Photo of Sean Edward Burns, Limited Licensed Psychologist in Caledonia, MI
Sean Edward Burns
Limited Licensed Psychologist, MA, LLP, CAADC, SAP
Verified Verified
1 Endorsed
Caledonia, MI 49316
Sean is a psychotherapist who has been practicing since 1998. He has experience providing psychotherapy services for children, adolescents, adults, couples, and families. He is trained in Trauma Model Therapy through the Ross Institute and is also certified in EMDR. Mr. Burns is a Certified Advanced Alcohol and Drug Counselor. He works with his clients to come up with a practical yet comprehensive treatment plan. If you are unsure about setting up that first appointment and just want to talk things over, Sean would be happy to speak with you over the phone.
Sean is a psychotherapist who has been practicing since 1998. He has experience providing psychotherapy services for children, adolescents, adults, couples, and families. He is trained in Trauma Model Therapy through the Ross Institute and is also certified in EMDR. Mr. Burns is a Certified Advanced Alcohol and Drug Counselor. He works with his clients to come up with a practical yet comprehensive treatment plan. If you are unsure about setting up that first appointment and just want to talk things over, Sean would be happy to speak with you over the phone.
(616) 678-2045 View (616) 678-2045
Photo of Cherie D Rucker, Clinical Social Work/Therapist in Caledonia, MI
Cherie D Rucker
Clinical Social Work/Therapist, LMSW, IMH-E
Verified Verified
Caledonia, MI 49316
Individuals seek therapy for many issues. I have been afforded the opportunity to work alongside people that want help in managing Anxiety, Depression, Self-Esteem barriers and daily stress. Often times these issues are masked by deep rooted trauma, grief and abuse. Individuals need encouragement, support, feeling that they are heard and validation while on their journey to healing.
Individuals seek therapy for many issues. I have been afforded the opportunity to work alongside people that want help in managing Anxiety, Depression, Self-Esteem barriers and daily stress. Often times these issues are masked by deep rooted trauma, grief and abuse. Individuals need encouragement, support, feeling that they are heard and validation while on their journey to healing.
(616) 239-3147 View (616) 239-3147
Photo of Kerrie Clark, Counselor in Caledonia, MI
Kerrie Clark
Counselor, MA, LPC
Verified Verified
Caledonia, MI 49316
Not accepting new clients
Kerrie believes every client has the power within themselves to find fulfillment; sometimes they just need to view their situation from a different angle to find the right path. Kerrie is a general practitioner, meaning she works with a variety of concerns listed at right. She specializes in helping others process traumatic experiences so those experiences become a source of strength. She enjoys working with children and adolescents by utilizing play and art therapy techniques to help them gain comfort and express emotion. She also works with couples who are looking to strengthen their relationship or separate amicably.
Kerrie believes every client has the power within themselves to find fulfillment; sometimes they just need to view their situation from a different angle to find the right path. Kerrie is a general practitioner, meaning she works with a variety of concerns listed at right. She specializes in helping others process traumatic experiences so those experiences become a source of strength. She enjoys working with children and adolescents by utilizing play and art therapy techniques to help them gain comfort and express emotion. She also works with couples who are looking to strengthen their relationship or separate amicably.
(616) 205-4866 View (616) 205-4866
Photo of Tara Blury, Clinical Social Work/Therapist in Caledonia, MI
Tara Blury
Clinical Social Work/Therapist, LMSW, CAADC, TF-CBT
Verified Verified
Caledonia, MI 49316
Not accepting new clients
My goal is to work together, finding ways to help you improve your life & relationships, feel less anxious/depressed/provide clarity. Sharing your insecurities, fears, hurts, and struggles can be an intimidating experience. I strive to help each of my clients feel comfortable with the therapy process. I have extensive training to help individuals who have experienced many forms of trauma, abuse, grief and loss. I also have many clients who just feel "lost", "anxious", or "depressed" and they benefit greatly from counseling.I am trained in EMDR, TF-CBT, Sensorimotor Processing, CBT, and other therapeutic interventions.
My goal is to work together, finding ways to help you improve your life & relationships, feel less anxious/depressed/provide clarity. Sharing your insecurities, fears, hurts, and struggles can be an intimidating experience. I strive to help each of my clients feel comfortable with the therapy process. I have extensive training to help individuals who have experienced many forms of trauma, abuse, grief and loss. I also have many clients who just feel "lost", "anxious", or "depressed" and they benefit greatly from counseling.I am trained in EMDR, TF-CBT, Sensorimotor Processing, CBT, and other therapeutic interventions.
(616) 871-2053 View (616) 871-2053

More Therapists Nearby

Photo of Bethany Christian Services - Grand Rapids, Licensed Professional Counselor in Caledonia, MI
Bethany Christian Services - Grand Rapids
Licensed Professional Counselor
Verified Verified
Wyoming, MI 49508
Treatments utilized vary by your needs and the counselor's expertise, and may include Cognitive Behavioral Therapy (CBT), TF-CBT, EMDR, Play Therapy, Interpersonal Process, and more.
Are you or your family going through a difficult time? Maybe you are experiencing relational challenges, feeling anxious or depressed, struggling to make sense of traumatic experiences, or worrying about your child's emotional or social functioning. At Bethany, we have an expert team of trauma-informed, culturally responsive counseling and psychiatric professionals who will walk alongside you in the pursuit of personal and relational wellbeing. As a community rooted in hope, our clinicians create an inclusive space that is open to all. No matter what you are facing, we are here to help.
Treatments utilized vary by your needs and the counselor's expertise, and may include Cognitive Behavioral Therapy (CBT), TF-CBT, EMDR, Play Therapy, Interpersonal Process, and more.
Are you or your family going through a difficult time? Maybe you are experiencing relational challenges, feeling anxious or depressed, struggling to make sense of traumatic experiences, or worrying about your child's emotional or social functioning. At Bethany, we have an expert team of trauma-informed, culturally responsive counseling and psychiatric professionals who will walk alongside you in the pursuit of personal and relational wellbeing. As a community rooted in hope, our clinicians create an inclusive space that is open to all. No matter what you are facing, we are here to help.
(616) 523-3525 View (616) 523-3525
Photo of Dr. Merrill E Graham, Clinical Social Work/Therapist in Caledonia, MI
Dr. Merrill E Graham
Clinical Social Work/Therapist, PhD, LMSW, RPT
Verified Verified
Grand Rapids, MI 49506
Waitlist for new clients
As a Registered Play Therapist, I treat children using play therapy and art therapy.
I am an experienced Psychotherapist with over 25 years experience working with children, teens, adults, and families in the areas of depression, anxiety, trauma, grief and loss, divorce, and other life changes. I offer Polyvagal-informed therapy with the focus of eliminating the symptoms that have impaired healthy functioning.
As a Registered Play Therapist, I treat children using play therapy and art therapy.
I am an experienced Psychotherapist with over 25 years experience working with children, teens, adults, and families in the areas of depression, anxiety, trauma, grief and loss, divorce, and other life changes. I offer Polyvagal-informed therapy with the focus of eliminating the symptoms that have impaired healthy functioning.
(616) 210-3888 View (616) 210-3888
Photo of Ann Bixler, Limited Licensed Psychologist in Caledonia, MI
Ann Bixler
Limited Licensed Psychologist, LLP, ICAADC, RPT
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
Play therapy for adults and children.
I 've been in private practice since 1997. Throughout that time I have continued to expand on my knowledge and develop specialties in play therapy, working with the LGBTQ community, substance abuse, and trauma including PTSD. I work with clients experiencing anxiety and depression. I see each client as unique and feel honored to join them in their journey towards health and wellness. I am affiliated with organizations that keep me abreast of evidence-based practices for the unique situations that clients bring to therapy.
Play therapy for adults and children.
I 've been in private practice since 1997. Throughout that time I have continued to expand on my knowledge and develop specialties in play therapy, working with the LGBTQ community, substance abuse, and trauma including PTSD. I work with clients experiencing anxiety and depression. I see each client as unique and feel honored to join them in their journey towards health and wellness. I am affiliated with organizations that keep me abreast of evidence-based practices for the unique situations that clients bring to therapy.
(616) 312-2470 View (616) 312-2470
Photo of Julie Schalk, Counselor in Caledonia, MI
Julie Schalk
Counselor, LLPC
Verified Verified
1 Endorsed
Grand Rapids, MI 49512
Cognitive Behavioral Therapy (CBT), TF-CBT, Eye Movement Desensitization and Reprocessing (EMDR trained), Play Therapy, and some Internal Family Systems (IFS) are my most commonly used therapy types with clients.
I am passionate about counseling pre-teens (age 10 and up), adolescents, young adults, and adults. I especially enjoy helping others untangle and heal from past trauma as well as helping individuals with ADHD develop an understanding for their way of operating and skills around that, viewing it in a positive light. I enjoy using Sand Tray, Play Therapy, and EMDR with clients of all ages.
Cognitive Behavioral Therapy (CBT), TF-CBT, Eye Movement Desensitization and Reprocessing (EMDR trained), Play Therapy, and some Internal Family Systems (IFS) are my most commonly used therapy types with clients.
I am passionate about counseling pre-teens (age 10 and up), adolescents, young adults, and adults. I especially enjoy helping others untangle and heal from past trauma as well as helping individuals with ADHD develop an understanding for their way of operating and skills around that, viewing it in a positive light. I enjoy using Sand Tray, Play Therapy, and EMDR with clients of all ages.
(616) 236-4242 x168 View (616) 236-4242 x168
Photo of Becky Mills, Clinical Social Work/Therapist in Caledonia, MI
Becky Mills
Clinical Social Work/Therapist, LMSW, JD
Verified Verified
Middleville, MI 49333
I utilize aspects from numerous tools and approaches, including Cognitive Behavior Therapy for adults and Play Therapy for children, to create a treatment plan that is tailored to your goals.
Circumstances are building and you fear that its weight will eventually grow to crush and consume you. You have so much to manage and yet you long to just let go of it all. You’re ready for a change, but it is terrifying. To face it may cause you to crumble, nevertheless, you will yourself to get through each day. If this sounds familiar and you wish to do more than get by, it is possible to flourish again. I aim to create a safe and empowering environment built upon a trusting therapeutic relationship so you can successfully heal from anxiety, depression, trauma, and grief and work toward thriving in your daily life.
I utilize aspects from numerous tools and approaches, including Cognitive Behavior Therapy for adults and Play Therapy for children, to create a treatment plan that is tailored to your goals.
Circumstances are building and you fear that its weight will eventually grow to crush and consume you. You have so much to manage and yet you long to just let go of it all. You’re ready for a change, but it is terrifying. To face it may cause you to crumble, nevertheless, you will yourself to get through each day. If this sounds familiar and you wish to do more than get by, it is possible to flourish again. I aim to create a safe and empowering environment built upon a trusting therapeutic relationship so you can successfully heal from anxiety, depression, trauma, and grief and work toward thriving in your daily life.
(616) 537-2805 View (616) 537-2805
Photo of Jesilee Bonofiglio, Clinical Social Work/Therapist in Caledonia, MI
Jesilee Bonofiglio
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49546
Due to my training in Play Therapy, I see children as young as 2.
Have a cup of tea or coffee. Sit back, and maybe even wrap in a blanket. Take this time to go wherever you need to go emotionally, knowing this is a judgment free room. As your therapist, I will not be able to solve your problems for you. Actually, I would not want to even if I could. I do not presume that I have answers to your problems, or that my way is the best or only way. I fully believe that you have the answers you need within you, we just need to uncover them. I will walk with you for as long as you want and need.
Due to my training in Play Therapy, I see children as young as 2.
Have a cup of tea or coffee. Sit back, and maybe even wrap in a blanket. Take this time to go wherever you need to go emotionally, knowing this is a judgment free room. As your therapist, I will not be able to solve your problems for you. Actually, I would not want to even if I could. I do not presume that I have answers to your problems, or that my way is the best or only way. I fully believe that you have the answers you need within you, we just need to uncover them. I will walk with you for as long as you want and need.
(616) 258-6254 View (616) 258-6254
Photo of Laura Hazekamp, Clinical Social Work/Therapist in Caledonia, MI
Laura Hazekamp
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Grand Rapids, MI 49508
You deserve to work with a therapist that is able to meet your needs, makes you feel comfortable and, let's be honest, is someone that you mesh with! The relationship between therapist and client is the core of the therapeutic process, when you connect with and trust in your therapist you are able to safely explore the things that brought you to therapy in the first place. I believe that you hold the answers to your questions and stressors and that it is my job to provide you with the tools to help uncover them.
You deserve to work with a therapist that is able to meet your needs, makes you feel comfortable and, let's be honest, is someone that you mesh with! The relationship between therapist and client is the core of the therapeutic process, when you connect with and trust in your therapist you are able to safely explore the things that brought you to therapy in the first place. I believe that you hold the answers to your questions and stressors and that it is my job to provide you with the tools to help uncover them.
(616) 427-1866 View (616) 427-1866
Photo of Julie Anna Schaefer-Space, Limited Licensed Psychologist in Caledonia, MI
Julie Anna Schaefer-Space
Limited Licensed Psychologist, MLLP
Verified Verified
7 Endorsed
Grand Rapids, MI 49508
I use an eclectic method of therapy, going to where the client is and has been, helping them have insight, awareness and behavioral and/or response changes as I help them unfold and address issues in their life story. Let the change begin.....supported and guided with accountability and love. I have been doing therapy for over 30 years.
I use an eclectic method of therapy, going to where the client is and has been, helping them have insight, awareness and behavioral and/or response changes as I help them unfold and address issues in their life story. Let the change begin.....supported and guided with accountability and love. I have been doing therapy for over 30 years.
(616) 344-5434 View (616) 344-5434
Photo of Lindsey Beaver, Clinical Social Work/Therapist in Caledonia, MI
Lindsey Beaver
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Wyoming, MI 49508  (Online Only)
Have you ever found yourself unable to feel better, despite past attempts to think your way out and move forward? Have you found that the same types of hardships keep happening over and over with your behaviors, family, friends, work, school, or partners, like a cycle you can't seem to escape? Maybe you've seen talk therapists or doctors for your symptoms before but didn't seem to get better for long. Or maybe you hold pain that's difficult to talk about. Are you tired of feeling stuck? Are you looking to get to the root of these challenges and heal them for good?
Have you ever found yourself unable to feel better, despite past attempts to think your way out and move forward? Have you found that the same types of hardships keep happening over and over with your behaviors, family, friends, work, school, or partners, like a cycle you can't seem to escape? Maybe you've seen talk therapists or doctors for your symptoms before but didn't seem to get better for long. Or maybe you hold pain that's difficult to talk about. Are you tired of feeling stuck? Are you looking to get to the root of these challenges and heal them for good?
(616) 727-7188 View (616) 727-7188
Photo of Kathleen Marie Weller, Counselor in Caledonia, MI
Kathleen Marie Weller
Counselor, MA, LPC, NCC
Verified Verified
Grand Rapids, MI 49546
The majority of my practice is working with women and "women's issues." Many women seek guidance and counsel as they deal with the stages and changes in their lives. Childbirth through menopause, there are challenges that can provoke thought, action or concerns. Trauma from childhood sexual abuse can cause depression and anxiety. I have worked with many women concerning these issues. The use of EMDR therapy provides a tool to process through trauma and improve outcomes.
The majority of my practice is working with women and "women's issues." Many women seek guidance and counsel as they deal with the stages and changes in their lives. Childbirth through menopause, there are challenges that can provoke thought, action or concerns. Trauma from childhood sexual abuse can cause depression and anxiety. I have worked with many women concerning these issues. The use of EMDR therapy provides a tool to process through trauma and improve outcomes.
(616) 384-4198 View (616) 384-4198
Photo of Steven Bristol, Clinical Social Work/Therapist in Caledonia, MI
Steven Bristol
Clinical Social Work/Therapist, MDiv, LMSW, TF-CBT, EMDR, CAADC
Verified Verified
1 Endorsed
Middleville, MI 49333
I'm passionate about providing support and compassionate counseling to individuals, couples, & families facing life-challenging crises, addictions, or illness with a heart of sincere concern. I assist clients in developing healthy life skills, resolving conflict, and accessing needed resources as they seek to fulfill their personal, family, and vocational goals. I'm experienced in a breadth of crises and family needs through years of church-based pastoral care and clinical counseling. I provide Individual, Couples, and Family Counseling, and Group Therapy. I can help address Men's Issues, Grief Support, and Conflict Mediation needs.
I'm passionate about providing support and compassionate counseling to individuals, couples, & families facing life-challenging crises, addictions, or illness with a heart of sincere concern. I assist clients in developing healthy life skills, resolving conflict, and accessing needed resources as they seek to fulfill their personal, family, and vocational goals. I'm experienced in a breadth of crises and family needs through years of church-based pastoral care and clinical counseling. I provide Individual, Couples, and Family Counseling, and Group Therapy. I can help address Men's Issues, Grief Support, and Conflict Mediation needs.
(269) 399-3468 View (269) 399-3468
Photo of 616 Center for Counseling & Behavioral Health, Clinical Social Work/Therapist in Caledonia, MI
616 Center for Counseling & Behavioral Health
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49506
Practicing since 2005, I work with children and teens, families and individuals and specialize in trauma, attachment, behavioral issues, children's mental health, relationship issues and transitions with the family life cycle. I assess clients and their presenting concerns with a welcoming, non-judgmental , solution-focused approach. My client-centered manner empowers the individual to realize strengths and assets available to them and how to compensate for and overcome identified barriers.
Practicing since 2005, I work with children and teens, families and individuals and specialize in trauma, attachment, behavioral issues, children's mental health, relationship issues and transitions with the family life cycle. I assess clients and their presenting concerns with a welcoming, non-judgmental , solution-focused approach. My client-centered manner empowers the individual to realize strengths and assets available to them and how to compensate for and overcome identified barriers.
(616) 984-1021 View (616) 984-1021
Photo of Jennifer Coria, Clinical Social Work/Therapist in Caledonia, MI
Jennifer Coria
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Grand Rapids, MI 49546
I am a native Spanish speaker and strongly believe in the value of incorporating culture and language to connect with my Spanish-speaking clients. My background consists of working with various age groups, such as children, adolescents, young adults, and families. My goal is to provide a nonjudgmental, multicultural, compassionate environment that will promote growth and change. I have experience working in schools, inpatient, and community-based. I believe it is my privilege to walk alongside you and to hear your story. Together we will identify goals, increase your resiliency, and help you become the best version of yourself.
I am a native Spanish speaker and strongly believe in the value of incorporating culture and language to connect with my Spanish-speaking clients. My background consists of working with various age groups, such as children, adolescents, young adults, and families. My goal is to provide a nonjudgmental, multicultural, compassionate environment that will promote growth and change. I have experience working in schools, inpatient, and community-based. I believe it is my privilege to walk alongside you and to hear your story. Together we will identify goals, increase your resiliency, and help you become the best version of yourself.
(616) 719-0194 View (616) 719-0194
William C Padding
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
Grand Rapids, MI 49546
I am a Licensed Clinical Social Worker who specializes in the treatment of children, adolescents and adults experiencing difficulties due to the trauma of sexual victimization and domestic violence. I have worked extensively within the Kent County Family Court system and various area agencies in addressing safety and advocacy issues for children and families. Additional areas of clinical expertise include anxiety and panic disorder, marriage counseling and working with divorced parents in establishing an effective co-parenting plan for the children. I have co-facilitated a grief recovery support group for the past 6 years.
I am a Licensed Clinical Social Worker who specializes in the treatment of children, adolescents and adults experiencing difficulties due to the trauma of sexual victimization and domestic violence. I have worked extensively within the Kent County Family Court system and various area agencies in addressing safety and advocacy issues for children and families. Additional areas of clinical expertise include anxiety and panic disorder, marriage counseling and working with divorced parents in establishing an effective co-parenting plan for the children. I have co-facilitated a grief recovery support group for the past 6 years.
(616) 818-0753 View (616) 818-0753
Photo of Stacey Vandenberg, Licensed Professional Counselor in Caledonia, MI
Stacey Vandenberg
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
I am a psychologist with over 25 years of experience helping others to navigate life's journey. I offer a judgment-free environment to overcome life's challenges and provide a haven for self-discovery. Through this process, my clients have recognized their ability to heal and gain a greater insight into self-empowerment. I specialize in overcoming trauma, parts therapy (IFS), relationships, anxiety, depression, and more with individuals/couples in coordination with their PCP when needed. I have found that how we perceive ourselves is our reality, and, together, we can expand that perspective.
I am a psychologist with over 25 years of experience helping others to navigate life's journey. I offer a judgment-free environment to overcome life's challenges and provide a haven for self-discovery. Through this process, my clients have recognized their ability to heal and gain a greater insight into self-empowerment. I specialize in overcoming trauma, parts therapy (IFS), relationships, anxiety, depression, and more with individuals/couples in coordination with their PCP when needed. I have found that how we perceive ourselves is our reality, and, together, we can expand that perspective.
(231) 307-8491 View (231) 307-8491
Photo of Kimberly Culp Counseling, Licensed Professional Counselor in Caledonia, MI
Kimberly Culp Counseling
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Byron Center, MI 49315
Difficult past? Chaotic present? Uncertain future? These are the questions that can plague us with anxiety and slowly take over our lives. You want relief from the constant worrying, or relief for your child who cannot stop worrying. You want freedom from the childhood experiences that, despite your best efforts, continue to impact your current life. You want to understand how to survive as an introvert in a world catering to extroverts. You want to find a way to communicate with a distant partner. You are in the right place and on your way to a better life.
Difficult past? Chaotic present? Uncertain future? These are the questions that can plague us with anxiety and slowly take over our lives. You want relief from the constant worrying, or relief for your child who cannot stop worrying. You want freedom from the childhood experiences that, despite your best efforts, continue to impact your current life. You want to understand how to survive as an introvert in a world catering to extroverts. You want to find a way to communicate with a distant partner. You are in the right place and on your way to a better life.
(616) 541-2891 View (616) 541-2891

See more therapy options for Caledonia


Play Therapy

Who is play therapy for?

Play therapy is generally targeted to children between the ages of 3 and 11 who have social, emotional, or behavioral difficulties. Play therapy has also been found helpful for children who have experienced physical or emotional abuse or witnessed atrocities. Play therapy is also often recommended for children who are undergoing major medical procedures or who are suffering from chronic illness; many children’s hospitals are equipped to offer play therapy on-site. Play therapy is also sometimes used for adults; creative writing, music, and art are expressive forms that can all be adapted for therapeutic purposes.

Why do people need play therapy?

Children often do not have the language skills or words to know or to express what is troubling them. Yet they often spontaneously draw or use playthings to depict scenarios that reflect problems in their everyday life. Play therapy provides children with an array of objects and play situations to act out their feelings or experiences so that therapists can get a clear picture of what children might be struggling with and help them find solutions. In addition, play therapists are skilled at helping children understand their inner experience and find words for them, necessary steps toward helping children learn to control their own behavior and come up with solutions to problems they encounter.

What happens in play therapy?

A child enters a comfortable playroom where they are free to choose the objects they want to play with. The play therapist will typically observe how they play with the toys—whether a sandbox, puppets, dolls and action figures, trucks, costumes, drawing and painting materials, or more—because such play provides clues to a child’s family and social relationships, difficulties they are encountering in the world, and what going on inside themselves. Sometimes the therapist may ask the child to use the play objects to tell a story about their family. Using the same instruments of play, therapists can help children discover more advantageous ways of thinking and behaving.

What kinds of problems do play therapists treat?

Play therapy can help children who display destructive or self-destructive impulses; children who seem angry, sad, or fearful; children who experience frequent social, emotional, family, or school difficulty. Play therapy is often of value to children who have experienced a loss or distressing family experience, who are regularly exposed to family conflict, or who have been physically or emotionally abused. Play therapy can help children who are perpetrators of bullying as well as those who are targets of bullying. It helps children learn to identify their feelings, to express them in constructive ways, and to regulate them so they can get on with the business of development.

How long does play therapy last?

Play therapy sessions may last for 30 to 45 minutes, and they usually occur weekly for about 20 sessions. Each session is tailored to the individual child and the kinds of problems they are struggling with. Play that is highly repetitive often indicates a problem requiring further exploration. Therapists typically measure progress through session-to-session changes in play behavior.