193 | Welcoming Back Clients: Handling Returns to Child-Centered Play Therapy
Play Therapy Podcast: A Master-Class in Child-Centered Play Therapy
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 experiences and wondering about changes in the playroom. I explain that while the process of CCPT remains unchanged, the return of a client often brings a mix of reminiscing and exploratory play. This is natural as the child re-establishes the therapeutic relationship and reassesses old play themes to determine if they still hold significance.
I emphasize that therapists should join the child in reminiscing, validating their memories and reflecting their feelings. This connection strengthens the therapeutic bond and allows the child to re-enter the process at their own pace. The goal is to acknowledge the past while supporting the child in rediscovering the work that still needs to be done.
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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.
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0 00:00:00,409 --> 00:00:04,289 You're listening to the Play Therapy Podcast with Dr. Brenna Hicks. 1 00:00:04,300 --> 00:00:08,119 Your source for centered and focused play therapy coaching. 2 00:00:08,329 --> 00:00:10,670 Hi, I'm Dr. Brenna Hicks, The Kid Counselor. 3 00:00:10,680 --> 00:00:14,359 This is the Play Therapy Podcast where you get a master class in child center, 4 00:00:14,369 --> 00:00:15,229 play therapy 5 00:00:15,340 --> 00:00:17,700 and practical support and application for your 6 00:00:17,709 --> 00:00:19,670 work with children and their families. 7 00:00:19,920 --> 00:00:23,350 In today's episode. I am answering a question from Danielle in Georgia 8 00:00:24,040 --> 00:00:29,819 and her question is related to a client coming back to CCPT after a long break 9 00:00:30,120 --> 00:00:31,370 and often 10 00:00:31,870 --> 00:00:37,819 because we leave the door open to a child returning at any point once we terminate, 11 00:00:38,229 --> 00:00:40,380 we will have children that will come back. 12 00:00:40,580 --> 00:00:45,709 And so she's asking some specifics about the details of how to best handle that. 13 00:00:46,000 --> 00:00:47,259 So we'll dive into that. 14 00:00:47,270 --> 00:00:51,610 Let me read you a little bit of her email and then we'll talk about it together. 15 00:00:53,700 --> 00:00:58,369 I have had a client recently return to CCPT with me after a year long hiatus. 16 00:00:58,490 --> 00:00:59,919 During the first three sessions, 17 00:01:00,580 --> 00:01:01,840 the client has spent a lot of 18 00:01:01,849 --> 00:01:05,080 time reminiscing about their previous therapeutic experiences, 19 00:01:05,650 --> 00:01:07,599 recalling toys they used to play with 20 00:01:08,440 --> 00:01:10,500 and checking if things are still the same. 21 00:01:10,940 --> 00:01:14,339 They seem mostly full of joy as they recall these memories but also 22 00:01:14,349 --> 00:01:17,980 get sad when toys have been replaced or are no longer there. 23 00:01:18,319 --> 00:01:20,940 Obviously, there's a potential emerging theme here. 24 00:01:20,949 --> 00:01:24,900 But I'm curious about your thoughts on children reentering the CCPT world. 25 00:01:25,029 --> 00:01:27,459 Is there a different process I should consider? 26 00:01:28,089 --> 00:01:29,779 And then she said, side note, 27 00:01:29,790 --> 00:01:32,980 this child's presenting concern is predominantly behavioral. 28 00:01:34,050 --> 00:01:36,540 Ok. Well, thank you so much, Danielle. So 29 00:01:37,360 --> 00:01:38,830 let's start with 30 00:01:39,459 --> 00:01:40,540 your 31 00:01:41,410 --> 00:01:42,500 main question. 32 00:01:42,690 --> 00:01:45,870 Is there a different process I should consider? No. 33 00:01:46,059 --> 00:01:46,959 So 34 00:01:47,349 --> 00:01:50,529 I feel like I'm such a broken record and I'm so emphatic about that. 35 00:01:50,540 --> 00:01:53,519 But every time I'm asked, are there modifications? 36 00:01:53,529 --> 00:01:56,830 Are there some changes or is there other some other considerations? 37 00:01:56,839 --> 00:01:58,339 Is there a different process? 38 00:01:58,550 --> 00:02:02,389 I just say no. So the the beauty of CCPT 39 00:02:02,989 --> 00:02:04,410 is we don't change it. 40 00:02:04,569 --> 00:02:06,370 So we don't do anything differently. 41 00:02:06,379 --> 00:02:07,129 However, 42 00:02:07,139 --> 00:02:09,710 we will be sensitive to where the child is and 43 00:02:09,720 --> 00:02:13,080 we will respond according to what the child is processing. 44 00:02:13,449 --> 00:02:14,009 So 45 00:02:14,580 --> 00:02:16,169 you already kind of highlighted it. 46 00:02:16,179 --> 00:02:18,210 You said that the child has been spending a 47 00:02:18,220 --> 00:02:21,899 lot of time reminiscing about their previous therapeutic experiences. 48 00:02:22,029 --> 00:02:22,580 Ok. 49 00:02:22,699 --> 00:02:28,369 So when we see that a child is reminiscing, we're going to reminisce with the child. 50 00:02:28,720 --> 00:02:32,330 Not that we take over, not that we commandeer the conversation. 51 00:02:32,559 --> 00:02:34,300 But if the child were to say, 52 00:02:34,789 --> 00:02:38,860 oh, I remember when I used to shoot the crossbow all the time at the target, 53 00:02:39,270 --> 00:02:43,210 we would say, oh, you remember shooting the crossbow? I remember that too. 54 00:02:44,520 --> 00:02:46,509 So the goal is always 55 00:02:46,639 --> 00:02:48,860 to help the child feel 56 00:02:49,160 --> 00:02:49,899 that 57 00:02:50,839 --> 00:02:56,929 we remember what they remember and that those shared experiences are still present 58 00:02:57,210 --> 00:02:59,250 and we've not forgotten 59 00:02:59,880 --> 00:03:04,050 the things that we did together. We have not forgotten the process. 60 00:03:04,179 --> 00:03:06,570 And similarly, when a child returns, 61 00:03:06,779 --> 00:03:10,000 they go back into exploratory play a little bit just 62 00:03:10,009 --> 00:03:12,240 like they did when they first started with us, 63 00:03:12,389 --> 00:03:14,649 that is also normal and expected. 64 00:03:14,660 --> 00:03:19,330 So there's going to be probably a hybrid of some exploratory investigation 65 00:03:19,339 --> 00:03:22,889 type of play as well as some reminiscing type of play. 66 00:03:23,029 --> 00:03:26,639 And that is just the standard process when kids return, 67 00:03:26,750 --> 00:03:29,580 but it's also to re-establish the relationship. 68 00:03:30,399 --> 00:03:32,449 So the relationship persists, 69 00:03:32,639 --> 00:03:36,830 that's why we work so hard to have healthy and happy goodbyes. 70 00:03:36,910 --> 00:03:40,119 That's why we work so hard to provide termination and closure 71 00:03:40,270 --> 00:03:42,619 because we want the child to know that 72 00:03:42,759 --> 00:03:45,880 they can always come back and that the relationship persists. 73 00:03:46,800 --> 00:03:50,940 So when they're reminiscing over things, it's actually connective 74 00:03:51,190 --> 00:03:52,419 and it's relational, 75 00:03:52,880 --> 00:03:56,779 they're trying to make it known that they remember 76 00:03:56,960 --> 00:03:58,779 the things that you all did together. 77 00:03:58,910 --> 00:04:01,940 So you're going to acknowledge those things out loud as well. 78 00:04:02,580 --> 00:04:04,580 And one of the most helpful things that 79 00:04:04,589 --> 00:04:07,500 we can do is reflect content and reflect feelings 80 00:04:08,210 --> 00:04:09,729 during that type of play. 81 00:04:10,080 --> 00:04:13,509 So you're excited to be here again, right? 82 00:04:13,520 --> 00:04:17,820 Or you're happy to be back or you're glad to be playing with me again. 83 00:04:17,959 --> 00:04:21,339 Right. So we would reflect feelings, we would also reflect content. 84 00:04:21,350 --> 00:04:24,820 You remember when you used to always play doctor, 85 00:04:25,440 --> 00:04:28,589 you remember doing that in the sand with me before. 86 00:04:29,119 --> 00:04:30,670 So the goal is 87 00:04:31,130 --> 00:04:36,299 that we are going to make it very known that we are reminiscing, 88 00:04:36,309 --> 00:04:41,130 remembering and relating just like the child needs and wants to as well 89 00:04:42,170 --> 00:04:42,950 and 90 00:04:43,140 --> 00:04:46,130 be mindful too that often when a child returns, 91 00:04:46,760 --> 00:04:49,790 they naturally gravitate toward old play themes. 92 00:04:50,760 --> 00:04:54,339 So they will revisit thematically where they were before 93 00:04:54,679 --> 00:04:59,359 and they will circle back to the exact same play that they've done in the past. 94 00:04:59,910 --> 00:05:04,000 And that is part of their. Do I still need to do this? 95 00:05:04,119 --> 00:05:05,019 It's a check in, 96 00:05:05,820 --> 00:05:09,730 am I past this? Do I still need this? How does this serve me still? 97 00:05:10,480 --> 00:05:12,850 They're trying to figure out where they need to go 98 00:05:13,119 --> 00:05:14,679 in their second round of play. 99 00:05:14,989 --> 00:05:18,049 So while we don't change the process any while we don't 100 00:05:18,290 --> 00:05:19,649 do anything different 101 00:05:19,970 --> 00:05:22,750 than the traditional CCPT approach, 102 00:05:22,839 --> 00:05:27,269 we can be a little bit intentional about making sure that we're connecting, 103 00:05:27,320 --> 00:05:31,140 we're reminiscing, we're revisiting those things with the child 104 00:05:31,470 --> 00:05:35,709 and that is re-establish of the relationship more than anything else. 105 00:05:36,065 --> 00:05:38,454 And that's a very powerful first session 106 00:05:38,584 --> 00:05:41,375 because the child already knows 107 00:05:41,494 --> 00:05:43,795 the work already knows the process. 108 00:05:43,825 --> 00:05:47,225 They just want to make sure that the relationship is still present 109 00:05:47,355 --> 00:05:51,535 and the relationship is what allows for the self actualization process to begin. 110 00:05:52,420 --> 00:05:54,640 All right, Danielle. Thank you so much for your question. 111 00:05:55,359 --> 00:05:57,059 If you would like to reach out to me. 112 00:05:57,070 --> 00:05:59,959 I'd love to hear from you brenna@thekidcounselor.com 113 00:06:00,290 --> 00:06:04,829 and you can always leave a voicemail on 813-812-5525. 114 00:06:04,839 --> 00:06:07,820 If you're in the States, love you all. We'll talk again soon. Bye. 115 00:06:08,730 --> 00:06:11,399 Thank you for listening to the Play Therapy Podcast 116 00:06:11,410 --> 00:06:14,910 with Dr. Brenna Hicks for more episodes and resources. 117 00:06:14,920 --> 00:06:19,779 Please go to www.playtherapypodcast.com.