expresses concerns about parents...

In this episode of the Play Therapy Podcast, I respond to a question from Jyotsna in India about a child who enters the playroom calm and reserved but then suddenly shifts to destructive, aggressive play mid-session. I discuss how this kind of transition often...

In this episode of the Play Therapy Podcast, I answer two questions from Chris in the Virgin Islands. First, Chris asks about how to respond when children frequently ask how much time is left in their session. I explain how this can indicate various needs, such as a...

In this episode of the Play Therapy Podcast, I answer a question from Sandy in Iowa about creating SMART Goals, referencing the four universal outcomes in child-centered play therapy (CCPT). Sandy wanted guidance on how to document data to share with parents and...

In this episode of the Play Therapy Podcast, I address a question from Sarah Beth in North Carolina about handling a tricky situation with two siblings in therapy. Sarah Beth’s client feels jealous because his brother, who sees a different therapist with a more...

In this episode of the Play Therapy Podcast, I answer a question from Michelle in Texas regarding how child-centered play therapy (CCPT) aligns with the needs of children on the autism spectrum. Michelle asked about potential differences in themes, stages, and...

In this episode of the Play Therapy Podcast, I address a question from Melissa in Colorado about how to communicate upcoming absences to children and their parents. Melissa specifically asked about handling maternity leave and vacations that require taking time away...

In this episode of the Play Therapy Podcast, I respond to a question from Nicole in Indiana about finding research that compares child-centered play therapy (CCPT) with other types of therapy. Nicole, whose manager is skeptical of CCPT’s broad applicability,...

In this episode of the Play Therapy Podcast, I respond to a question from Deidra in Virginia, a first-year supervised therapist whose supervisor isn’t child-centered and often suggests teaching coping skills to young clients in play therapy sessions. I share my...

In this episode of the Play Therapy Podcast, I address a question from Suzanne in Maryland, who has been working with a six-year-old child that engages in repetitive dressing and undressing of Barbie dolls in each session. Suzanne wonders how to interpret this...

In this episode of the Play Therapy Podcast, I respond to Ethan from Virginia, who asked about writing in-session notes during child-centered play therapy (CCPT). Ethan wants to know what kinds of things to document and how to categorize them effectively. I explain my...

In this episode of the Play Therapy Podcast, I respond to Brianna from Texas, who asks about the process of sending birthday cards to clients while maintaining confidentiality. I explain the benefits of sending birthday cards and how it strengthens the relationship...

In this episode of the Play Therapy Podcast, I respond to Nneka from England, a returning listener who recently transitioned from being a mobile therapist to setting up a permanent play therapy space. Nneka asks about how to handle the shift in dynamics when children...

In this episode of the Play Therapy Podcast, I answer a question from Sweeney in India about how to handle a 12-year-old client who frequently makes up elaborate stories in the playroom. Sweeney is concerned that the child’s storytelling might be problematic,...

In this episode of the Play Therapy Podcast, I respond to a question from Christina in Vermont regarding the first session with a child in the playroom and how to incorporate an intake assessment without deviating from the child-centered play therapy (CCPT) model....

In this episode of the Play Therapy Podcast, I address a question from Sarah in Missouri about encouraging parents to commit to weekly play therapy sessions. Sarah has noticed that some families are scheduling sessions every other week or missing several weeks in...

In this episode of the Play Therapy Podcast, I respond to a great question from Vicky in Canada about the language we use with children, particularly the phrases "good choice" or "bad choice." Vicky expressed concerns about hearing these terms frequently, especially...

In this episode of the Play Therapy Podcast, I address a question from Jonathan in Ohio, who is curious about how child-centered play therapy (CCPT) can be preventative in nature. Jonathan asks about how the skills learned in CCPT serve children long-term,...

In this episode of the Play Therapy Podcast, I answer a question from Theodore in the UK, who is preparing his playroom and wondering about incorporating games like Jenga and card games into child-centered play therapy. Theodore asks how to balance allowing children...

In this episode of the Play Therapy Podcast, I answer a question from Kira in Texas about children who come into the playroom and do not play. Kira wonders if this behavior could be related to excessive screen use, a topic that resonates deeply with me. While screen...

In this episode of the Play Therapy Podcast, I respond to three insightful questions from Texie in Michigan. She asks about managing aggressive play where a child consistently "kills" her in the playroom, handling what to do when the therapist is "dead," and...

In this episode of the Play Therapy Podcast, I answer three insightful questions from Grace in California, covering topics from book recommendations for counselors who are Christian to navigating the first session with a new client. I share two of my favorite books,...

In this episode of the Play Therapy Podcast, I respond to a question from Nada in Texas about working with a six-year-old boy who is fascinated with "Bad Guys" behavior in his play. The child often portrays himself as a bully or a criminal in both his drawings and...

In this episode of the Play Therapy Podcast, I answer a question from Laura in Washington about whether child-centered play therapy (CCPT) can be effectively conducted via telehealth. As telehealth becomes more common, this question has surfaced repeatedly, especially...

First things first... If you are planning on going to the Oct. 2024 APT Conference in Atlanta, GA, and would like to attend the Play Therapy Podcast meetup, please click the link: https://www.playtherapypodcast.com/meetup. I need to know how many are coming so I can...

​In this episode of the Play Therapy Podcast, I address a question from Linae in Colorado, who is working with a child that refuses to make choices during sessions. This is a common issue, as children often struggle with power and control, anxiety, or both, which can...

In this episode of the Play Therapy Podcast, I answer questions from Falon in Pennsylvania and Rudi in Colorado, who are both mobile child-centered play therapists. They are navigating the challenges of conducting CCPT in various settings like homes, libraries, and...

In this episode of the Play Therapy Podcast, I address a question from Shannon in Iowa regarding managing separation anxiety when children want to bring a parent into the playroom. This is a common challenge in child-centered play therapy (CCPT), and I provide...

In this episode of the Play Therapy Podcast, I answer another insightful question from Danielle in Georgia about managing cleanup in child-centered play therapy (CCPT). Danielle shared that she typically gives children the choice of whether or not to clean up, but...

​In this episode of the Play Therapy Podcast, I respond to a question from Danielle in Georgia about handling a client’s return to child-centered play therapy (CCPT) after a year-long hiatus. Danielle's client has spent time reminiscing about previous therapy...

In this episode of the Play Therapy Podcast, I respond to a question from Bailey in Texas about the effectiveness of child-centered play therapy (CCPT) for children with NF1, a genetic condition. Bailey is working with a six-year-old client whose symptoms resemble...

In this episode of the Play Therapy Podcast, I address a common issue many of us face every year—how to handle requests from parents to take a break from therapy over the summer. Ethan from Virginia wrote in with a question about managing this situation when parents...

In this episode of the Play Therapy Podcast, I address a question from Jonathan, whos client wanted to leave the playroom to see her grandmother in the second session. I explore the challenges of handling this situation using the child-centered protocol. We discuss...

In this episode of the Play Therapy Podcast, I respond to a listener question from Terri in Ireland, who is navigating the challenges of a truncated therapeutic process. Terri shares her experience with two clients whose sessions were limited due to her training...

In this episode, I address a question from Holly in Virginia about a challenging play therapy session with a 5-year-old child who has a significant trauma background. The child duct-taped Holly's mouth shut during the session, raising questions about setting limits...

In this episode, I address a question from an anonymous listener who called in. This listener works in a multi-disciplinary practice where child-centered play therapy coexists with adult therapy. The practice owner is considering implementing restrictive rules for...