344 | Neutral Truth, Big Impact: Communicating with Children and Advocating for Them

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

In this episode, I answer two questions from Chloe in Georgia. First, I talk about how to navigate physical limitations or health issues—like pregnancy, illness, or injury—in the playroom without disrupting the child's experience or compromising the therapeutic relationship. I share how we can use age-appropriate truth and neutral language to explain changes in our engagement while still meeting the child's emotional needs.

Then, I unpack Chloe's second question about the overwhelming environments many children face—particularly in daycares, preschools, and schools that are not developmentally appropriate. I offer encouragement and direction for how we, as CCPTs, can support overwhelmed parents and advocate for children when diagnoses are flying and schools are pushing labels. Our role is to trust the process, slow things down for families, and be unwavering in our presence and commitment to each child. This one's full of encouragement and clarity for anyone feeling frustrated or alone in this work.

PlayTherapyNow.com is my HUB for everything I do! playtherapynow.com. Sign up for my email newsletter, stay ahead with the latest CCPT CEU courses, personalized coaching opportunities and other opportunities you need to thrive in your CCPT practice. If you click one link in these show notes, this is the one to click!

Topical Playlists! All of the podcasts are now grouped into topical playlists on YouTube. Please go to https://www.youtube.com/@kidcounselorbrenna/playlists to view them.

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 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. Landreth, G.L., & Bratton, S.C. (2019). Child-Parent Relationship Therapy (CPRT): An Evidence-Based 10-Session Filial Therapy Model (2nd ed.). Routledge. https://doi.org/10.4324/9781315537948 Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.

2025-10-09 16 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 couple of questions from Chloe in Georgia.

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And one is about how we explain or present something about ourselves

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that needs to be communicated to child clients

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when it's related to our health or our needs

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and our ability to engage in child-centered play therapy

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and then the second is how do we address.

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Kids that are struggling and the nuances of

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parents and teachers and pediatricians and all

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of the pressure from every which way.

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So we're going to dive into both of those questions.

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Chloe,

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thank you so much for the email.

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So let's start with the first question.

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What do you recommend when a therapist is experiencing a health change

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that the child may not know about or needs to be shared,

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for example,

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early pregnancy,

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chronic illness,

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pain,

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etc.

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that leads the therapist going through change and potentially

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setting limits that they weren't able to set before

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or not being able to engage and play in the same way.

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I'm actually really glad to answer this question on an episode because we've

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talked about this quite a bit in coaching and in the collective,

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but I don't think we've specifically done anything about it on the podcast yet.

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So more often than not,

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therapists tend to avoid having these conversations for a variety of reasons,

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the

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predominant one being we're not supposed to make sessions about ourselves

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and we try not to self-disclose a whole lot.

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So obviously if we're dealing with something

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personally,

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Then we try to just kind of keep that independent of the sessions.

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Second consideration

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is

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we don't want to

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bring something into the session that might derail

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or disrupt what the child needs to do

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and so for those reasons and several others I suppose

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we tend to be a little bit closed

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lipped about things that probably should be addressed.

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So one of the most helpful things we can do.

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For any scenario is age appropriate truth.

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This is what we advocate for parents.

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This is what we advocate for

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the well-being of kids in general.

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Kids need to be given truth at an age appropriate level.

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And if we're going to have any changes,

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any limitations,

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any difficulty

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in session.

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That's something that impacts kids.

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So it's something that needs to be discussed,

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and there are neutral,

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calm,

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factual ways to do that.

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And here's the beauty of

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humans,

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but also kids specifically.

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When they have a why.

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They're very gracious,

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they're very understanding,

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they're very accommodating.

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I've had therapists with chronic conditions.

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I've had therapists with flare ups

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from pervasive conditions.

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I've had therapists that have had surgery.

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I've had therapists that have been sick.

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I've had therapists that have been in car accidents.

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I've had therapists that

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are pregnant.

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I've had,

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I mean,

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you name it,

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we,

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we are going to have stuff happen in our life.

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And because we're human,

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those things impact our ability to function.

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CCPT is a physical

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job.

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We were talking about this on a Collective call a couple of weeks ago.

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It is a physical job.

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I mean,

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if you want to just sit and do nothing all day,

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CCPT is not for you.

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This requires a lot of movement and engagement and and physicality.

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It's just the nature of what we're doing.

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So,

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therefore,

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if we have anything that is going to be prohibitive.

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Kids need to know

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if it's temporary or permanent.

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These are my limitations.

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It's not that we can't engage,

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we just engage differently,

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but kids need to understand what the boundaries are

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and the why.

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So Chloe,

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to answer your question with specific wording,

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one of the things that I encourage therapists to say,

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and I've even said this to my own clients.

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You really want me to.

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We're always going to lead with a validation,

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reflection of need,

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desire,

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wish,

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feeling,

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whatever.

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You really want me

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to

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run and chase you.

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Or you really want me to sword fight with you,

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or you really want me to lay on the floor,

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or you really want me to whatever.

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So we're always going to validate and acknowledge what the need is.

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And then we set a neutral limit.

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But my back is actually really sore right now,

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and I'm not able to do that today.

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Or

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I'm pregnant and it's gonna be too hard for me to stand up if I sit on the floor,

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or

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I have something in my body that makes it really hard for me to

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run.

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It's neutral age appropriate truth,

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but it's a why.

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We're not saying no,

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I won't play with you.

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We're not saying no,

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I can't do that.

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We're not saying I won't do that.

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We're setting a limit on what it is that is going to be too difficult for us.

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And

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one of two things is going to happen.

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The kid's going to wait for you to

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go on and that's when you're going to provide alternatives

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that are mutually acceptable

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to you and the child

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or the child is going to immediately problem solve.

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This actually happens more often than not because when a

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child realizes that there's something going on with you,

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look,

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kids have a relationship with you,

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kids care about you,

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kids love you.

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They're not going to want you to get hurt.

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They're not going to want you to do something that's

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going to be hard or difficult or painful for you.

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So many times they'll go,

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oh,

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OK,

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well you don't have to chase me then,

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you just have to.

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And they're going to give you an alternative and as long as that is appropriate

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for your limitations,

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then you're gonna say

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you figured out a way for me to do that.

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You solved the problem.

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If they don't jump in with that,

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you're going to provide alternatives.

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You can choose for me to.

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Chase you while I'm in my rolly chair

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or you can choose for me to.

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Touch you with the sword

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and tag you that way.

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OK,

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so now what you're doing is you're meeting the child's original need.

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If they wanna play tag.

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It's not that you're not willing or able to play tag.

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There just has to be a different way in which you play tag.

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So I can either roll in the chair and try to get you,

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or I can try to touch you with the sword.

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Which do you choose?

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It becomes an empowerment choice.

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Because you're communicating,

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I want to meet your need.

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There are just specific ways that this has to be done for my health or my pain

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or my condition.

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So that's the way that I have handled that

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and I've encouraged many therapists to handle that.

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Kids are very understanding and very gracious.

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When you make it clear what's going on.

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OK,

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so that's first question.

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Second question is about kids that are really dealing with a

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lot and all of the things that come with that.

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So let's dive into that.

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I absolutely adore working with little ones,

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and a good bit of my caseload is kids who have either been

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abused at daycare or preschool and or kicked out or on

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the verge of being kicked out of their daycare and preschool.

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I also have many kids who are

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struggling behaviorally and academically in kindergarten.

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They're COVID babies.

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Parents are overwhelmed,

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but the kids are so overwhelmed.

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I find myself feeling really frustrated and protective of the children and often

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feel defeated in having so many of these conversations about child development.

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Educating on why it's not ODD.

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Then she says,

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parenthetically,

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seriously,

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I have a disdain for this diagnosis,

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as do I,

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Chloe,

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I'm,

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I'm on your side on that one.

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After schools have placed labels on the child,

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the impact of full daycare and preschool and kindergarten,

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and so many other things,

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I constantly feel like I'm one of the only people who see the child for the child

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and have worked very hard on helping the parents see those things too.

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However,

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I find that they're jumping too fast into getting so many services in place,

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getting formal diagnoses,

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etc.

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they panic.

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While there are children I work with that I do recommend doing this,

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most of the children present as children who have had negative relationships

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with adults and are needing to rebuild their self-concept and self-esteem,

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attachment,

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and are dealing with power and control issues through aggressive behaviors.

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Sometimes I feel the information goes in one ear and out the other,

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whether it's parents,

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teachers,

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etc.

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I guess because this has been so prevalent within my case load,

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I've become overwhelmed and a little defeated

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about the impact of these school environments that are

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so negatively impacting kids and not developmentally responsive.

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OK.

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So there's a lot there,

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but really,

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if we boil it all down,

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I always like to funnel things down to a singular point.

245
00:09:21,750 --> 00:09:25,820
Really what everything that you're talking about in that question,

246
00:09:26,309 --> 00:09:27,700
it comes down to

247
00:09:28,150 --> 00:09:29,590
we have to advocate.

248
00:09:30,330 --> 00:09:31,799
In the academic environments.

249
00:09:32,559 --> 00:09:33,510
In our communities,

250
00:09:33,619 --> 00:09:34,270
in our towns,

251
00:09:34,390 --> 00:09:34,929
in our cities,

252
00:09:35,030 --> 00:09:35,809
in our states,

253
00:09:35,950 --> 00:09:36,789
in our provinces,

254
00:09:36,869 --> 00:09:37,780
in our countries,

255
00:09:38,070 --> 00:09:39,320
in the world at large,

256
00:09:39,869 --> 00:09:41,460
we need to be a voice

257
00:09:41,669 --> 00:09:42,820
of advocacy

258
00:09:43,349 --> 00:09:44,159
for kids

259
00:09:44,469 --> 00:09:45,520
in the academic

260
00:09:45,950 --> 00:09:46,669
scenarios.

261
00:09:48,039 --> 00:09:48,719
Preschools,

262
00:09:48,919 --> 00:09:50,119
daycares,

263
00:09:50,390 --> 00:09:51,080
elementary schools,

264
00:09:51,280 --> 00:09:52,479
middle schools,

265
00:09:52,900 --> 00:09:53,559
private schools,

266
00:09:53,719 --> 00:09:54,549
charter schools,

267
00:09:54,599 --> 00:09:55,590
public schools,

268
00:09:55,989 --> 00:09:56,830
you name it.

269
00:09:57,770 --> 00:09:59,429
They are not designed.

270
00:09:59,729 --> 00:10:00,859
They are not equipped.

271
00:10:01,609 --> 00:10:05,000
And they are not developmentally appropriately governed.

272
00:10:06,020 --> 00:10:08,590
And it's not through the school's fault,

273
00:10:08,690 --> 00:10:10,719
it's not through administration's fault.

274
00:10:11,469 --> 00:10:13,909
But we have a very unique opportunity.

275
00:10:15,169 --> 00:10:17,119
To partner with schools,

276
00:10:17,450 --> 00:10:18,890
to partner with teachers.

277
00:10:19,690 --> 00:10:22,200
To go in and do psycho education,

278
00:10:22,729 --> 00:10:23,119
to

279
00:10:23,250 --> 00:10:24,510
have conversations,

280
00:10:24,570 --> 00:10:25,900
to introduce

281
00:10:26,289 --> 00:10:28,239
CCPT concepts to them.

282
00:10:28,530 --> 00:10:29,599
Many of you are,

283
00:10:29,770 --> 00:10:32,130
and here's your high five and your hug.

284
00:10:32,979 --> 00:10:34,599
I am so excited

285
00:10:34,960 --> 00:10:36,900
about the movement that is taking place.

286
00:10:37,169 --> 00:10:40,119
CCPTs are all in

287
00:10:40,409 --> 00:10:41,770
about partnering with schools.

288
00:10:42,479 --> 00:10:45,219
Many of you have actually started integrating child

289
00:10:45,219 --> 00:10:47,960
teacher relationship training in your local schools.

290
00:10:48,140 --> 00:10:49,169
That is so exciting.

291
00:10:49,260 --> 00:10:52,849
Many of you are running CCPT classrooms

292
00:10:53,159 --> 00:10:54,130
in schools.

293
00:10:54,140 --> 00:10:57,340
Many of you are running CCPT private schools.

294
00:10:57,580 --> 00:11:02,770
I know what is taking place all over the world and CCPT is at the forefront of it.

295
00:11:02,780 --> 00:11:03,729
It's exciting.

296
00:11:04,419 --> 00:11:06,280
This is something that we

297
00:11:06,739 --> 00:11:07,770
are called to do.

298
00:11:08,729 --> 00:11:10,960
Kids spend more time at school

299
00:11:11,210 --> 00:11:12,239
than with anyone else.

300
00:11:13,400 --> 00:11:14,780
So when teachers

301
00:11:15,140 --> 00:11:20,010
do not understand kids and their needs and their development

302
00:11:20,260 --> 00:11:21,010
and

303
00:11:21,460 --> 00:11:24,340
relationship principles and be with attitudes.

304
00:11:25,179 --> 00:11:28,260
It's creating lasting impact.

305
00:11:28,830 --> 00:11:30,830
They're with teachers and in the school

306
00:11:30,830 --> 00:11:32,580
environment more than they're with their parents,

307
00:11:32,869 --> 00:11:34,219
far more than they're with us.

308
00:11:35,690 --> 00:11:40,280
This is a huge opportunity and yes it's frustrating to see it unfold

309
00:11:40,770 --> 00:11:43,520
but we have the opportunity and the responsibility

310
00:11:44,090 --> 00:11:45,119
to get involved

311
00:11:45,330 --> 00:11:46,880
and to create change.

312
00:11:47,669 --> 00:11:48,119
So yes,

313
00:11:48,169 --> 00:11:51,750
100% CCPT needs to be in schools

314
00:11:52,080 --> 00:11:53,510
and that's what we're fighting for,

315
00:11:53,599 --> 00:11:55,010
that's what we're working toward,

316
00:11:55,440 --> 00:11:58,190
that should be absolutely a focus for us.

317
00:11:59,280 --> 00:12:01,280
To address some of the other things that you mentioned.

318
00:12:02,309 --> 00:12:04,669
Almost always when parents are overwhelmed.

319
00:12:05,530 --> 00:12:06,369
They panic,

320
00:12:06,489 --> 00:12:06,929
absolutely,

321
00:12:07,010 --> 00:12:08,309
I agree with that wording,

322
00:12:08,849 --> 00:12:09,440
and

323
00:12:09,650 --> 00:12:13,640
many times parents are just grasping at straws thinking,

324
00:12:13,809 --> 00:12:14,119
well,

325
00:12:14,210 --> 00:12:15,650
if I just do like 6 things,

326
00:12:15,770 --> 00:12:17,119
one of them will maybe work.

327
00:12:17,859 --> 00:12:20,119
So that's a very common process

328
00:12:20,409 --> 00:12:21,289
when parents are like,

329
00:12:21,330 --> 00:12:21,950
oh my goodness,

330
00:12:22,010 --> 00:12:23,960
these things are going haywire real fast.

331
00:12:24,250 --> 00:12:24,299
Well,

332
00:12:24,340 --> 00:12:24,809
let's do this,

333
00:12:24,909 --> 00:12:25,369
let's do this,

334
00:12:25,450 --> 00:12:25,929
let's do this,

335
00:12:25,969 --> 00:12:28,489
and it's throw the spaghetti at the wall and hope that it sticks.

336
00:12:29,599 --> 00:12:30,609
So in that scenario,

337
00:12:30,729 --> 00:12:32,880
one of the things that we have to do for parents

338
00:12:33,210 --> 00:12:34,559
is help them understand

339
00:12:34,849 --> 00:12:36,929
that we need to change one thing at a time.

340
00:12:38,140 --> 00:12:40,010
And if they're pursuing CCPT,

341
00:12:40,059 --> 00:12:41,280
that is the one change.

342
00:12:42,280 --> 00:12:43,390
In other words,

343
00:12:43,909 --> 00:12:45,989
we can't change everything all at once because

344
00:12:45,989 --> 00:12:48,010
then we're never going to know what's working

345
00:12:48,469 --> 00:12:51,700
and or not working and then causality goes out the window

346
00:12:52,169 --> 00:12:55,020
and then there's no way for us to prove efficacy

347
00:12:55,020 --> 00:12:58,659
of anything if you introduce 4 new things all at once

348
00:12:58,989 --> 00:13:00,820
and things get better or worse.

349
00:13:01,659 --> 00:13:03,809
How do we know which one is creating

350
00:13:04,010 --> 00:13:04,369
the,

351
00:13:04,380 --> 00:13:06,229
the change in either direction?

352
00:13:06,460 --> 00:13:07,090
We don't.

353
00:13:07,820 --> 00:13:10,219
So one of the things that we have to advocate is

354
00:13:10,570 --> 00:13:12,919
let's just focus on therapy for now.

355
00:13:13,710 --> 00:13:17,489
And if we feel like down the road we still wanna pursue diagnosis,

356
00:13:17,570 --> 00:13:18,559
we can talk about it.

357
00:13:18,929 --> 00:13:23,090
If down the road we feel like we still need to pursue OT or speech or PT.

358
00:13:23,849 --> 00:13:24,280
Then

359
00:13:24,489 --> 00:13:24,989
sorry,

360
00:13:25,289 --> 00:13:27,049
outside of the states people physical therapy,

361
00:13:27,059 --> 00:13:28,090
occupational therapy,

362
00:13:28,169 --> 00:13:29,000
speech therapy,

363
00:13:29,770 --> 00:13:32,200
if we still need to pursue those things we can talk about it.

364
00:13:32,570 --> 00:13:34,400
If we still wanna pursue medication,

365
00:13:34,650 --> 00:13:35,599
we can talk about it,

366
00:13:35,729 --> 00:13:36,640
but right now,

367
00:13:36,849 --> 00:13:40,479
let's just change one thing we know CCPT works,

368
00:13:40,729 --> 00:13:42,479
let's give it time to do what it does

369
00:13:42,729 --> 00:13:43,809
and we'll reevaluate.

370
00:13:44,309 --> 00:13:45,890
That's another point of advocacy.

371
00:13:45,929 --> 00:13:48,679
We have to slow the pace down for parents.

372
00:13:49,090 --> 00:13:50,080
They are panicking,

373
00:13:50,109 --> 00:13:53,619
which means they're gonna do as many things as they can fast and furiously.

374
00:13:54,479 --> 00:13:55,820
And our job is to say,

375
00:13:55,830 --> 00:13:56,539
hang on,

376
00:13:57,070 --> 00:13:58,539
we're gonna trust the process here.

377
00:13:59,469 --> 00:14:00,989
We're going to let this play out.

378
00:14:01,270 --> 00:14:03,260
I'm going to support you along the whole way.

379
00:14:04,169 --> 00:14:06,309
I am a part of this journey with you.

380
00:14:07,330 --> 00:14:08,640
As your family

381
00:14:09,010 --> 00:14:10,419
continues through therapy.

382
00:14:11,260 --> 00:14:12,849
Let's just see what happens.

383
00:14:13,419 --> 00:14:14,809
We have to advocate for that,

384
00:14:15,299 --> 00:14:16,219
and yes,

385
00:14:16,299 --> 00:14:17,289
absolutely.

386
00:14:18,159 --> 00:14:20,130
There's a sense of.

387
00:14:21,200 --> 00:14:23,599
If we're gonna do this and this and this and this and this,

388
00:14:24,210 --> 00:14:24,780
and

389
00:14:25,239 --> 00:14:26,479
we know differently,

390
00:14:26,650 --> 00:14:28,080
people don't know what they don't know.

391
00:14:28,570 --> 00:14:30,039
So as frustrating as it is,

392
00:14:30,119 --> 00:14:31,570
as defeating as it can be.

393
00:14:32,419 --> 00:14:36,599
I am constantly bringing myself back to people don't know what they don't know.

394
00:14:38,140 --> 00:14:40,419
So I'm going to do everything I can.

395
00:14:41,489 --> 00:14:43,619
To meet this child where he or she is,

396
00:14:43,710 --> 00:14:46,739
I'm going to do everything I can to be with this child.

397
00:14:46,909 --> 00:14:49,280
I'm going to be CCPT with this child.

398
00:14:50,400 --> 00:14:51,969
We know that regardless of what's going

399
00:14:51,969 --> 00:14:54,309
on in other relationships and other environments,

400
00:14:54,919 --> 00:14:57,729
CCPT changes the child they build coping,

401
00:14:57,799 --> 00:14:58,880
they build resilience

402
00:14:59,080 --> 00:15:00,390
they build self concept,

403
00:15:00,520 --> 00:15:01,950
they build self regulation

404
00:15:02,260 --> 00:15:03,909
in spite of everything else,

405
00:15:04,159 --> 00:15:05,549
they still heal

406
00:15:05,840 --> 00:15:07,469
they still self-actualize,

407
00:15:07,760 --> 00:15:10,950
and so I'm constantly saying people don't know what they don't know.

408
00:15:11,960 --> 00:15:13,349
If I'm given the platform,

409
00:15:13,400 --> 00:15:15,590
I'm absolutely going to try to help them know.

410
00:15:16,969 --> 00:15:18,820
But in the midst of all of that,

411
00:15:19,219 --> 00:15:19,929
my role,

412
00:15:20,159 --> 00:15:21,590
my number one priority.

413
00:15:22,390 --> 00:15:24,080
is to pour into this child

414
00:15:24,580 --> 00:15:26,320
so that the child can

415
00:15:26,739 --> 00:15:30,500
build the skills and the tools and the awareness that he or she needs.

416
00:15:31,840 --> 00:15:34,450
To address all of these environments

417
00:15:34,450 --> 00:15:37,270
and relationships and situations more appropriately.

418
00:15:38,640 --> 00:15:39,590
That is

419
00:15:39,840 --> 00:15:40,380
the

420
00:15:40,679 --> 00:15:41,349
catalyst.

421
00:15:42,210 --> 00:15:43,489
We can't control environment,

422
00:15:43,570 --> 00:15:44,840
we can't control people,

423
00:15:44,969 --> 00:15:47,020
we can't control circumstances.

424
00:15:47,330 --> 00:15:50,559
We only have control over our engagement and investment with that child.

425
00:15:51,429 --> 00:15:53,000
So we fall back on that.

426
00:15:53,369 --> 00:15:54,609
I know this model works.

427
00:15:54,690 --> 00:15:58,369
I know this model will equip this child to handle situations.

428
00:15:59,599 --> 00:16:01,500
And then as much as possible,

429
00:16:01,710 --> 00:16:04,070
we use opportunities to plant seeds

430
00:16:04,070 --> 00:16:06,780
and to have conversations and to psycho-educate

431
00:16:07,030 --> 00:16:09,539
and to do what we need to do to advocate on behalf of that child.

432
00:16:10,429 --> 00:16:10,909
So Chloe,

433
00:16:10,940 --> 00:16:12,059
I hope that that is helpful.

434
00:16:12,099 --> 00:16:13,650
I hope that's helpful for all of you.

435
00:16:14,289 --> 00:16:16,729
Certainly things that we face consistently

436
00:16:17,140 --> 00:16:19,539
across our work with children in CCPT.

437
00:16:19,859 --> 00:16:21,099
So I'm very grateful for the email.

438
00:16:21,140 --> 00:16:22,020
If y'all want to email me,

439
00:16:22,099 --> 00:16:24,330
please do brenna@thekidcounselor.com.

440
00:16:24,580 --> 00:16:25,059
I love you all.

441
00:16:25,099 --> 00:16:25,900
We'll talk again soon.

442
00:16:26,099 --> 00:16:26,299
Bye.

443
00:16:27,359 --> 00:16:30,119
Thank you for listening to the Play Therapy Podcast with Dr.

444
00:16:30,280 --> 00:16:31,239
Brenna Hicks.

445
00:16:31,359 --> 00:16:33,320
For more episodes and resources,

446
00:16:33,479 --> 00:16:38,229
please go to www.playtherapypodcast.com.

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