169 | When a Child's Outbursts are Limited to Home: A Child-Centered Play Therapy Perspective
Play Therapy Podcast: A Master-Class in Child-Centered Play Therapy
In this episode, I answer a question from Tammy in Canada about a 9-year-old child who is well-behaved in settings like school and sports, but has outbursts, hits parents, swears, and calls names when experiencing big emotions at home. The child then deals with a lot of shame afterwards.
I explain that when a child is dysregulated predominantly at home but regulated everywhere else, it usually means the child treats the people who provide the most unconditional love and acceptance the worst. It's like a pressure cooker - the child holds it together everywhere else but lets it all out at home because they feel safe to fall apart there, knowing their parents will love them anyway.
The key is for parents to use child-centered play therapy strategies at home - reflecting the child's feelings in the moment and setting appropriate limits. The child needs to build emotional vocabulary and self-esteem, which are universal outcomes of CCPT. With psychoeducation and training, parents can learn to sit in the pocket of the feeling with their child rather than trying to talk them out of their emotions.
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
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. (2002). Play therapy: The art of the relationship (2nd ed.). Brunner-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.
Available Results
Generated results are saved to the knowledge database for reuse and search.
Extract Knowledge
Pick what you want extracted first. Model, scope, and chapter options appear after a template is selected.
Transcript
0 00:00:00,409 --> 00:00:04,309 You're listening to the Play Therapy Podcast with Dr. Brenna Hicks. 1 00:00:04,320 --> 00:00:08,069 Your source for centered and focused play therapy coaching. 2 00:00:08,079 --> 00:00:10,229 Hi, I'm Dr. Brenna Hicks, The Kid Counselor. 3 00:00:10,239 --> 00:00:13,819 This is the Play Therapy Podcast where you get a master class in child-centered, 4 00:00:13,829 --> 00:00:16,989 play therapy and practical support and application for 5 00:00:17,000 --> 00:00:18,909 your work with children and their families. 6 00:00:19,280 --> 00:00:23,079 In today's episode. I am answering a question from Tammy in Canada. 7 00:00:23,690 --> 00:00:26,709 Thank you to all of my Canadians who are listening and I actually have 8 00:00:26,719 --> 00:00:30,069 quite a few Canadians in the collective and in my coaching programs these days. 9 00:00:30,079 --> 00:00:30,430 So 10 00:00:30,819 --> 00:00:32,380 it's exciting to have you all. 11 00:00:32,389 --> 00:00:35,990 Our little northern neighbors, or really large northern neighbor actually. 12 00:00:36,299 --> 00:00:41,250 Ok. So Tammy's question, I'm, I'm back on track y'all. Sorry, I got diverted. 13 00:00:41,650 --> 00:00:46,240 So, Tammy's question is about a child who 14 00:00:46,430 --> 00:00:48,669 is really having a difficult time at home 15 00:00:49,020 --> 00:00:51,189 but not really in other environments 16 00:00:51,840 --> 00:00:53,860 and how to support the parents in that 17 00:00:54,029 --> 00:00:57,169 and kind of processing that through the child-centered lens. 18 00:00:57,180 --> 00:00:58,759 So, Tammy, thanks so much for the email. 19 00:00:58,770 --> 00:01:02,369 Let me read parts of her email for you all and then I'll share some thoughts. 20 00:01:03,270 --> 00:01:09,089 So a question about kids in my practice nine year old, very well behaved. 21 00:01:09,099 --> 00:01:10,089 That's in quotes 22 00:01:10,260 --> 00:01:11,269 and liked 23 00:01:11,910 --> 00:01:16,290 and then quote mature in other settings such as sports and school. 24 00:01:16,580 --> 00:01:18,690 But at home has outbursts 25 00:01:18,860 --> 00:01:21,919 will hit parents swear, name call when 26 00:01:22,150 --> 00:01:24,059 experiencing big emotions 27 00:01:24,330 --> 00:01:30,410 and then deals with a lot of shame. After quote, I'm a terrible kid. You must hate me. 28 00:01:30,419 --> 00:01:31,250 End quote. 29 00:01:31,709 --> 00:01:33,730 Parents are very supportive, reassuring, 30 00:01:33,739 --> 00:01:36,900 have emotional language and try to help the child deescalates 31 00:01:37,330 --> 00:01:40,010 behavior is less but is still occurring. 32 00:01:40,169 --> 00:01:43,910 What is the underlying need? That's the question I'm trying to answer. 33 00:01:44,199 --> 00:01:48,290 Could this be a response to perceived pressure in other environments? 34 00:01:48,919 --> 00:01:51,209 There's also some school refusal but this can 35 00:01:51,220 --> 00:01:53,730 be worked through still comes up though. 36 00:01:53,910 --> 00:01:59,349 How would the CCPT approach address this and what are strategies parents can use? 37 00:02:00,169 --> 00:02:03,500 All right, Tammy, thank you. This is a really helpful question I think for all of us. 38 00:02:03,510 --> 00:02:04,870 So I'm happy to dive into this. 39 00:02:05,349 --> 00:02:08,860 So I'm gonna kind of tackle these in order as much as possible. 40 00:02:09,169 --> 00:02:12,509 But I think overarching, it's important for us to note 41 00:02:12,770 --> 00:02:13,429 that 42 00:02:13,710 --> 00:02:18,149 when we see that there's disregulation predominantly in one environment, 43 00:02:18,990 --> 00:02:23,259 we can usually map that down to one of two things. 44 00:02:24,449 --> 00:02:27,179 So the first option is if it is 45 00:02:27,539 --> 00:02:29,630 mostly disregulated at home 46 00:02:29,820 --> 00:02:31,929 but regulated everywhere else, 47 00:02:32,220 --> 00:02:33,669 that's a very distinct 48 00:02:34,619 --> 00:02:35,800 scenario. By the way. 49 00:02:36,119 --> 00:02:40,789 In other words, I can manage my behavior everywhere except at home, 50 00:02:41,410 --> 00:02:42,720 that's different than 51 00:02:43,100 --> 00:02:47,759 I am managing my behavior appropriately in the playroom, but nowhere else. 52 00:02:48,240 --> 00:02:50,649 OK. So let's make it very clear 53 00:02:50,759 --> 00:02:54,000 home dysregulation but regulated everywhere else. 54 00:02:54,199 --> 00:02:54,220 It 55 00:02:54,399 --> 00:02:58,020 is almost always that the child treats 56 00:02:58,139 --> 00:02:59,880 the people or the person 57 00:03:00,440 --> 00:03:04,750 who provides them with the most unconditional love and acceptance the worst. 58 00:03:06,460 --> 00:03:07,320 Let me say that again, 59 00:03:08,240 --> 00:03:11,589 the child will often treat the person or the people 60 00:03:12,089 --> 00:03:16,839 from whom they get the most unconditional love and acceptance the worst. 61 00:03:18,139 --> 00:03:20,490 And that's essentially because 62 00:03:21,970 --> 00:03:24,839 I have to hold it together everywhere else 63 00:03:25,539 --> 00:03:26,809 and I can do it. 64 00:03:27,039 --> 00:03:30,539 But then I need the place to just fall apart 65 00:03:30,699 --> 00:03:33,600 and let it all out. And I know that you'll love me anyway. 66 00:03:34,259 --> 00:03:35,759 So there's some freedom 67 00:03:36,149 --> 00:03:40,919 in knowing that my mom is always going to love me no matter how awful I am to her. 68 00:03:41,000 --> 00:03:44,240 So I can hold it together for everyone else everywhere else. 69 00:03:44,369 --> 00:03:46,110 But then at home I fall apart. 70 00:03:46,899 --> 00:03:48,479 OK. So that is one option. 71 00:03:48,690 --> 00:03:50,250 Second option is 72 00:03:50,479 --> 00:03:54,320 that if they are regulated in all environments except one, 73 00:03:55,419 --> 00:03:57,350 it is usually a relational issue, 74 00:03:58,960 --> 00:04:01,940 meaning there is some kind of fracture or 75 00:04:01,949 --> 00:04:05,100 there's some kind of break in the relationship 76 00:04:05,360 --> 00:04:07,419 between the authority figure and the child. 77 00:04:07,949 --> 00:04:11,869 We see this often once a child's been in play therapy for a while 78 00:04:12,289 --> 00:04:16,019 that they've regulated everywhere except school. For example, 79 00:04:16,858 --> 00:04:20,440 it is almost always a teacher, student relationship issue. 80 00:04:22,450 --> 00:04:25,989 So in this case, Tammy, you mentioned that the parents are supportive, reassuring, 81 00:04:26,000 --> 00:04:29,109 have emotional language and they help, try to help the child de escalate 82 00:04:29,750 --> 00:04:34,510 so that lends itself toward it may not be a relationship issue. 83 00:04:35,059 --> 00:04:38,010 But I do question and I guess I'm curious 84 00:04:38,339 --> 00:04:40,769 if these parents are actually too permissive 85 00:04:41,750 --> 00:04:44,040 because when I hear their support of reassuring, 86 00:04:44,049 --> 00:04:46,890 have emotional language and they're trying to help their child de escalate, 87 00:04:47,390 --> 00:04:49,970 are they actually setting appropriate limits on 88 00:04:49,980 --> 00:04:52,089 this behavior where he's hitting them, 89 00:04:52,100 --> 00:04:54,220 cussing at them, calling them names? 90 00:04:54,709 --> 00:04:57,089 Are they just trying to be really sweet and kind and 91 00:04:57,100 --> 00:05:00,209 loving during those moments or are they actually setting appropriate limits? 92 00:05:01,350 --> 00:05:03,559 So that becomes my question. 93 00:05:03,920 --> 00:05:05,589 And obviously, I don't have the answer. 94 00:05:05,600 --> 00:05:07,869 You might or you might have to talk to them about it, Tammy. 95 00:05:08,119 --> 00:05:08,670 But 96 00:05:09,290 --> 00:05:13,850 we have to be very careful that just because parents seem squared away and they seem 97 00:05:13,859 --> 00:05:15,730 that they're very invested in their children does 98 00:05:15,739 --> 00:05:18,410 not mean that they're handling circumstances appropriately. 99 00:05:20,510 --> 00:05:22,149 So when 100 00:05:22,459 --> 00:05:26,769 they have held it together everywhere else and then they're at their worst at home, 101 00:05:27,339 --> 00:05:29,250 we can liken it to a pressure cooker 102 00:05:29,959 --> 00:05:32,940 or to a spool of thread 103 00:05:33,179 --> 00:05:35,859 that keeps getting tighter and tighter and tighter wound. 104 00:05:37,369 --> 00:05:39,940 So essentially what's going on is the pressure is building, 105 00:05:39,950 --> 00:05:42,730 the pressure is building, the pressure is building and I'm hanging on 106 00:05:42,850 --> 00:05:45,559 and I'm getting it through and I'm doing what I have to do. 107 00:05:45,570 --> 00:05:48,829 But then when I get home, I have to release the pressure 108 00:05:49,980 --> 00:05:50,829 and or 109 00:05:51,399 --> 00:05:55,109 the spool can't be spun more tightly and the thread snaps. 110 00:05:56,579 --> 00:06:01,190 So that is a really helpful analogy to share with parents sometimes about why 111 00:06:01,489 --> 00:06:02,239 they 112 00:06:02,720 --> 00:06:04,130 end up getting the worst. 113 00:06:04,299 --> 00:06:08,829 I actually did a parenting podcast episode related to this topic a while back. 114 00:06:09,040 --> 00:06:11,480 I think the title was something like when your children 115 00:06:11,489 --> 00:06:14,209 treat you like garbage or something along those lines. 116 00:06:14,690 --> 00:06:16,380 And we talk a lot about this 117 00:06:16,769 --> 00:06:18,769 because a lot of times parents are like, 118 00:06:19,010 --> 00:06:23,350 I am so good to them and I am so kind and I don't raise my voice 119 00:06:23,480 --> 00:06:26,200 and I'm so loving and I'm so patient and I'm the 120 00:06:26,209 --> 00:06:28,269 one that gets the brunt of all of their junk. 121 00:06:28,739 --> 00:06:30,630 Well, that needs to be reframed 122 00:06:30,739 --> 00:06:34,600 because as frustrating as that is and as defeating as that is 123 00:06:34,769 --> 00:06:36,809 and as hurtful as that sometimes is, 124 00:06:37,660 --> 00:06:40,720 it actually means that there's a solid relationship there and that the 125 00:06:40,730 --> 00:06:44,450 child feels safe enough to let you see them at their worst. 126 00:06:46,239 --> 00:06:50,059 So there's a reframing and kind of a new lens through which 127 00:06:50,070 --> 00:06:53,619 you can view all of that if a parent understands the why? 128 00:06:53,640 --> 00:06:55,059 Because the why matters. 129 00:06:55,690 --> 00:06:57,910 So my staff at my center 130 00:06:58,119 --> 00:07:01,250 uses against me all the time. Hashtag the why matters. 131 00:07:01,700 --> 00:07:03,350 Oh, I hear it too much. OK. 132 00:07:03,839 --> 00:07:05,519 So my next 133 00:07:05,959 --> 00:07:09,709 thought, you mentioned, what are the strategies parents can use? 134 00:07:09,720 --> 00:07:13,980 Well, are parents using CCPT strategies? Let's start there 135 00:07:14,399 --> 00:07:16,579 because just because they're supportive, reassuring, 136 00:07:16,589 --> 00:07:19,399 have emotional language and they try to help the child deescalates 137 00:07:21,339 --> 00:07:24,470 is that being perceived as dismissive to the child? 138 00:07:25,579 --> 00:07:29,399 Just take a breath, you're fine. You don't need to get mad. 139 00:07:29,549 --> 00:07:30,970 It's gonna be ok. 140 00:07:32,390 --> 00:07:36,260 The child doesn't feel or believe any of those things in a dysregulated state. 141 00:07:37,399 --> 00:07:40,190 So, are they reflecting the child's feelings in those moments? 142 00:07:42,380 --> 00:07:45,510 Are they setting appropriate limits in those moments? 143 00:07:47,559 --> 00:07:49,100 That becomes my question 144 00:07:49,269 --> 00:07:50,250 because 145 00:07:50,940 --> 00:07:55,239 you mentioned, you're wondering how the CCPT approach will address this. 146 00:07:55,489 --> 00:07:59,480 Well, number one, it builds, it builds an emotional vocabulary 147 00:07:59,970 --> 00:08:02,720 as the child works through things in the playroom. 148 00:08:04,320 --> 00:08:07,910 This child clearly doesn't have an emotional vocabulary or emotional IQ 149 00:08:09,130 --> 00:08:10,510 because if he did, 150 00:08:10,769 --> 00:08:13,089 he would not be reacting the way he 151 00:08:13,100 --> 00:08:15,380 is emotionally and behaviorally toward his parents. 152 00:08:15,920 --> 00:08:19,500 He would be verbally expressing his needs and his feelings. 153 00:08:20,829 --> 00:08:23,570 So we know that a child builds an emotional 154 00:08:23,579 --> 00:08:26,769 vocabulary as a universal outcome of the child-centered model. 155 00:08:27,160 --> 00:08:29,079 So that's one way that it would be addressed. 156 00:08:29,779 --> 00:08:34,239 He also needs to have his feelings reflected in the playroom and at home and 157 00:08:34,250 --> 00:08:38,400 he needs to have appropriate limits set when necessary in the playroom and at home 158 00:08:39,210 --> 00:08:43,190 because he has to practice a hearing and complying with limits and 159 00:08:43,200 --> 00:08:47,630 he has to hear emotions so that he can build that vocabulary. 160 00:08:49,580 --> 00:08:52,679 So that would be my next question for you, Tammy is. 161 00:08:52,690 --> 00:08:57,179 I wonder how much psycho education and training that you've given to parents here 162 00:08:57,489 --> 00:09:01,039 so that they are aware of the need for reflecting their child's feelings, 163 00:09:01,049 --> 00:09:03,479 sit in the pocket of the feeling with your child 164 00:09:04,900 --> 00:09:07,570 we don't try to make them think and feel it's going to be ok, 165 00:09:07,580 --> 00:09:09,010 they don't think or feel that. 166 00:09:10,549 --> 00:09:16,659 So when a child is well behaved and mature and liked 167 00:09:16,770 --> 00:09:17,960 in other settings 168 00:09:19,429 --> 00:09:22,049 and then is the complete opposite at home. 169 00:09:23,450 --> 00:09:24,659 That's exhausting 170 00:09:27,250 --> 00:09:28,950 because one is a show 171 00:09:29,059 --> 00:09:30,349 and one is 172 00:09:30,630 --> 00:09:32,989 a demonstration of the depth of the heart. 173 00:09:34,919 --> 00:09:37,780 So that leads me to my final thought, which is 174 00:09:38,070 --> 00:09:42,530 I suspect there's a huge lack of self esteem and lack of identity with this child. 175 00:09:44,330 --> 00:09:48,599 Because everything that you're describing here, Tammy implies 176 00:09:48,719 --> 00:09:49,400 that 177 00:09:49,950 --> 00:09:53,070 he believes if he is not perfect, 178 00:09:54,200 --> 00:09:55,570 he is not good 179 00:09:58,099 --> 00:10:01,299 when you don't have an identity. When you don't have self esteem, 180 00:10:02,650 --> 00:10:04,820 any perceived failure, 181 00:10:05,280 --> 00:10:11,219 any perceived misstep, any perceived negative outcome at all 182 00:10:12,049 --> 00:10:14,390 is that you have failed and that you are 183 00:10:14,400 --> 00:10:16,349 bad and that there's something wrong with you. 184 00:10:18,219 --> 00:10:19,659 And this is further 185 00:10:20,419 --> 00:10:23,690 suggested with the he has a lot of shame afterwards. 186 00:10:23,719 --> 00:10:29,440 Remember emotions will rise so far and so fast. Brain takes a break, 187 00:10:29,770 --> 00:10:33,270 emotions dictate everything brain comes back in 188 00:10:33,409 --> 00:10:36,359 and that's where shame and remorse and guilt come from. 189 00:10:37,400 --> 00:10:40,619 Because all of a sudden now the brain is going, you shouldn't have done that, 190 00:10:40,630 --> 00:10:41,500 you know better. 191 00:10:41,510 --> 00:10:45,299 Why did you hit her? Why did you cuss, why did you say those things? 192 00:10:45,309 --> 00:10:47,369 Why, what in the world were you thinking? 193 00:10:47,380 --> 00:10:49,780 Well, the reality is they weren't thinking at all. 194 00:10:50,840 --> 00:10:52,140 And then further, 195 00:10:52,409 --> 00:10:56,140 I am bad. I am a failure. There's something wrong with me. 196 00:10:56,150 --> 00:10:58,739 It becomes a negative self reflection 197 00:10:58,840 --> 00:10:59,729 rather than 198 00:10:59,919 --> 00:11:00,989 I made a mistake. 199 00:11:02,729 --> 00:11:05,320 So we also know one of the universal outcomes 200 00:11:05,330 --> 00:11:07,869 of child center play therapy is increased self esteem. 201 00:11:09,049 --> 00:11:12,719 So with those two universal outcomes being addressed, a 202 00:11:13,260 --> 00:11:16,880 building of self esteem and a building of emotional vocabulary, 203 00:11:17,270 --> 00:11:20,590 he will naturally be able to start processing things differently, 204 00:11:20,599 --> 00:11:23,419 responding differently, communicating differently, 205 00:11:23,880 --> 00:11:25,469 regulating differently. 206 00:11:25,750 --> 00:11:29,109 Remember a third universal outcome is increased regulation. 207 00:11:30,010 --> 00:11:33,869 So all of these are going to be swirling together, increased worldview 208 00:11:34,059 --> 00:11:36,789 when I yell and cuss and scream and hit my parents, 209 00:11:37,299 --> 00:11:38,429 that hurts them. 210 00:11:39,580 --> 00:11:42,479 There's a ramification on their end as well as mine, 211 00:11:42,760 --> 00:11:46,229 right? So four universal outcomes very much at play here. 212 00:11:47,299 --> 00:11:48,669 But keep in mind 213 00:11:48,830 --> 00:11:52,840 that if parents are not using CCPT skills at home, 214 00:11:52,929 --> 00:11:54,760 and they're not reflecting his feeling 215 00:11:54,770 --> 00:11:56,880 and they're not setting limits appropriately, 216 00:11:57,669 --> 00:12:01,859 it's going to take longer for him to be able to implement the acquisition of 217 00:12:01,869 --> 00:12:04,789 those skills at home because the child always 218 00:12:04,799 --> 00:12:08,169 fixes the easiest environments and situations first. 219 00:12:09,070 --> 00:12:11,130 And the ones that hang on are the ones that 220 00:12:11,140 --> 00:12:13,669 are the most deeply entrenched and the hardest to master. 221 00:12:14,590 --> 00:12:18,429 So we have an established pattern of behavior here that at home he's going 222 00:12:18,440 --> 00:12:22,130 to behave in these certain ways because he knows that he's unconditionally loved, 223 00:12:23,030 --> 00:12:27,929 the more they use CCPT skills and it mirrors what's happening in the playroom, 224 00:12:27,940 --> 00:12:31,010 the faster he will be able to acclimate to 225 00:12:31,020 --> 00:12:33,530 using the skills in that environment as well. 226 00:12:34,900 --> 00:12:38,520 So, Tammy, thanks so much for the email and I hope that that was helpful for all of you. 227 00:12:38,609 --> 00:12:40,799 If you would like me to answer a question, 228 00:12:40,809 --> 00:12:43,599 you can email me brenna@thekidcounselor.com. 229 00:12:43,659 --> 00:12:50,080 You can also, if you're in the States call the hotline, which is 813-812-5525. 230 00:12:50,090 --> 00:12:52,840 Leave me a message and I can hear your question 231 00:12:53,140 --> 00:12:54,359 over voicemail. 232 00:12:54,599 --> 00:12:57,340 And finally, if you want to ask me questions live, 233 00:12:57,349 --> 00:13:00,440 you can always join the collective at CCPT collective.com. 234 00:13:00,820 --> 00:13:03,229 All right, y'all, I'm really grateful for each and every one of you. 235 00:13:03,239 --> 00:13:04,919 Thanks for spending time with me each week. 236 00:13:04,929 --> 00:13:07,299 By the way, I hope y'all had a lovely father's day, 237 00:13:07,429 --> 00:13:10,880 either celebrating your father or the father to your children 238 00:13:11,049 --> 00:13:13,440 or just enjoying the day with friends and family. 239 00:13:13,450 --> 00:13:17,265 I hope that you were able to spend quality time with people that you love 240 00:13:17,494 --> 00:13:21,905 and my husband and son went to the driving range and golfed together. 241 00:13:22,195 --> 00:13:26,234 So they had a really good time. I just watched golf and I are not fast friends. 242 00:13:26,244 --> 00:13:27,544 So anyway, 243 00:13:27,775 --> 00:13:30,905 but it was good for us. So love you all. We'll talk again soon. Bye. 244 00:13:31,969 --> 00:13:34,760 Thank you for listening to the Play Therapy Podcast with 245 00:13:34,770 --> 00:13:38,109 Dr brenna Hicks for more episodes and resources. 246 00:13:38,119 --> 00:13:43,030 Please go to www.playtherapypodcast.com.