Incorporating play in to session is grounded in the understanding that play is the child’s natural mode of communication and self-expression (Axline, 1947; Landreth, 2012). Through symbolic play, children can express experiences, emotions, and relational dynamics in developmentally appropriate ways that support emotional processing and psychological growth (Landreth, 2012; Schaefer, 1993).
My sessions support a consistent relationship where kids can express inner experiences through play and feel deeply accepted and understood. Because of that, I do not share a child’s play session blow-by-blow. I document broader clinical themes, meaningful shifts in the child’s play, progress in treatment, and any concerns that relate to safety or wellbeing. I like to check in with parents every 4 to 6 sessions.
Children change best in the context of a strong relationship with their parent or caregiver. Increasing small moments of attunement, like noticing, listening, responding, and reconnecting after hard moments, help build trust over time. As that trust grows, children are often better able to regulate their feelings and behavior.
“You picked that up”
“You are searching for something.”
“You seem frustrated”
Encourage empowerment, allowing the child to choose whether they need help.
Fewer or shorter meltdowns
Recovery time improving = a big indicator therapy is helping
Improvements in listening or cooperation
Less power struggles and defensiveness
Beginning to use words (or play) instead of only acting out
Even simple phrases like "I'm mad" or inviting you into play
Axline, V. M. (1947). Play therapy. Houghton Mifflin.
Child Therapy Institute. (2025). Evidence-based research. https://www.childtherapyinstitute.org/evidence-based-research
Landreth, G. L. (2012). Play therapy: The art of the relationship (3rd ed.). Routledge.
Schaefer, C. E. (1993). The therapeutic powers of play. Jason Aronson.
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