256 | Theoretical Consistency: Avoiding Burnout When Working with All Ages
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 Chiara in Florida about working with clients over the age of 14. I explain how child-centered play therapy (CCPT) naturally evolves from a wholly person-centered approach for older teens and adults. Since CCPT is rooted in Carl Rogers' person-centered theory, the core principles—reflecting feelings, providing choices, and fostering a strong therapeutic relationship—remain effective across all ages.
I also discuss the importance of maintaining theoretical consistency when working with both children and adults to prevent therapist burnout and ensure congruence. By staying aligned with person-centered principles for all clients, therapists can sustain their energy and provide meaningful, effective therapy without needing to constantly switch frameworks. This episode offers guidance for therapists navigating work with diverse age groups while staying true to the CCPT model.
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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.
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0 00:00:00,439 --> 00:00:04,309 You're listening to the Play Therapy Podcast with Dr. Brenna Hicks, 1 00:00:04,480 --> 00:00:08,220 your source for centered and focused play therapy coaching. 2 00:00:08,600 --> 00:00:08,760 Hi, 3 00:00:08,800 --> 00:00:09,819 I'm Dr. Brenna Hicks, 4 00:00:09,829 --> 00:00:10,560 The Kid Counselor. 5 00:00:10,680 --> 00:00:12,600 This is the Play Therapy Podcast where you get 6 00:00:12,600 --> 00:00:14,869 a master class in child-centered play therapy 7 00:00:15,119 --> 00:00:17,290 and practical support and application for your 8 00:00:17,290 --> 00:00:18,950 work with children and their families. 9 00:00:19,440 --> 00:00:20,190 In today's episode, 10 00:00:20,250 --> 00:00:23,479 I am answering a question from Chiara in Florida, 11 00:00:23,959 --> 00:00:25,000 a fellow Floridian, 12 00:00:25,200 --> 00:00:26,040 always exciting. 13 00:00:26,920 --> 00:00:30,750 And this is about working with 14 and up. 14 00:00:31,069 --> 00:00:36,150 So we know that 3 to 14 is the range typically for CCPT 15 00:00:36,700 --> 00:00:37,340 and 16 00:00:37,549 --> 00:00:38,900 Chiara works with 17 00:00:39,200 --> 00:00:42,939 kids but also adults and the 14 and up population. 18 00:00:43,430 --> 00:00:45,349 So she has some questions about that and we 19 00:00:45,349 --> 00:00:47,569 will dive in to kind of process that together. 20 00:00:47,709 --> 00:00:49,340 So let me read parts of her email. 21 00:00:50,189 --> 00:00:52,900 I started listening to your podcast around a month ago and I love it. 22 00:00:53,060 --> 00:00:53,569 Welcome, 23 00:00:53,740 --> 00:00:55,479 very glad that you found us and that you're here. 24 00:00:55,520 --> 00:00:56,169 This is 25 00:00:56,540 --> 00:00:58,770 a really fun group of people to hang out with, 26 00:00:58,819 --> 00:00:59,259 so 27 00:00:59,619 --> 00:01:01,090 thankful that you've been listening. 28 00:01:01,419 --> 00:01:02,090 I have a question. 29 00:01:02,139 --> 00:01:05,970 I work in a community outpatient mental health setting with kids and adults. 30 00:01:06,339 --> 00:01:08,260 You've mentioned working with adults in another 31 00:01:08,260 --> 00:01:09,739 setting and the most recent podcast, 32 00:01:09,779 --> 00:01:13,220 I heard you say CCPT is good for anyone under 14. 33 00:01:13,790 --> 00:01:16,900 I do work with individuals that are older than 14 and was wondering 34 00:01:16,900 --> 00:01:20,489 what your theoretical orientation is for working with this older age range. 35 00:01:20,900 --> 00:01:24,059 Do you switch to a wholly person centered approach or is there 36 00:01:24,059 --> 00:01:27,989 something else you've found to be most closely aligned with the CCPT way 37 00:01:28,419 --> 00:01:28,980 of being, 38 00:01:29,019 --> 00:01:31,519 but working with older teens and adults? 39 00:01:32,120 --> 00:01:32,440 All right, 40 00:01:32,540 --> 00:01:33,980 so thank you for this. 41 00:01:34,059 --> 00:01:36,980 I think this is actually a really fun topic to dive into. 42 00:01:38,180 --> 00:01:39,389 We, 43 00:01:39,680 --> 00:01:43,110 in order to be fully theoretically aligned, 44 00:01:43,599 --> 00:01:46,430 we talk about being adherent to CCPT all the time, 45 00:01:46,959 --> 00:01:49,150 but we need to track backwards here. 46 00:01:49,400 --> 00:01:50,720 So CCPT. 47 00:01:51,690 --> 00:01:52,639 child-centered 48 00:01:52,889 --> 00:01:54,290 came from person centered. 49 00:01:55,250 --> 00:01:59,660 So in order for us to remain adherent to our theoretical orientation. 50 00:02:00,480 --> 00:02:01,790 Not the model at this point, 51 00:02:01,839 --> 00:02:03,319 the theoretical orientation. 52 00:02:04,790 --> 00:02:06,709 We have to go back to Rogeren. 53 00:02:07,720 --> 00:02:08,399 And yes, 54 00:02:08,550 --> 00:02:10,538 absolutely it is person centered. 55 00:02:11,550 --> 00:02:12,339 Because 56 00:02:12,630 --> 00:02:15,740 we still will understand the core conditions, 57 00:02:16,229 --> 00:02:19,500 we still will understand the self-actualization process. 58 00:02:20,529 --> 00:02:26,160 And the skills that we use in CCPT are appropriate for any age of client. 59 00:02:26,720 --> 00:02:28,479 We're still going to reflect feelings, 60 00:02:28,639 --> 00:02:30,479 we're still going to reflect content, 61 00:02:30,720 --> 00:02:32,070 we're still going to. 62 00:02:33,250 --> 00:02:34,190 Provide choices 63 00:02:34,330 --> 00:02:35,800 we're still going to encourage. 64 00:02:37,050 --> 00:02:38,960 And it's all about the relationship. 65 00:02:39,899 --> 00:02:42,729 None of that changes regardless of how old 66 00:02:42,979 --> 00:02:44,130 our client is. 67 00:02:44,419 --> 00:02:47,800 I would argue none of that changes no matter 68 00:02:48,059 --> 00:02:50,830 what interaction we happen to be having at any given moment. 69 00:02:51,990 --> 00:02:54,759 I was joking on the the live event call 70 00:02:55,130 --> 00:02:55,570 that. 71 00:02:56,179 --> 00:02:57,220 I 72 00:02:57,580 --> 00:02:58,240 am 73 00:02:58,490 --> 00:03:00,320 CCPT through and through. 74 00:03:00,970 --> 00:03:01,940 It's a way of being, 75 00:03:02,029 --> 00:03:02,660 right? 76 00:03:03,070 --> 00:03:03,660 So 77 00:03:03,949 --> 00:03:05,419 I don't put on 78 00:03:05,669 --> 00:03:08,750 my therapy hat and then quote do therapy. 79 00:03:10,410 --> 00:03:12,559 I am congruent and consistent 80 00:03:12,940 --> 00:03:13,399 with 81 00:03:13,610 --> 00:03:15,279 this approach to 82 00:03:15,490 --> 00:03:16,039 life. 83 00:03:17,240 --> 00:03:19,089 And that's why it's so easy 84 00:03:19,339 --> 00:03:23,460 to be person centered when you work with kids that are 14 and up. 85 00:03:23,580 --> 00:03:23,889 Now, 86 00:03:24,059 --> 00:03:26,809 I will say 14 and 15 year olds, 87 00:03:27,220 --> 00:03:30,809 they still will likely want to do some kind of activity 88 00:03:31,300 --> 00:03:32,580 while they speak to you. 89 00:03:33,500 --> 00:03:36,509 We know that when the hands are engaged in doing something. 90 00:03:37,139 --> 00:03:40,759 It makes it easier for people to verbally communicate. 91 00:03:41,210 --> 00:03:44,039 Inhibitions are lessened and they're more likely to talk. 92 00:03:44,770 --> 00:03:46,639 So a 14 and a 15 year old, 93 00:03:46,770 --> 00:03:48,679 although they do have abstract reasoning, 94 00:03:48,889 --> 00:03:51,839 and although they do have the verbal capacity to communicate, 95 00:03:52,289 --> 00:03:56,119 they will likely feel more at ease and more comfortable 96 00:03:56,649 --> 00:03:57,809 if they're doing something. 97 00:03:58,550 --> 00:03:59,429 So you might 98 00:03:59,600 --> 00:04:01,639 want to make sure that a 14, 15, 99 00:04:01,729 --> 00:04:02,669 16 year old, 100 00:04:02,960 --> 00:04:06,559 they have some options that they can just occupy themselves doing something. 101 00:04:06,839 --> 00:04:07,710 They can doodle, 102 00:04:07,839 --> 00:04:09,419 they can squeeze a stress ball, 103 00:04:09,720 --> 00:04:12,839 they can play with slime or putty 104 00:04:13,039 --> 00:04:13,869 or something. 105 00:04:14,160 --> 00:04:14,750 They 106 00:04:15,559 --> 00:04:18,559 can have something to do that distracts their brain 107 00:04:18,559 --> 00:04:20,829 a little bit from just sitting and talking. 108 00:04:21,119 --> 00:04:22,950 But as far as what we do 109 00:04:23,480 --> 00:04:25,350 and how we interact and respond, 110 00:04:25,679 --> 00:04:27,170 we don't change anything. 111 00:04:28,320 --> 00:04:31,359 We're still going to use the reflective responses. 112 00:04:31,480 --> 00:04:34,440 We're still going to fall back on the four pillars. 113 00:04:34,679 --> 00:04:38,450 Many of the rules of thumb and tenets and principles still apply. 114 00:04:39,739 --> 00:04:40,709 When a person is drowning, 115 00:04:40,739 --> 00:04:42,329 it's not the time to teach them to swim. 116 00:04:42,619 --> 00:04:45,500 Just noticing a person is a powerful builder of self-esteem. 117 00:04:46,579 --> 00:04:47,540 Focus on the doughnut, 118 00:04:47,549 --> 00:04:48,299 not the hole. 119 00:04:49,179 --> 00:04:50,140 The 120 00:04:50,480 --> 00:04:53,790 tenets and principles apply regardless of the age of the person, 121 00:04:54,040 --> 00:04:56,910 which is why CCPT has been proven effective 122 00:04:57,160 --> 00:04:58,880 with all age ranges. 123 00:05:00,029 --> 00:05:02,570 They have proven that child-centered play 124 00:05:02,570 --> 00:05:05,519 therapy works with geriatric populations, 125 00:05:05,799 --> 00:05:08,549 works with all middle age ranges, 126 00:05:08,559 --> 00:05:09,910 and obviously children. 127 00:05:10,519 --> 00:05:10,750 Why? 128 00:05:10,980 --> 00:05:12,320 Because it's a way of being. 129 00:05:13,429 --> 00:05:15,970 And it honors the relationship. 130 00:05:16,299 --> 00:05:17,730 It honors the person. 131 00:05:18,700 --> 00:05:20,890 There's unconditional love and acceptance. 132 00:05:22,000 --> 00:05:23,920 The be-with attitudes convey. 133 00:05:24,429 --> 00:05:24,769 I'm here, 134 00:05:24,829 --> 00:05:25,329 I hear you, 135 00:05:25,350 --> 00:05:25,910 I understand, 136 00:05:25,950 --> 00:05:27,459 I care and I delight in you. 137 00:05:29,250 --> 00:05:30,760 And above all, 138 00:05:31,010 --> 00:05:33,769 it's this deep rooted trust. 139 00:05:34,660 --> 00:05:37,630 That if the relationship and the environment 140 00:05:37,880 --> 00:05:38,880 are conducive. 141 00:05:39,839 --> 00:05:41,630 The client at any age, 142 00:05:41,640 --> 00:05:43,790 will want to become a better version of themselves. 143 00:05:45,279 --> 00:05:46,149 So your 144 00:05:46,420 --> 00:05:47,049 final question, 145 00:05:47,059 --> 00:05:50,619 is there something else you found to be most closely aligned with CCPT? 146 00:05:51,600 --> 00:05:56,609 The only way to be most closely aligned with CCPT is to be wholly person centered. 147 00:05:57,940 --> 00:05:59,649 So if you have not read it, 148 00:06:00,410 --> 00:06:02,440 read Rogers, On Becoming a Person. 149 00:06:04,019 --> 00:06:07,940 Refresh yourself with Rogerian principles. 150 00:06:09,029 --> 00:06:10,440 With the premise 151 00:06:10,790 --> 00:06:13,260 of the entire theoretical approach. 152 00:06:14,279 --> 00:06:14,910 Because 153 00:06:15,079 --> 00:06:16,190 there is nothing 154 00:06:16,359 --> 00:06:17,399 more effective. 155 00:06:18,559 --> 00:06:24,339 Then believing that the relationship is going to be the catalyst for change. 156 00:06:25,040 --> 00:06:27,559 That doesn't change at all regardless of the age of the person. 157 00:06:28,309 --> 00:06:29,929 And all of our principles 158 00:06:30,299 --> 00:06:31,649 are going to carry over. 159 00:06:32,739 --> 00:06:34,329 It's actually very freeing. 160 00:06:34,549 --> 00:06:34,679 I, 161 00:06:34,709 --> 00:06:34,959 I, 162 00:06:34,970 --> 00:06:36,049 I thought about this a lot. 163 00:06:36,269 --> 00:06:39,579 Many of my coaching participants and many of the Collective members 164 00:06:40,149 --> 00:06:40,859 are 165 00:06:41,079 --> 00:06:44,619 maybe moving toward being exclusively a child-centered play therapist, 166 00:06:44,709 --> 00:06:47,519 but many people are seeing kids and adults 167 00:06:47,829 --> 00:06:50,850 in varying degrees of ratio. 168 00:06:52,239 --> 00:06:54,179 And what I have found is 169 00:06:54,299 --> 00:06:54,309 the 170 00:06:54,429 --> 00:06:55,779 therapists that 171 00:06:55,989 --> 00:06:57,160 don't get burned out 172 00:06:57,549 --> 00:06:59,859 and the therapists that are able to sustain 173 00:07:00,190 --> 00:07:03,739 going back and forth between adult clients and children clients 174 00:07:04,149 --> 00:07:05,899 is when the theoretical 175 00:07:06,299 --> 00:07:06,859 approach 176 00:07:07,390 --> 00:07:08,420 is consistent. 177 00:07:09,500 --> 00:07:09,970 So, 178 00:07:10,200 --> 00:07:12,709 I'm wholly person centered with my adults, 179 00:07:12,720 --> 00:07:14,769 and I'm wholly child-centered with my kids. 180 00:07:15,660 --> 00:07:16,730 It makes it easy 181 00:07:16,940 --> 00:07:18,100 to be congruent. 182 00:07:19,190 --> 00:07:21,059 Because what happens if you don't, 183 00:07:21,350 --> 00:07:23,500 you have a lot of therapists that are doing 184 00:07:24,109 --> 00:07:28,660 DBT or CBT or EMDR or fill in the blank 185 00:07:29,029 --> 00:07:30,109 with their adults, 186 00:07:30,179 --> 00:07:32,750 and then they have to switch gears and try to be child-centered 187 00:07:32,750 --> 00:07:35,579 in the playroom at the next hour when the child comes in. 188 00:07:36,679 --> 00:07:38,290 I can't even fathom 189 00:07:38,399 --> 00:07:39,720 the difficulty of that. 190 00:07:39,799 --> 00:07:40,399 I can't, 191 00:07:40,519 --> 00:07:40,630 I, 192 00:07:40,679 --> 00:07:42,910 I can't imagine the transition, 193 00:07:43,350 --> 00:07:43,790 the 194 00:07:44,119 --> 00:07:46,630 setting your brain up in a completely different way to work. 195 00:07:46,720 --> 00:07:46,899 I, 196 00:07:47,079 --> 00:07:49,519 I think that's just setting everyone up for failure. 197 00:07:49,600 --> 00:07:51,630 I think it's setting the therapist up for failure, 198 00:07:51,799 --> 00:07:53,850 and I think it's setting clients up for failure. 199 00:07:54,600 --> 00:07:55,600 So to make it work, 200 00:07:55,640 --> 00:07:57,829 if you're going to see children and adults. 201 00:07:58,809 --> 00:08:01,609 You are fully aligned theoretically, 202 00:08:02,010 --> 00:08:03,130 regardless of the age, 203 00:08:03,380 --> 00:08:05,540 and then that is how you sustain that. 204 00:08:05,739 --> 00:08:07,410 That's how you don't get burned out 205 00:08:07,660 --> 00:08:10,609 and frustrated because your brain can't handle 206 00:08:10,820 --> 00:08:12,540 the massive shifts in 207 00:08:13,059 --> 00:08:13,450 approach. 208 00:08:14,279 --> 00:08:14,829 So Chiara, 209 00:08:14,910 --> 00:08:16,100 thank you so much for the question. 210 00:08:16,149 --> 00:08:18,489 I hope that that was helpful for all of you and 211 00:08:18,750 --> 00:08:19,750 if you would like to reach out, 212 00:08:19,869 --> 00:08:20,500 please do so, 213 00:08:20,549 --> 00:08:22,000 even if it's just to say hello. 214 00:08:22,149 --> 00:08:24,420 I really like getting emails from you all. 215 00:08:24,630 --> 00:08:25,980 For those of you that might be new, 216 00:08:26,190 --> 00:08:26,559 welcome, 217 00:08:26,609 --> 00:08:27,619 really glad you're here, 218 00:08:27,869 --> 00:08:29,140 and just 219 00:08:29,309 --> 00:08:31,220 little public service announcement. 220 00:08:31,510 --> 00:08:33,820 I do actually read every single email 221 00:08:34,270 --> 00:08:36,190 and many of you question that, 222 00:08:36,299 --> 00:08:37,419 but I promise you I do. 223 00:08:37,510 --> 00:08:38,340 No one vets them, 224 00:08:38,510 --> 00:08:39,940 no one screens them. 225 00:08:40,429 --> 00:08:41,859 They come directly to me. 226 00:08:42,049 --> 00:08:42,739 I read them, 227 00:08:42,849 --> 00:08:43,719 I respond. 228 00:08:44,260 --> 00:08:45,719 I promise you that 229 00:08:45,849 --> 00:08:48,239 it comes to me and only me. 230 00:08:48,690 --> 00:08:50,330 So if you would like to reach out, 231 00:08:50,450 --> 00:08:51,409 I'd love to hear from you, 232 00:08:51,570 --> 00:08:53,010 brenna@thekidcounselor.com. 233 00:08:53,030 --> 00:08:53,520 By the way, 234 00:08:53,690 --> 00:08:55,289 if you would like to leave a voicemail 235 00:08:55,700 --> 00:08:56,239 question, 236 00:08:56,489 --> 00:09:00,369 you can do that in the states at 813-812-5525. 237 00:09:00,729 --> 00:09:01,400 All right y'all, 238 00:09:01,609 --> 00:09:02,130 have a great week. 239 00:09:02,169 --> 00:09:02,969 We'll talk again soon. 240 00:09:03,090 --> 00:09:03,559 Love you. 241 00:09:03,650 --> 00:09:03,929 Bye. 242 00:09:05,030 --> 00:09:07,909 Thank you for listening to the Play Therapy Podcast with Dr. 243 00:09:08,070 --> 00:09:08,989 Brenna Hicks. 244 00:09:09,150 --> 00:09:11,109 For more episodes and resources, 245 00:09:11,270 --> 00:09:15,989 please go to www.playtherapypodcast.com.