What really happens in a therapy session with your child?

If you landed here without first reading our Start Here page, we recommend you pop over there at some point to understand our therapeutic process at a high level. 

However, if you’re feeling called to better understand what play therapy even is, keep on scrolling!

What is play therapy exactly?

Play is the highest expression of human development in childhood, for it alone is the free expression of what is in a child’s soul.
— Friedrich Froebel

The easiest way to explain it is, play is to “Play Therapy” as talk is to “Talk Therapy.”

The Association for Play Therapy (APT) defines play therapy as “the systematic use of a theoretical model to establish an interpersonal process wherein trained play therapists use the therapeutic powers of play to help clients prevent or resolve psychosocial difficulties and achieve optimal growth and development.” 

So, what does that really mean? 

We are giving our child clients the opportunity to "talk" through their use of play in a developmentally appropriate way that they understand and that is helpful to them.

Play Therapy in Their Own Words

Play Therapy in Their Own Words ♡

Play is a child’s natural means of communication (Landreth, 2002). Developmentally, children understand and process information in a different way than adults. Children think about the ways of the world in a magical way, a rigid way, and a limited way based on their interactions in the environment and how things appear to them at the time.  

Children cannot express certain complicated emotions through words because they haven’t mastered abstract reasoning.

Words are abstract because they are made up of symbols, whereas play is a concrete experience they are familiar with. Because children lack the ability to communicate clearly through words, play is a more comfortable medium that can help bridge the gap between their concrete experiences and abstract thoughts.

When children are with a licensed clinician, they are not “just playing,” although to them… yes, it may feel like it. Rather, they are communicating and working through challenges in their life in expressive ways that meet their current level of brain development. Our clinicians speak your child’s language–understanding concerns from the child’s perspective and helping them develop skills in a safe space to work through them. 

Often, children are not aware they are learning and growing in the moment because it does feel like play. Parallel to “just talking” for adult sessions–play is a child’s language. Just as an adult talking to a friend is not the same as seeing a clinician, your child playing in the therapeutic playroom is not the same as them playing at home or with friends. When an adult or a child is with a licensed clinician, the clinician has been trained to create an environment that allows for therapeutic growth.

Think of us as translators who can understand and speak to your child in a way that you have simply not yet learned. Together, we’ll teach you various tools so that you begin to speak directly to your child’s unique needs–bringing about more connection and harmony for your family.

Play therapy offers a safe place for children to work through difficulties they are experiencing in their lives without the threat of real-life consequences.  

Children organize their experiences, express feelings, and explore fantasies in their world without the worry of judgment. They express and explore themselves through play to reveal what they’ve experienced in the past, how they’ve reacted to these experiences, what they’ve felt about these experiences, and ultimately what they need, want, or wish to come of it. This feeling of control helps children grow, mature, and develop in a way that is not always possible in their real-life experiences. Many times we have little control in our daily lives (especially children), but if we can learn to utilize our own inner resources we can develop security to use in the future.

The therapist provides a different type of relationship with the child than they are used to, one that focuses on facilitating the inner growth of the child. The therapist has deep empathy, unconditional positive regard (such as warmth, acceptance, etc.), and congruence. This is shown through kindness, patience, understanding, respect, and confidence in the child. 

The therapist uses a multitude of verbal responses to show the child they are interested and accepting of the child’s behaviors, validate and clarify the child’s perceptions of their experiences, help children become aware of emotions through reflecting feeling, facilitate decision making, encourage freedom of expression, and use esteem-building statements to help children experience themselves as capable (Ray, 2011). In the presence of these qualities, the playroom becomes a place where children will show what they feel through the toys, through what they do in the playroom, and through the stories acted to get them out in the open to be faced.  The relationship between the child and therapist becomes the technique for fostering change and understanding.

Understand how Play Therapy Evolves with Your Child

Understand how Play Therapy Evolves with Your Child ♡

Watch these short videos below to understand from the therapist’s perspective and the caregivers’ perspective how play therapy adapts to the ever-changing needs of your child and your family.

Allowing Children to be the Experts on Themselves

Human beings are motivated to preserve their current state of being and have the desire to enhance themselves. As children use play to explore and express themselves, their own perspective of the world emerges. 

Children are the experts on themselves, and it is the therapist’s job to assist them in finding the answers they are seeking inside of them.  

The emphasis moves away from a therapist telling a child what to do and instead empowers the child to become more self-aware through the playing out of their inner world. No one can know as much about any human being’s inner world as much as themselves.

The child dictates the pace and nature of our work, which in turn protects the child’s autonomy in the role of the engineer of the session. Children in play therapy do not establish specific goals for themselves; the therapist trusts their capacity to discover their own strengths.

Play therapy helps children know and accept themselves by developing positive self-concepts, greater self-responsibility, increased reliance on themselves, and decision-making skills.  

A child must have self-understanding before they can respect and appreciate the differences of others. Constructive change occurs when children are empowered. Additionally, active involvement from caregivers is vital to seeing the whole child and situational concerns that might arise.

Bratton, Ray, and Rhine (2005) identified the need to find effective treatments for children suffering from emotional and behavioral disorders. There are long-term consequences resulting from untreated childhood disorders that not only affect the individual throughout their lifespan but also become a larger cost to society (Bratton et al., 2005). Play therapy is a responsive technique that takes into account a child’s developmental needs, but has not gained widespread acceptance as a practical treatment due to the small sample sizes of studies (Bratton et al., 2005).

Play therapy does demonstrate effectiveness in children’s behaviors, social adjustment, and personality (Bratton et al., 2005). Additionally, increasing the number of sessions increases the efficacy of play therapy, yielding more intrinsic results rather than quick symptomatic changes (Bratton et al., 2005).  

Also, caregiver involvement increased the positive outcome of play therapy by including more components of a child’s system, with filial therapy having a high effectiveness in working to change the caregiver-child relationship (Bratton et al., 2005). Since most research on play therapy uses a design where groups either receive play therapy or no intervention at all, there is still a need to compare its effectiveness with other child treatments (Bratton et al., 2005).

 REFERENCES

  • Bratton, S. C., Ray, D. C., & Rhine T. (2005). The efficacy of play therapy with children: A meta-analysis of treatment outcomes. Professional Psychology: Research and Practice 36(4), 376-390.

  • Landreth, G. L. (2002). Play therapy, the art of the relationship. New York, NY: Routledge.

  • Ray, D. C. (2011). Advanced play therapy, essential conditions, knowledge, and skills for child practice. New York, NY: Routledge.

Curious to learn a little more? Watch this Video.