244 | Why Kids Use "Potty Talk" in Session — And How to Stay Child-Centered When Responding

Play Therapy Podcast: A Master-Class in Child-Centered Play Therapy

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 she wonders how to respond within the CCPT framework. I explore the different reasons children use potty talk, including age-appropriate behavior, boundary testing, relational testing, and seeking shock value. I also highlight how the playroom provides a unique space where children can express themselves freely without judgment or consequence.

I offer practical advice on how to stay neutral, reflect the content, and enlarge the child's experience when appropriate. By responding calmly and without judgment, we can help children process what they need to work through while maintaining the trust and safety of the therapeutic relationship. This approach allows us to remain truly child-centered, supporting the child's emotional growth and expression.

Play Therapy Podcast Livestream! Jan. 3rd @ 2pm EST Register here (100 attendee limit): https://playtherapypodcast.com/livestream

Sign up for my exclusive newsletter at playtherapynow.com. Stay ahead with the latest CCPT CEU courses, personalized coaching opportunities and other opportunities you need to thrive in your CCPT practice!

If you would like to ask me questions directly, check out www.ccptcollective.com, where I host two weekly Zoom calls filled with advanced CCPT case studies and session reviews, as well as member Q&A. You can take advantage of the two-week free trial to see if the CCPT Collective is right for you.

Ask Me Questions: Call ‪(813) 812-5525‬, or email: brenna@thekidcounselor.com Brenna's CCPT Hub: https://www.playtherapynow.com CCPT Collective (online community exclusively for CCPTs): https://www.ccptcollective.com Podcast HQ: https://www.playtherapypodcast.com APT Approved Play Therapy CE courses: https://childcenteredtraining.com Twitter: @thekidcounselor https://twitter.com/thekidcounselor Facebook: https://facebook.com/playtherapypodcast

Common References: Cochran, N., Nordling, W., & Cochran, J. (2010). Child-Centered Play Therapy (1st ed.). Wiley. VanFleet, R., Sywulak, A. E., & Sniscak, C. C. (2010). Child-centered play therapy. Guilford Press. Landreth, G.L. (2023). Play Therapy: The Art of the Relationship (4th ed.). Routledge. Bratton, S. C., Landreth, G. L., Kellam, T., & Blackard, S. R. (2006). Child parent relationship therapy (CPRT) treatment manual: A 10-session filial therapy model for training parents. Routledge/Taylor & Francis Group. Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.

2024-12-18 13 min Transcript

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Transcript

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You're listening to the Play Therapy Podcast with Dr. Brenna Hicks,

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your source for centered and focused play therapy coaching.

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Hi,

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I'm Dr. Brenna Hicks,

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The Kid Counselor.

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This is the Play Therapy Podcast where you get

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a master class in child-centered play therapy

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and practical support and application for your

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work with children and their families.

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In today's episode,

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I am answering a question from Monica in California.

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And this

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has been coming up a lot,

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so everything goes in waves.

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This is about potty talk in sessions.

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Her words,

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not mine.

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I don't tend to say potty talk,

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but I'm just quoting.

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All right.

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So before we get into that,

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however,

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let me remind you all that January 3rd,

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we are having our live podcast event.

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Many of you have registered,

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really excited about that,

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looking forward to it.

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So if you would like to be a part of that,

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the link to register will be in the show notes,

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and please make sure that you get signed up.

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There is a cap.

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I think Zoom limits us to a certain number of attendees,

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and I'm not familiar with that number.

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I'll maybe say it in the next episode.

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But anyway,

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the point is,

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if you'd like to get on that call,

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please make sure that you register for that.

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And we,

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depending on the

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Reception of this and the number of people that are interested,

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we may start to do this on a more frequent basis.

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So make sure that you check that out.

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January 3rd at 2 p.m. Eastern.

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So make sure that you can work that into your schedule if you want to attend.

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All right,

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so let me read parts of Monica's email

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and then we will dive in.

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I have a question regarding one of my clients.

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He's 5 years old and struggling with big emotions in his class.

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He pulls cords,

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throws chairs,

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and gets really angry.

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I really believe play therapy is going to be beneficial for him.

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I echo those thoughts.

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All right,

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however,

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one thing that has come up in sessions is potty talk.

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He says butt and giggles a lot,

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butt with two Ts,

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by the way.

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This has come up a few times.

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I'm wondering how you handle potty talk in the play therapy approach.

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All right,

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Monica,

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thank you for the question.

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I have responded to questions like this in the Collective recently.

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I've talked about this on coaching calls recently

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and now I'm getting emails,

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so I realized that this is obviously something that

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first of all,

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is a conundrum for a lot of CCPTs,

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but then also it must be pretty prevalent right now and everything comes in waves,

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so we might be in this wave.

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So I'd like to dive in with some thoughts

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and hopefully this will be helpful to everybody because

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at some point this will happen in your play sessions whether it has

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yet or not,

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you'll get there.

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So,

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all right,

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first and foremost,

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the why matters

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hashtag it.

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I know.

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So one of the things that I think is really important in a scenario like this is to

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assess

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what's the rationale.

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So let's begin with the most.

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Obvious maybe.

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This is age-appropriate behavior for a five year old.

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Young kids

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are fascinated

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by bodily fluids,

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bodily functions,

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and the words associated with them.

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So saying poop and pee and butt

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and all of these things,

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toilet,

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fart,

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it's really funny to them and it's age appropriate.

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So Monica,

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first and foremost,

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I would say he's 5.

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This is probably just standard developmental behavior.

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However,

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I,

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I don't want to stop there because there are often other reasons as well.

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So,

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I don't want to say that that's an exhaustive list by any means.

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So let's talk through some of the other options.

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I think another consideration.

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is that it's a testing.

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And I think this testing could go in two directions actually.

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First,

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I believe it could be

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boundary testing.

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You've given me freedom,

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you've told me that I have autonomy in the playroom.

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And I want to know

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how far that goes.

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So can I say things in here that I can't say elsewhere?

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And you know,

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I think obviously he probably gets in trouble at school if

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he says those things or is at least told not to.

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So therefore,

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we have a child who is trying to figure out,

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you've said,

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I

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have

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the ability to be in charge in here.

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You said,

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I'm the boss.

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Well,

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does that mean that I get to say these things that

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I know usually are not

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accepted?

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That's one kind of the testing,

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the boundary testing.

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I think the other kind of testing is relational testing.

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I don't know,

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you didn't mention how many sessions you are in with him.

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But

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We understand that kids also want to make

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sure that the unconditional love and acceptance.

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Carries over no matter what happens.

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So often what they do is they will do things purposefully to see,

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are you still going to love me?

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Are you still going to accept me?

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Are you going to reach a point where you say,

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OK,

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you can't come play here anymore,

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are you going to give up on them?

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Are you going to abandon them?

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It's relational testing at times.

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That's a very important factor to consider as well.

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Testing in both capacities.

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The boundary testing and relational testing is another consideration.

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Also,

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you have shock value to consider.

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And

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obviously saying butt is not really all that shocking,

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but to a 5 year old it might be,

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but this would also carry over to kids who come in the room and

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cuss and I know we've talked about that on other episodes before as well.

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You have kids that are trying to get a reaction.

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And they've learned

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and or have been conditioned

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that when I say certain things and I bring certain

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topics up and certain words come out of my mouth,

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even actions sometimes.

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I,

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I think behaviors get lumped into this as well.

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You know,

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if I walk up and smack someone on the butt,

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I get a really big reaction.

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So what happens is it organically begins the first time,

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right?

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There's no intention.

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The first time a kid says butt out loud,

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they just are saying a word,

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but then when everyone giggles or everyone

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reacts or everyone goes,

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you cannot say that,

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or,

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well,

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now all of a sudden,

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oh look,

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I've gotten all kinds of attention from this.

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So shock value is another consideration.

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And I'm not sure if you think,

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Monica,

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that that's

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true in this case,

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but certainly a factor that needs to be worked into the

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Established the to establish the motivation.

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And then

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you also have grant and fantasy,

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what you can't grant in reality coming into play here.

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In

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every other scenario,

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there are probably

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chastisements,

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consequences.

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Maybe even punishments.

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There's some kind of negative outcome

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to him saying these things is my guess.

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At school for sure,

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probably at home.

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He probably gets told on if he says it somewhere else.

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There's probably all kinds of expectations of what he should and should not say.

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Well,

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the playroom

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provides something that no other environment provides,

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which is

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the ability to do things in there that you can't anywhere else.

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And

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The reality is,

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he

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can't say this anywhere else,

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doesn't have the freedom to.

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The fantasy element of the playroom is that he can.

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Often it is just I'm doing it because it's the only place.

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It's the only relationship,

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it's the only person,

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it's the only environment in which I can do this.

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Fantasy versus reality is a big factor

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in behaviors for kids.

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Because the playroom

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is a special place

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and their relationship with you

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is special.

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They are going to

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have to deal with

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the choice that they make in every other environment.

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And quite honestly,

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and Monica,

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I don't know how you feel about it.

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I mean,

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I know you're curious

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about what to do.

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I don't know if it bothers you in any way,

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and there are some therapists that have told me like that kind

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of stuff just bothers them and they almost always come out of

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the education system.

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So

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I think those that have been in schools for

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some reason this really gets out of their skin.

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I was a substitute teacher,

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but I know that doesn't count.

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It doesn't bother me.

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I just,

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I find it interesting that

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that's something

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for me,

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if a kid comes in and says

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stuff,

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whatever it is,

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I

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just,

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I'm pretty neutral,

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I guess.

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It,

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it,

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it's benign to me.

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It does not bother me one bit.

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And

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a lot of therapists then say,

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well,

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what are,

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what are we supposed to do in our response?

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So let's talk through that.

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The most helpful thing you can do is

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reflectively respond

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00:09:01,419 --> 00:09:01,969
in

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a very standard way.

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So

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this was where it gets tricky though.

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You may not want to say the word butt.

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I,

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I wouldn't care.

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00:09:11,729 --> 00:09:12,520
But for example,

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if a child cusses in the playroom,

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I would not want to reflect the content by using the cuss word back to the child.

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There are therapists that do it.

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I don't.

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That's my personal choice.

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00:09:24,309 --> 00:09:25,979
Here's what I think is helpful.

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You just acknowledge that it was said,

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and whether or not you want to say the word or not,

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there's a workaround.

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So if he says,

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Gosh,

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00:09:34,469 --> 00:09:36,340
what would a kid say about butt um.

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Oh,

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the poop's coming out of his butt

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and then giggles.

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I would just say,

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oh,

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the poop's coming out of his butt and you think that's funny.

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00:09:47,049 --> 00:09:47,330
So,

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00:09:47,369 --> 00:09:48,090
in that scenario,

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I would reflect content directly.

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00:09:51,000 --> 00:09:52,169
If a child were to cuss,

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for example,

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I would not reflect the content directly.

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I would say that word.

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Or that,

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00:09:58,919 --> 00:09:59,200
I'd say,

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00:09:59,280 --> 00:09:59,530
oh,

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00:09:59,580 --> 00:10:00,669
you said that in here.

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Or you said that word.

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All right,

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00:10:04,080 --> 00:10:04,669
now,

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00:10:04,919 --> 00:10:06,169
here's why we do this,

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00:10:06,239 --> 00:10:09,250
because our response is supposed to be neutral and without judgment.

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00:10:11,450 --> 00:10:12,809
If it's for shock value,

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00:10:12,929 --> 00:10:14,809
if it's for relationship testing,

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if it's for fantasy versus reality in any of those three scenarios.

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There's a reaction that they're expecting.

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00:10:23,400 --> 00:10:26,090
And when you neutrally respond without judgment.

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It doesn't serve the purpose

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that the child had in mind.

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00:10:32,280 --> 00:10:33,710
When they don't get a reaction,

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00:10:33,799 --> 00:10:35,039
when it doesn't fracture

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00:10:35,320 --> 00:10:37,270
any of the boundaries or the relationship,

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00:10:37,599 --> 00:10:38,179
and when they're like,

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00:10:38,239 --> 00:10:38,469
oh,

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00:10:38,479 --> 00:10:40,390
I really can say whatever I want in here,

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00:10:41,039 --> 00:10:43,119
there's no need for them to continue to do it

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00:10:43,520 --> 00:10:45,000
because they've done what they needed,

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00:10:45,039 --> 00:10:46,750
which is to prove what they're able to do.

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00:10:48,349 --> 00:10:51,340
So that's why we respond neutrally and without judgment.

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00:10:51,630 --> 00:10:52,500
So we just say it.

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00:10:53,229 --> 00:10:53,710
Oh,

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00:10:54,630 --> 00:10:57,280
You're saying words in here that you don't get to say anywhere else.

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00:10:58,489 --> 00:11:00,330
Just accept it for what it is and

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00:11:00,609 --> 00:11:01,840
say that back to the child.

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00:11:02,010 --> 00:11:02,969
It's very important.

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00:11:04,179 --> 00:11:04,460
Now,

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00:11:04,539 --> 00:11:05,380
another option

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00:11:05,580 --> 00:11:07,609
is to enlarge a little bit.

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00:11:08,140 --> 00:11:09,919
So you can just

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00:11:10,179 --> 00:11:11,409
acknowledge what's happening,

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00:11:11,530 --> 00:11:13,119
then you can also enlarge.

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00:11:13,500 --> 00:11:14,929
So the enlargement might be,

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00:11:15,219 --> 00:11:17,409
it feels good to say words in here

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00:11:17,859 --> 00:11:19,609
and there are no consequences.

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00:11:20,580 --> 00:11:21,130
Or

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00:11:21,969 --> 00:11:25,239
You like having the control to say what you want in here,

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00:11:25,250 --> 00:11:26,840
and you can't do that anywhere else.

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00:11:28,369 --> 00:11:29,359
That's an enlargement.

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00:11:29,979 --> 00:11:33,869
And what you're doing is you're helping the child understand at a cognitive level,

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00:11:34,530 --> 00:11:35,719
why they're doing this.

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00:11:36,650 --> 00:11:39,239
They're just acting out of their emotions,

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00:11:39,609 --> 00:11:39,809
needs,

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00:11:39,890 --> 00:11:40,559
desires,

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00:11:40,770 --> 00:11:41,489
wants,

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00:11:41,570 --> 00:11:42,400
feelings,

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00:11:42,969 --> 00:11:45,880
but the bridge is to help them understand

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00:11:46,090 --> 00:11:47,440
what's going on at a deeper level.

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00:11:47,570 --> 00:11:49,000
So that's why we enlarge.

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00:11:49,289 --> 00:11:50,840
Now for a five year old Monica,

363
00:11:51,179 --> 00:11:52,479
don't really go too

364
00:11:52,690 --> 00:11:54,489
hog wild on the enlargements.

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00:11:54,710 --> 00:11:56,440
It's gonna be probably too much for him,

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00:11:56,570 --> 00:11:58,450
but you could certainly just acknowledge what he's doing.

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00:11:59,919 --> 00:12:02,859
And then our job is to remain neutral through it all.

368
00:12:03,549 --> 00:12:04,989
So it doesn't impact us,

369
00:12:05,109 --> 00:12:06,229
it doesn't unnerve us,

370
00:12:06,349 --> 00:12:08,619
it doesn't create an emotional response in us.

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00:12:08,869 --> 00:12:11,280
We're just able to be neutral with it,

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00:12:11,710 --> 00:12:13,520
and that is truly

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00:12:13,750 --> 00:12:14,669
being child-centered.

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00:12:15,460 --> 00:12:17,150
There's a reason why a child is doing it.

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00:12:17,179 --> 00:12:17,380
Let's,

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00:12:17,419 --> 00:12:19,099
let's be really clear on that.

377
00:12:19,419 --> 00:12:22,450
If a child is saying something or doing something in the playroom,

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00:12:22,619 --> 00:12:24,030
it's because they need to.

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00:12:25,250 --> 00:12:28,539
We don't always have to understand what's going on at a deeper level,

380
00:12:28,719 --> 00:12:31,260
but we know that if we trust them,

381
00:12:31,590 --> 00:12:34,140
what they're doing is necessary for their work.

382
00:12:34,469 --> 00:12:37,020
So every time he says the word butt and giggles,

383
00:12:37,349 --> 00:12:40,400
there's something that he's working through when he's doing it.

384
00:12:41,299 --> 00:12:44,599
And that will also help keep us in the right frame of mind

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00:12:45,010 --> 00:12:46,840
for the way that we respond.

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00:12:47,570 --> 00:12:47,890
Monica,

387
00:12:48,010 --> 00:12:49,210
thanks so much for the question.

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00:12:49,330 --> 00:12:53,150
I hope that that's helpful for everyone because we all deal with that

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00:12:53,150 --> 00:12:55,599
kind of stuff that happens in the playroom from time to time.

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00:12:56,130 --> 00:12:56,840
So

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00:12:57,049 --> 00:12:58,729
thanks for hanging out with me today.

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Love you all.

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00:12:59,369 --> 00:13:00,179
We'll talk again soon.

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00:13:00,369 --> 00:13:00,609
Bye.

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00:13:01,760 --> 00:13:04,520
Thank you for listening to the Play Therapy Podcast with Dr.

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00:13:04,679 --> 00:13:05,599
Brenna Hicks.

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For more episodes and resources,

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00:13:07,840 --> 00:13:12,599
please go to www.playtherapypodcast.com.

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