234 | Trusting CCPT with Anxious Kids: Why CCPT Works for Every Child
Play Therapy Podcast: A Master-Class in Child-Centered Play Therapy
In this episode of the Play Therapy Podcast, I answer a question from Mary Clare in Illinois, who is working with a 10-year-old client and feeling unsure if child-centered play therapy (CCPT) is the right approach for him. I address her concerns about the child's resistance, performative play, social challenges, and low self-esteem. I explain how these behaviors align perfectly with what CCPT is designed to address, particularly for children struggling with anxiety and emotional avoidance.
I also discuss the healing power of CCPT, emphasizing that "just playing" allows children to self-actualize and work through their issues in ways they might not consciously realize. By continuing to provide the right relationship, environment, tools, and time, Mary Clare is giving her client exactly what he needs to grow. This episode serves as a reminder that CCPT is the right approach for any child under 14, as long as we stay consistent and trust the process.
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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.
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0 00:00:00,409 --> 00:00:04,300 You're listening to the Play Therapy Podcast with Dr. Brenna Hicks. 1 00:00:04,309 --> 00:00:08,119 Your source for centered and focused play therapy coaching. 2 00:00:08,420 --> 00:00:10,670 Hi, I'm Dr. Brenna Hicks, The Kid Counselor. 3 00:00:10,680 --> 00:00:14,270 This is the Play Therapy Podcast where you get a master class in child-centered, 4 00:00:14,279 --> 00:00:17,370 play therapy and practical support and application for 5 00:00:17,379 --> 00:00:19,399 your work with children and their families. 6 00:00:19,520 --> 00:00:23,409 In today's episode. I'm answering a question from Mary Clare in Illinois. 7 00:00:24,280 --> 00:00:27,620 Thanks so much for the question, Mary Clare. And I'm really excited. 8 00:00:27,629 --> 00:00:32,418 She's actually asking about a specific child with whom she's working 10 years old 9 00:00:32,950 --> 00:00:36,330 and she's a little bit in her head about whether 10 00:00:36,340 --> 00:00:38,740 or not CCPT is the right approach for him. 11 00:00:39,159 --> 00:00:42,740 So I'll read parts of her email and we'll dive in together. 12 00:00:43,009 --> 00:00:47,900 And I think before I read the email, I just want to universally and overarching, say 13 00:00:48,959 --> 00:00:52,740 it is one of the most common conversations that I have 14 00:00:52,869 --> 00:00:54,819 now that I have thousands of 15 00:00:55,450 --> 00:00:56,619 participants and, 16 00:00:56,630 --> 00:00:59,939 and coaching people and Collective members and podcast listeners. 17 00:01:00,610 --> 00:01:03,020 I, I have this conversation all the time, 18 00:01:03,290 --> 00:01:06,069 people second guess and have doubts 19 00:01:06,319 --> 00:01:07,160 about a 20 00:01:07,400 --> 00:01:12,309 specific client, a specific family, a specific kid, a specific case. 21 00:01:12,839 --> 00:01:16,569 And we have those moments where we just question things, we question ourselves. 22 00:01:16,580 --> 00:01:20,269 We question our skills, we question the model, we question the approach, 23 00:01:20,279 --> 00:01:23,110 we question if it's working, we question the timeline 24 00:01:23,839 --> 00:01:24,519 and 25 00:01:24,660 --> 00:01:27,080 let me just remind and reassure 26 00:01:28,410 --> 00:01:29,930 CCPT works. 27 00:01:31,089 --> 00:01:32,319 We know that it does. 28 00:01:33,309 --> 00:01:35,290 We know that in spite of us, 29 00:01:35,849 --> 00:01:36,699 it works, 30 00:01:38,110 --> 00:01:41,569 in spite of resistance on behalf of the child. It works 31 00:01:42,239 --> 00:01:45,190 in spite of the parent not understanding and not buying in 32 00:01:45,339 --> 00:01:46,260 it works. 33 00:01:47,830 --> 00:01:50,400 So please just take a breath, 34 00:01:51,190 --> 00:01:53,809 reassure yourself, remind yourself 35 00:01:54,110 --> 00:01:56,760 that you are doing what the child needs 36 00:01:57,459 --> 00:02:00,879 and that you are providing the relationship and the environment 37 00:02:01,650 --> 00:02:03,459 for the child to self actualize. 38 00:02:04,470 --> 00:02:06,889 That is one of the things that we 39 00:02:07,860 --> 00:02:12,389 really sometimes need to re ground ourselves in. I believe. So. 40 00:02:12,750 --> 00:02:14,360 That's just kind of the big picture. 41 00:02:14,369 --> 00:02:17,600 Now, we'll read parts of Mary Clare's question and then we'll dive in. 42 00:02:18,880 --> 00:02:22,529 I am a child therapist in Illinois. I'm a huge fan of your podcast. 43 00:02:22,539 --> 00:02:25,820 They've made me feel more confident in my sessions with kids and parents. 44 00:02:25,830 --> 00:02:27,470 I'm so glad. Thank you for sharing that. 45 00:02:27,710 --> 00:02:32,029 And she recommends my podcast to everyone at her office too. So thank you for that. 46 00:02:32,350 --> 00:02:34,509 All right. I'm reaching out with a question regarding a kid. 47 00:02:34,520 --> 00:02:37,550 I'm using CCPT with a 10 year old who has ADHD. 48 00:02:38,500 --> 00:02:39,710 We'll talk about that in a second. 49 00:02:40,759 --> 00:02:43,789 I'm sure my, I'm sure my vets know exactly where that's going. 50 00:02:44,399 --> 00:02:47,020 The child is anxious at home and school and is 51 00:02:47,029 --> 00:02:49,860 resistant avoidant to share his feelings with his parents. 52 00:02:49,869 --> 00:02:50,729 Obviously, 53 00:02:51,039 --> 00:02:53,559 his mom recently shared with me that after our last session, 54 00:02:53,570 --> 00:02:55,660 he told her mom you're wasting your money. 55 00:02:55,669 --> 00:02:56,720 All we do is play 56 00:02:57,779 --> 00:03:01,190 If I had a dime for every time a child said that to a parent, man, 57 00:03:01,199 --> 00:03:02,639 I'd be so much more wealthy, 58 00:03:03,509 --> 00:03:08,190 which I know is only how it feels to him. Yes, indeed. That's how it feels to him. 59 00:03:08,199 --> 00:03:09,350 But so much more going on 60 00:03:09,529 --> 00:03:11,240 among the other challenges 61 00:03:11,729 --> 00:03:12,960 are that his parents 62 00:03:13,440 --> 00:03:16,850 have told me he's experiencing social challenges at school and 63 00:03:16,860 --> 00:03:19,169 he still requires his mom to go sleep with him. 64 00:03:20,009 --> 00:03:24,839 His play feels very performative solo. Loud, describing to me what's happening 65 00:03:25,210 --> 00:03:27,300 and it is typically very imaginative with the 66 00:03:27,309 --> 00:03:30,470 common idea of fighting bad guys and having superpowers 67 00:03:31,130 --> 00:03:35,300 with all that being said, I'm getting in my head if CCPT is the right approach for him. 68 00:03:35,380 --> 00:03:38,949 But I also feel like this is the way to go because of his emotional avoidance. 69 00:03:39,199 --> 00:03:41,610 I would love to hear some insight from you if there's anything I 70 00:03:41,619 --> 00:03:43,850 can do to get out of my head and enter his world. 71 00:03:45,039 --> 00:03:45,779 Well, 72 00:03:46,130 --> 00:03:48,809 yes, the answer is, yes, we'll dive in. 73 00:03:49,389 --> 00:03:49,960 Ok. 74 00:03:50,470 --> 00:03:51,699 Let's start with. 75 00:03:52,160 --> 00:03:54,979 I don't think for one second this kid has ADHD 76 00:03:56,110 --> 00:03:58,529 and I knew my vets would know that's where I was going. 77 00:03:59,070 --> 00:03:59,509 All right. 78 00:03:59,520 --> 00:04:03,369 Catch all diagnosis means nothing, throw it out the window, 79 00:04:03,380 --> 00:04:06,339 cache it out of your brain and never think about it again. 80 00:04:06,729 --> 00:04:08,449 Said lovingly and gently, 81 00:04:09,729 --> 00:04:11,710 also highly anxious. 82 00:04:12,000 --> 00:04:15,889 We know highly anxious kids are going to be highly resistant. 83 00:04:16,868 --> 00:04:18,889 It is a natural order of things. 84 00:04:19,228 --> 00:04:21,569 Highly anxious means highly resistant, 85 00:04:22,660 --> 00:04:26,320 not necessarily that their resistance phase is bigger, 86 00:04:26,440 --> 00:04:31,600 not the phase just resistant to all of it, resistant to the work, 87 00:04:31,609 --> 00:04:35,079 resistant to the vulnerability, resistant to the process, 88 00:04:35,089 --> 00:04:36,679 resistant to opening up, 89 00:04:36,690 --> 00:04:42,059 resistant to diving in because it's scary resistant to talking to mom and dad about 90 00:04:42,260 --> 00:04:43,790 it. The list goes on. 91 00:04:43,910 --> 00:04:46,239 So we know when you're highly anxious, 92 00:04:46,700 --> 00:04:47,750 oh pop quiz, 93 00:04:47,920 --> 00:04:49,369 highly anxious kids, 94 00:04:49,519 --> 00:04:52,880 the antidote to high levels of anxiety in children is what? 95 00:04:54,429 --> 00:04:55,109 Thank you. 96 00:04:55,260 --> 00:04:56,130 Control. 97 00:04:56,980 --> 00:04:59,359 So we have a kid grasping at control. 98 00:04:59,850 --> 00:05:01,429 Well, here's the 99 00:05:01,619 --> 00:05:02,820 beauty and the beast. 100 00:05:04,000 --> 00:05:08,149 The playroom affords him all the control he can possibly want 101 00:05:09,079 --> 00:05:12,239 but has none of the control that he craves. 102 00:05:12,630 --> 00:05:13,500 You see what I'm saying? 103 00:05:13,950 --> 00:05:16,000 When he comes into a child-centered playroom, 104 00:05:16,220 --> 00:05:17,850 he has complete control, 105 00:05:18,579 --> 00:05:21,679 but he doesn't want to quote just play 106 00:05:22,250 --> 00:05:28,679 because he can't bear the idea of being in charge. He can't own the responsibility. 107 00:05:28,709 --> 00:05:32,799 He can't handle the pressure of having to make these big decisions 108 00:05:32,809 --> 00:05:35,269 and actually dive into the work that he needs to do. 109 00:05:36,399 --> 00:05:40,679 So there's the rub because he wants it but actually doesn't want it. 110 00:05:42,440 --> 00:05:44,839 And you mentioned social challenges. 111 00:05:45,339 --> 00:05:46,619 Here's where that's coming from 112 00:05:48,140 --> 00:05:49,820 when you don't have an identity. 113 00:05:49,829 --> 00:05:51,910 First of all, this kid has low, low, low, 114 00:05:51,920 --> 00:05:55,200 low self esteem I did not just try to make that into that song. 115 00:05:55,209 --> 00:05:58,149 I don't even know what that song is, but I just heard it in my head as I said that. 116 00:05:58,489 --> 00:05:59,359 So 117 00:05:59,619 --> 00:06:02,440 you have to keep in mind 118 00:06:03,760 --> 00:06:07,260 social challenges come from a lack of identity 119 00:06:07,559 --> 00:06:08,859 which comes from 120 00:06:09,160 --> 00:06:10,619 non-existent self esteem. 121 00:06:11,470 --> 00:06:12,559 Here's how that works 122 00:06:12,750 --> 00:06:14,339 when you don't know who you are, 123 00:06:14,589 --> 00:06:17,649 when you have no self concept, no sense of self. 124 00:06:18,730 --> 00:06:20,089 Neither do your peers. 125 00:06:21,799 --> 00:06:24,070 When you are interacting with peers, 126 00:06:24,579 --> 00:06:28,910 every kid wants to be able to know who they're dealing with. 127 00:06:29,850 --> 00:06:31,950 And there's a natural order of things 128 00:06:32,239 --> 00:06:36,420 amongst peers. There's a sloughing off of rough edges if you will. 129 00:06:37,140 --> 00:06:41,200 So when you're too bossy, no one plays with you when you cry all the time, 130 00:06:41,209 --> 00:06:44,010 no one plays with you when you're too shy and quiet. 131 00:06:44,019 --> 00:06:45,200 No one plays with you 132 00:06:45,579 --> 00:06:46,320 when 133 00:06:46,459 --> 00:06:47,239 you 134 00:06:47,660 --> 00:06:50,000 have to have your way, no one plays with you. 135 00:06:50,160 --> 00:06:52,000 What does that mean? You 136 00:06:52,100 --> 00:06:56,440 are forced to kind of have a checks and balances system amongst your peers 137 00:06:56,609 --> 00:06:59,079 and therefore the label makes sense. 138 00:07:00,010 --> 00:07:02,950 Well, that one's kind of bossy. That one's the funny one. 139 00:07:02,959 --> 00:07:06,109 That one's the really friendly one. That's the quiet one. 140 00:07:06,119 --> 00:07:07,920 That's the one that gets in trouble all the time. 141 00:07:08,000 --> 00:07:11,350 This is how we make sense of the world we categorize. 142 00:07:12,660 --> 00:07:13,630 Therefore, 143 00:07:14,000 --> 00:07:15,890 he doesn't know who he is. 144 00:07:16,230 --> 00:07:18,100 He isn't categorized. 145 00:07:18,959 --> 00:07:23,019 So no kid in his world at school or elsewhere 146 00:07:23,600 --> 00:07:27,540 is going to understand him and resonate and click with him 147 00:07:27,850 --> 00:07:31,609 because he doesn't even know who he is, let alone who he's putting out into the world. 148 00:07:32,559 --> 00:07:34,609 That's a very simple explanation, 149 00:07:34,980 --> 00:07:36,089 low self esteem, 150 00:07:37,040 --> 00:07:38,540 cosleeping with mom. 151 00:07:38,730 --> 00:07:43,579 First of all, she's enabling that. So that's a parent consultation. 152 00:07:44,429 --> 00:07:45,559 Careful. 153 00:07:46,859 --> 00:07:48,640 Do we say confrontation? Probably? 154 00:07:48,649 --> 00:07:50,920 Yes, I would say that's a careful confrontation moment. 155 00:07:51,559 --> 00:07:55,799 She needs to be equipped with the process of 156 00:07:56,140 --> 00:07:57,059 addressing that 157 00:07:57,570 --> 00:08:01,209 because she is allowing that behavior to continue at 10. 158 00:08:01,760 --> 00:08:05,839 And therefore, that's part of the issue here. However, 159 00:08:05,940 --> 00:08:09,640 sleeping issues are almost always anxiety rooted. 160 00:08:10,739 --> 00:08:13,839 You can see how this is all being woven together here. 161 00:08:15,149 --> 00:08:18,220 Now, let's move into what you said regarding his play. 162 00:08:18,829 --> 00:08:20,640 It's performative. You said 163 00:08:20,910 --> 00:08:21,690 my 164 00:08:22,040 --> 00:08:24,250 label for that is self aggrandizing 165 00:08:26,510 --> 00:08:28,410 and this is the pendulum swinging. 166 00:08:29,429 --> 00:08:32,219 He comes in and he describes everything he's doing and he's 167 00:08:32,229 --> 00:08:35,299 loud and he's playing by himself and it's kind of bragger 168 00:08:35,419 --> 00:08:38,010 and it's what? Well, that is pendulum shift. 169 00:08:39,200 --> 00:08:40,799 That is self esteem work. 170 00:08:41,659 --> 00:08:43,080 It's self aggrandizing. 171 00:08:43,808 --> 00:08:49,070 He's making sure that he feels different than he actually is, which leads us to 172 00:08:49,460 --> 00:08:54,070 fighting and having superpowers, superpowers is ideal versus actual. 173 00:08:56,309 --> 00:08:58,520 I actually am 174 00:08:58,900 --> 00:09:04,210 an anxious wreck. I have no friends. I don't even know who I am. I don't like myself. 175 00:09:04,219 --> 00:09:06,929 I can't sleep alone. I'm scared of everything. 176 00:09:07,059 --> 00:09:10,049 I don't wanna come and do this. I don't wanna have to face this. 177 00:09:10,059 --> 00:09:11,429 I don't wanna be vulnerable. 178 00:09:11,809 --> 00:09:14,770 That's his actual self. His ideal self 179 00:09:14,940 --> 00:09:17,419 is the one that is brave and strong 180 00:09:17,429 --> 00:09:22,080 and has superpowers and is confident and articulate and 181 00:09:22,320 --> 00:09:23,929 you know, really proud of who he is. 182 00:09:24,929 --> 00:09:27,320 You can see the self esteem work taking 183 00:09:27,330 --> 00:09:29,700 place in this little bit that you've described. 184 00:09:31,150 --> 00:09:34,840 So you and the rest of you all didn't know this. But in the email, she 185 00:09:35,070 --> 00:09:37,130 bolded this last sentence 186 00:09:37,809 --> 00:09:40,650 I'm getting in my head if CCPT is the right approach for him. 187 00:09:40,659 --> 00:09:43,380 Let me challenge the notion of that sentence. 188 00:09:43,799 --> 00:09:47,280 CCPT is the right approach for any child under the age of 14. 189 00:09:48,869 --> 00:09:51,679 This has nothing to do with this specific kid, Mary Clare. 190 00:09:51,700 --> 00:09:56,130 This has to do with CCPT is the right approach for any child 191 00:09:56,549 --> 00:09:57,809 if they're 14 and under. 192 00:09:59,169 --> 00:10:01,020 But is this the right approach for him? 193 00:10:01,359 --> 00:10:05,710 Absolutely! Not because, as you mentioned, of his emotional avoidance 194 00:10:06,530 --> 00:10:09,380 because of all the stuff that he's already working through 195 00:10:10,429 --> 00:10:14,159 all the stuff we already see evidence that he's working to heal. 196 00:10:14,890 --> 00:10:18,690 You didn't mention how many sessions you've had with him, but I suspect not many. 197 00:10:18,719 --> 00:10:20,359 I'm, I'm gonna argue maybe 10 198 00:10:20,510 --> 00:10:20,960 ish. 199 00:10:22,049 --> 00:10:23,729 So maybe not even 8 to 10. 200 00:10:24,890 --> 00:10:29,099 And we recognize all of this stuff that's coming out already 201 00:10:29,109 --> 00:10:31,429 even in the midst of him saying you're wasting your money, 202 00:10:31,440 --> 00:10:31,659 mom. 203 00:10:31,669 --> 00:10:32,549 All we do is play 204 00:10:33,780 --> 00:10:37,140 the beauty of CCPT is that when all we do is play, 205 00:10:38,130 --> 00:10:39,349 all we do is heal 206 00:10:40,359 --> 00:10:42,669 and all we do is self actualize 207 00:10:43,150 --> 00:10:47,159 and all we do is work through our junk and become a better version of ourselves. 208 00:10:48,169 --> 00:10:50,380 So Mary Clare, I hope that is encouraging to you. 209 00:10:50,840 --> 00:10:54,250 You said, is there any insight to get you out of your head and into his world? 210 00:10:54,260 --> 00:10:55,510 You're already in his world? 211 00:10:56,289 --> 00:10:58,020 You continue to 212 00:10:58,190 --> 00:11:01,919 communicate, be with attitudes. You continue to reflectively respond, 213 00:11:02,289 --> 00:11:04,369 you continue to adhere to CCPT 214 00:11:05,179 --> 00:11:06,440 and we can see 215 00:11:06,919 --> 00:11:07,919 clearly 216 00:11:08,119 --> 00:11:09,750 the work that he's already doing. 217 00:11:10,250 --> 00:11:12,359 So he will continue to do that 218 00:11:12,580 --> 00:11:15,070 its relationship, its environment, 219 00:11:15,479 --> 00:11:18,119 time, tools and opportunity are what you're affording him. 220 00:11:18,890 --> 00:11:21,219 So hope that that's an encouragement to all of you. 221 00:11:22,070 --> 00:11:23,210 This is 222 00:11:23,359 --> 00:11:27,020 week two of me being in Australia. So two podcasts. 223 00:11:27,030 --> 00:11:30,570 This is the only one that you're going to get as far as a listener question this week. 224 00:11:30,900 --> 00:11:33,869 But we should be back on track for more questions when I return, 225 00:11:33,880 --> 00:11:35,510 which will be in early December 226 00:11:35,940 --> 00:11:36,729 by the way, 227 00:11:36,900 --> 00:11:42,609 if you are in the States and/or if you celebrate Thanksgiving in a different name, 228 00:11:42,619 --> 00:11:44,559 I know Australians have a different name for the 229 00:11:44,570 --> 00:11:47,289 day that they use as a Thanksgiving celebration. 230 00:11:47,919 --> 00:11:52,530 If you celebrate Thanksgiving and or if you are in the States, Happy Thanksgiving. 231 00:11:52,799 --> 00:11:56,659 I am truly grateful for each and every one of you. I'm grateful for this family. 232 00:11:56,669 --> 00:12:00,489 I'm grateful for the audience. I'm grateful for this platform. 233 00:12:01,039 --> 00:12:03,099 I'm grateful for this model. 234 00:12:03,640 --> 00:12:08,179 I'm grateful for giants in whose footprints I walk. 235 00:12:08,500 --> 00:12:13,659 But really, truly, you all are one of the best parts of my professional life. 236 00:12:13,669 --> 00:12:16,700 I want you to know that I hope that you feel the depth of that sincerity. 237 00:12:17,159 --> 00:12:20,859 So as I celebrate Thanksgiving coming home from Australia, 238 00:12:20,869 --> 00:12:23,299 another thing for which I'm very grateful by the way, 239 00:12:23,739 --> 00:12:25,570 but I'm super grateful for each and every one 240 00:12:25,580 --> 00:12:28,299 of you and for the Collective for the coaching 241 00:12:28,409 --> 00:12:29,690 for the podcast. 242 00:12:29,960 --> 00:12:30,659 It's 243 00:12:31,200 --> 00:12:33,320 one of the greatest joys of my life. So 244 00:12:33,469 --> 00:12:35,460 love y'all. We'll talk again soon. Bye. 245 00:12:36,400 --> 00:12:40,419 Thank you for listening to the Play Therapy Podcast with Dr. Brenna Hicks. 246 00:12:40,429 --> 00:12:42,580 For more episodes and resources. 247 00:12:42,590 --> 00:12:47,450 Please go to www.playtherapypodcast.com.