222 | The Universal Efficacy of CCPT: How to Address Doubters

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 Nicole in Indiana about finding research that compares child-centered play therapy (CCPT) with other types of therapy. Nicole, whose manager is skeptical of CCPT's broad applicability, especially for issues outside trauma, asked for research to support CCPT's effectiveness across various child needs. Instead of a comparison, I discuss how research shows CCPT's success with a range of issues—from ADHD and anxiety to cultural diversity and speech disorders. I highlight Child-Centered Play Therapy Research, edited by Baggerly, Ray, and Bratton, as a comprehensive resource for defending the universal efficacy of CCPT.

I also encourage listeners to confidently advocate for CCPT in the face of skepticism by seeking out studies specific to their clients' needs. CCPT's effectiveness spans ages, cultural backgrounds, and conditions, making it a powerful, evidence-supported approach.

Episode Reference: Baggerly, J. N., Ray, D. C., & Bratton, S. C. (Eds.). (2010). Child-centered play therapy research: The evidence base for effective practice. John Wiley & Sons, Inc.. https://doi.org/10.1002/9781118269626

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.

2024-11-04 15 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, I'm Dr. Brenna Hicks, The Kid Counselor.

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This is the Play Therapy Podcast where you get a master class in child-centered,

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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, I received an email from Nicole in Indiana

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and I'm going to answer her question about very similar to

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yesterday's.

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She is working in private practice under a manager who does not believe CCPT is best.

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Du

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du

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du.

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All right.

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Here's, here's everything in full circle. Y'all.

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My, my life just goes in waves and the wave right now is

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supervisors, managers, bosses,

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people in authority roles and figures that are bucking clinicians

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wanting to be fully adherent to CCPT.

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I can't tell you the number of conversations, messages, emails, texts,

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everything I've had about this topic in the last like week or two.

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It's looney.

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All right. So Nicole, thanks so much for the email.

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I'll read parts of her email and then we'll talk through this together.

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I recently discovered your podcast and have absolutely fallen in love. Yay.

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So excited.

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I'm an LCSw working in private practice under a manager

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who does not believe CCPT is best for anything other than trauma

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by the way related aside,

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where did that notion even come from?

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CCPT is not good for anything other than trauma?

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I, I don't even know how that could be drawn as a conclusion, but ok, I digress.

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I wonder if you could point me in the direction of research that

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shows how CCPT compares to other types of therapy for children.

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Thanks so much.

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Well, Nicole, thank you for the email.

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Thank you for discovering CCPT and falling in love

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and thank you for wanting to be adherent even

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when a manager doesn't seem to be on board.

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So

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very similar to Deidre's question.

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Let's dive into this, although this is more about research.

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So this is kind of a piggy backing on yesterday.

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Not only are we going to be adherent to the model,

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but then we also want to have research that we can provide when there are

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questioners or

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nonbelievers. I don't know what you would call them.

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So

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I think I'm going to actually pivot a little bit and

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answer your question differently than what you actually asked Nicole.

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And so I hope that

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you'll forgive me for deviating a bit.

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So your question is specifically,

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I wonder if you can point me in the direction of research that

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shows how CCPT compares to other types of therapy for kids.

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No,

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but I will. I promise I'll answer your question just in a different capacity.

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What I want to do is point you in the direction

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that shows how CCPT works with every single issue.

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So I actually don't feel compelled or I don't think that it's valuable

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to show CCPT in comparison to other types of therapy.

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Please hear my heart and I really don't mean this in

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a,

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I don't know, an abrasive way,

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but I don't need to compare CCPT to other types of therapy.

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I need to have evidence that shows that CCPT will work with any issue

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with any child

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and we have evidence of that

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miles long.

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So I think it's actually much more helpful rather than saying, well,

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let's compare CCPT to fill in the blank.

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How about the CCPT work with this population?

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Does CCPT work with this issue?

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Does CCPT work with this diagnosis? What about this culture? What about this race?

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What about this age? What about?

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So let's talk about that because I think

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that actually gives you a much stronger foundation.

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You know,

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one of the weeks that we spend a lot of discussion on

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this in the coaching program is when we talk about evidence and efficacy

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and we talk about that for a reason because

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we have people that are constantly going to question us.

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We have people that are constantly going to want

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proof are going to contradict and say no,

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I don't think so or I just can't see how

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that will work or that isn't empirically supported or whatever.

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And

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let's be really clear it is

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we have over 100 years of research showing CCPT is effective.

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So Nicole to answer your question,

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I'm going to give you a really, really helpful resource. Actually, all of you

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get your pens and paper out

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because I'm holding it up, but you can't see me.

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So you're gonna have to write this down or pause me and do something.

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The book is Child-Centered Play Therapy Research.

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It is yellow,

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it has bubbles on the front

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and it is edited by Baggerly, Ray, and Bratton.

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So if that doesn't tell you something,

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Ray is

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this generation's most consistent

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publisher and researcher

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in the way of CCPT

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Bratton and Landreth are really the godfather and godmother of the model

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and Baggerly trained me directly.

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So if we're talking about three really credible people in our field,

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those are the three editors of this book.

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And

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my disclaimer is that I'm flipping pages so I can tell you

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this is from 2010.

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And so, you know,

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I know APT has very specific directives of when we present information,

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it has to be within the last five years.

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Ok. So is it 14 years old? Yes,

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but it doesn't, does it make the research any less effective?

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Does it make the research any less true?

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Does it change anything that's already been proven? No.

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And let's be frank for a second. Not that I'm ever anything but I know

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you, you, you get what you get with me y'all.

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So, you know, I guess maybe that's why you listen to me. I don't know.

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Here's, here's where I am with this

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research

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in recent years. I would even argue in the last decade

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in

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CCPT has been sorely lacking.

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And what I mean by that is, it's not that research isn't coming out on CCPT.

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It is,

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but it's being diluted

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and it's being

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convoluted

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and here's what I mean by that,

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it's CCPT plus

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it's CCPT minus,

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it's CCPT

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with such and such without this and that

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OK. It's no longer CCPT.

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Anything by Ray is fully CCPT, anything by Landreth, anything by Bratton,

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anything by Baggerly.

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It's CCPT through and through.

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And there are some other names. I'm not saying those are the only ones

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but, you know, with certain authors

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and certain studies, it's fully CCPT what has come out in the last 10 or so years.

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It's rarely exclusively CCPT.

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And

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I can't help but say

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if we don't look at the seminal works and we don't look at early research

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and we don't take that as credible just because it's not in the last five years,

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we're in trouble because if we look at what's come out in the last five or 10 years,

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we can't fall back on that at all

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because all of a sudden, we've lost our North Star here.

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CCPT

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is one thing.

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It's a way of being

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and it has a framework and it has grounding and it has a system

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and it has skills

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and if we do anything other than that,

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we can no longer call it CCPT.

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Therefore, I'm going to say that this book published in 2010

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is the most effective source for being able to combat

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any critics of the model. So Nicole and the rest of you,

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the other

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many thousands of you that are interested in this topic.

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OK, I'm going to read you some highlights from the contents

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and I won't read all of them because there's a lot.

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But I want you to hear what's in this book

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so that you have an understanding of CCPT's universal

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application.

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In other words,

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it works

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with everyone.

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CCPT has been proven effective

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with geriatrics.

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CCPT has been proven effective with adults.

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CCPT has been proven effective

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with

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people with TBIs traumatic brain injuries.

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CCPT has been effective, proven effective for people with

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Apraxia and

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all kinds of speech issues.

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This is not just for children,

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let's be really clear on that.

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We have seen CCPT proven across the lifespan.

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We have Apraxia we have Aphasia.

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We have all of these issues

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where I'm not able to sit down and talk

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to a therapist,

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but I can play.

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We know that this is the way that we connect emotionally

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no matter the age.

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So

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we have a wealth of information and data

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saying that CCPT works.

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So Nicole, I'm gonna share a couple of these from the contents and then

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all of you need to get the book. By the way, I don't get any kickbacks from that.

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I just own the book and I recommend it to my coaching people.

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I think if you need

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proof

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for anyone for a parent sitting in front of you in front of a parent consultation

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for a principal for a pediatrician,

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for a judge, for an attorney for a guardian ad litum,

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you name it.

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If somebody is questioning why you're doing what you're doing, how you're doing it,

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how do you know it works?

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What's the evidence that supports this

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come to this book?

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I don't know any other

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one stop shop for this. Now, can you go into Google?

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Can you go into your university system if you have access to that?

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And can you search child center play therapy plus issue

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and find research? Yes, I do it all the time.

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But this is a book that contains all kinds of stuff

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and you can just grab it off yourself and reference it.

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So here are some that are in here.

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The efficacy of CCPT with chronically ill children,

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CCPT with children who are witnesses of domestic violence,

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CCPT

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children

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with children who are post earthquake.

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So natural disasters,

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CCPT's effect on relationship stress

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CCPT on academic achievement, self concept and teacher, child relationships.

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CCPT with ADHD

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CCPT with learning disabled preadolescence.

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CCPT with Hispanic children,

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CCPT with aggression,

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CCPT

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with

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ADHD. There's another one,

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CCPT and child development,

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CCPT

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and

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Native Americans,

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Chinese parents, African Americans, Hispanics

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high school students as CCPT therapeutic agents with younger children.

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How interesting is that using

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high schoolers

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and watching the influence that that has on younger children,

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deaf and hard of hearing children,

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preschool children deemed at risk

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disadvantaged children,

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I can go on and on.

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So

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here's what I'm trying to say

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to all of you.

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The research is there,

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the research supports this,

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we have evidence all over the place for this working.

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So when someone says,

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well, no,

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CCPT is only effective with this or CCPT wouldn't work with

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that issue or CCPT hasn't been proven to address that kind of issue.

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I can almost guarantee you it has.

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So this book is a huge resource to start

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and then don't be afraid to search child-centered play therapy

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plus whatever the issue is.

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So your manager, your supervisor, your boss, your

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clinical director, whoever it is says,

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no, you, you really shouldn't use CCPT with

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anxious kids that there there's no,

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there's no research that shows that it'll work with anxiety,

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get on doctor Google

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and which can be dangerous. I know. But in this case, I recommend it

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type child-centered play therapy plus anxiety.

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Find all of the

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journal articles that have been published

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that show the reduction in anxiety, the increase in coping skills,

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the increase in emotional vocabulary, the increase in regulation,

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the change in behavior

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And you go back to that person and say actually,

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here's all kinds of support for CCPT with anxiety.

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I just had someone email me

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this week

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saying that her boss said she absolutely cannot use CCPT

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because it is not proven with children on the autism spectrum.

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And I almost fell out of my chair.

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I'm like, holy Moses, do you know how many articles I can find in six seconds

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that show its efficacy with children on the spectrum?

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Where in the world are you coming up with this?

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And I'm not saying that to be critical to the, the clinical director and the manager,

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I'm just saying

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there's such a lack of knowledge

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of what CCPT is and how it works and

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why it works and that it works on almost everything.

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So let's be really

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courageous. Let's be really bold, let's be really

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accurate in what we say.

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And let's provide information

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that is to the contrary of what people think when they say no, no, no, no CCPT isn't

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supported for that.

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Yes, it is. Here you go.

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We have to open people's eyes.

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CCPT works across the board

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universally. It works.

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All right, Nicole. Thank you so much for the email. I really appreciate that.

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If you all would like to reach out to me to ask a question, to say hello,

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to tell me a story,

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to share a playroom win.

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Just to

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say you're coming to Florida doesn't matter. Please email me

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brenna@thekidcounselor.com. I'd love to hear from you.

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You know how much you mean to me, you know, how much I care about. Y'all love you.

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We'll talk again soon. Bye.

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Thank you for listening to the Play Therapy Podcast with Dr

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Brenna Hicks. For more episodes and resources.

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Please go to www.playtherapypodcast.com.

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