Understanding Play Therapy - What Kids Are Really “Saying” During Play
A Clinician’s Peek Into A Play Therapy Session
What does a play therapy session actually look like?
Once a trusting therapeutic relationship has been established, children often arrive eager and ready for their session. The client knows what to expect: a safe, supportive, confidential – and yes, often fun – space where they are in charge. Sessions typically last 45-50 minutes, during which the child leads the play and chooses activities that feel meaningful to them.
Throughout the session, the clinician remains fully present – reflecting back the child’s emotions (reflective listening), observing play patterns, validating experiences, and offering a steady, accepting, and affirming relationship. While the session may appear simple on the surface, clinicians are thoughtfully tracking themes and emotional cues that emerge through play.
For example:
A child who repeatedly buries items in the sand tray may be exploring themes of safety, protection, or loss – perhaps related to changes at home or the loss of a relationship.
A child who gravitates towards aggressive play or feels a strong “need to win” may be expressing a need for control, power, or a struggle with authority – possibly reflecting feelings of insecurity or limited autonomy elsewhere.
These themes offer valuable insight into what a child may be experiencing internally. From there, clinicians collaborate with the client and caregivers to determine next steps, whether that includes targeted/directive interventions, additional parental support, or adjustments to session structure.
Supporting Play Therapy at Home
While the therapeutic relationship between the child and clinician is crucial, parent and family involvement can significantly enhance the process when clinically appropriate. This might include regular parent check-ins, caregiver consultations, or occasionally inviting a parent to join a session to support collaboration and shared understanding.
When children begin practicing emotional or behavioral skills in the playroom, reinforcing those skills at home can deepen progress. Just like traditional talk therapy, play therapy benefits from consistency, patience, and commitment. While even a few sessions can be helpful, meaningful and lasting change often comes from a longer-term therapeutic relationship.
If you’re considering play therapy for your child, talk with your clinician about what the process might look like and how your family can best support your child along the way.
For more information about play therapy or other modalities with younger children, contact Phebe Davis, MA, LPC at pdavis@bloomfieldpsych.com.