Play Therapy in Livingston, MT

Photo of Jamie Lingenfelter, SWLC, Clinical Social Work/Therapist
Jamie Lingenfelter
Clinical Social Work/Therapist, SWLC
Verified Verified
1 Endorsed
Livingston, MT 59047
I also specialize in play therapy.
We were all teenagers once, and can often recall struggles, such as bullying, depression, anxiety, and fears during adolescence. Many of my clients struggle with the daily challenges of being a young person in this world. I know that the parents also struggle and I provide support for the children, and families. I also see adults and I'm happy to provide trauma based therapy to anyone aged 12 and up. My passion is to help others to grow and change in a way that complements the type of life that they want to live, rather than what they are currently struggling with. I would be delighted to be a part of your counseling journey.
I also specialize in play therapy.
We were all teenagers once, and can often recall struggles, such as bullying, depression, anxiety, and fears during adolescence. Many of my clients struggle with the daily challenges of being a young person in this world. I know that the parents also struggle and I provide support for the children, and families. I also see adults and I'm happy to provide trauma based therapy to anyone aged 12 and up. My passion is to help others to grow and change in a way that complements the type of life that they want to live, rather than what they are currently struggling with. I would be delighted to be a part of your counseling journey.
(406) 540-6975 View (406) 540-6975
Photo of Adam Jurick, MS, LCPC, NCC, Counselor
Adam Jurick
Counselor, MS, LCPC, NCC
Verified Verified
1 Endorsed
Livingston, MT 59047
Waitlist for new clients
I also incorporate Mindfulness techniques and Attachment Theory, as well as Play Therapy with younger clients.
I believe everyone has an innate strength and resilience, an authenticity that is limited only by inaccurate beliefs and interpretations of life struggles and challenges. My work with clients is geared toward identifying and removing those blocks to create space for the authentic self to flourish. I counsel individuals, couples, and families wishing to work through past or current trauma, or struggles with day-to-day challenges.
I also incorporate Mindfulness techniques and Attachment Theory, as well as Play Therapy with younger clients.
I believe everyone has an innate strength and resilience, an authenticity that is limited only by inaccurate beliefs and interpretations of life struggles and challenges. My work with clients is geared toward identifying and removing those blocks to create space for the authentic self to flourish. I counsel individuals, couples, and families wishing to work through past or current trauma, or struggles with day-to-day challenges.
(406) 414-6704 View (406) 414-6704
Photo of Carly C Ramsey - Carly's Counseling LLC, LCPC, LMHC, Counselor
Carly's Counseling LLC
Counselor, LCPC, LMHC
Verified Verified
Livingston, MT 59047
I have a background in Art therapy and Play therapy, approachs that supports child in expressing that which they struggle to talk about.
I am focusing at this time on with elementary school children and their families. I work a great deal with foster and adoptive families and those who are struggles with systems and economics that make parenting particularly difficult. If your child is frustrated and struggles with staying calm and focusing on what they need to do, if you seem to constantly get phone calls from school and child care regarding you child's behavior, or your placement is struggling with settling into you home please give me a call. I accept medicaid, HMK, HMK+ and most insurance.
I have a background in Art therapy and Play therapy, approachs that supports child in expressing that which they struggle to talk about.
I am focusing at this time on with elementary school children and their families. I work a great deal with foster and adoptive families and those who are struggles with systems and economics that make parenting particularly difficult. If your child is frustrated and struggles with staying calm and focusing on what they need to do, if you seem to constantly get phone calls from school and child care regarding you child's behavior, or your placement is struggling with settling into you home please give me a call. I accept medicaid, HMK, HMK+ and most insurance.
(406) 642-0634 View (406) 642-0634
Photo of Lorraine (Rainey) Hellman - Rainey  Counseling PLLC, LCPC, LPC, Counselor
Rainey Counseling PLLC
Counselor, LCPC, LPC
Verified Verified
Livingston, MT 59047  (Online Only)
Lorraine “Rainey” Hellman’s therapeutic philosophy centers around creating a safe and nurturing environment where clients can openly explore their experiences. By employing a range of therapeutic approaches, she collaborates with clients to develop personalized strategies for coping, healing, and achieving their goals. Clients are drawn to her empathetic nature, her ability to adapt therapy to individual needs, and her dedication to fostering positive change. Embarking on a therapeutic journey with Rainey means embarking on a path of empowerment, healing, and resilience. Together we overcome challenges!
Lorraine “Rainey” Hellman’s therapeutic philosophy centers around creating a safe and nurturing environment where clients can openly explore their experiences. By employing a range of therapeutic approaches, she collaborates with clients to develop personalized strategies for coping, healing, and achieving their goals. Clients are drawn to her empathetic nature, her ability to adapt therapy to individual needs, and her dedication to fostering positive change. Embarking on a therapeutic journey with Rainey means embarking on a path of empowerment, healing, and resilience. Together we overcome challenges!
(406) 416-5598 View (406) 416-5598
Photo of Dana B Miquelle, LCPC, Counselor
Dana B Miquelle
Counselor, LCPC
Verified Verified
Livingston, MT 59047
I have a private practice in Livingston serving youth, adolescents, and adults. When clinically indicated I also work with families and couples. A large portion of my work is with youth, ages five through twelve, and adolescents. Previously I spent seven years as clinical director of two residential treatment programs for emotionally disturbed adolescents. As my practice has matured adults now constitute roughly half of my case load. In my practice I provide counseling, therapy (cognitive behavorial, behavioral), psychodynamic psychotherapy, and psychoanalysis. For more detail you can visit my website at www.danamiquelle.com.
I have a private practice in Livingston serving youth, adolescents, and adults. When clinically indicated I also work with families and couples. A large portion of my work is with youth, ages five through twelve, and adolescents. Previously I spent seven years as clinical director of two residential treatment programs for emotionally disturbed adolescents. As my practice has matured adults now constitute roughly half of my case load. In my practice I provide counseling, therapy (cognitive behavorial, behavioral), psychodynamic psychotherapy, and psychoanalysis. For more detail you can visit my website at www.danamiquelle.com.
(406) 944-4184 View (406) 944-4184
Photo of Kelcy Willyerd, PCLC, Pre-Licensed Professional
Kelcy Willyerd
Pre-Licensed Professional, PCLC
Verified Verified
Livingston, MT 59047
I am a genuine counselor who works to help you find peace within yourself. I work with adolescents and adults with a wide variety of issues like PTSD, attachment, emotion dysregulation, trauma, and more. I also work with couples and families to increase communication and connection. I help people find acceptance for themselves while walking alongside them to find the growth they desire. I offer tools that facilitate expansion and understanding to help you gain emotional intelligence, stability, and personal development. The counseling relationship is sacred to me and of the utmost importance in our work together.
I am a genuine counselor who works to help you find peace within yourself. I work with adolescents and adults with a wide variety of issues like PTSD, attachment, emotion dysregulation, trauma, and more. I also work with couples and families to increase communication and connection. I help people find acceptance for themselves while walking alongside them to find the growth they desire. I offer tools that facilitate expansion and understanding to help you gain emotional intelligence, stability, and personal development. The counseling relationship is sacred to me and of the utmost importance in our work together.
(406) 578-5056 View (406) 578-5056
Photo of Sarah Gamble Karls - Sarah Karls Counseling, MS, LCPC, Counselor
Sarah Karls Counseling
Counselor, MS, LCPC
Verified Verified
Livingston, MT 59047
I strongly believe that every human being goes through difficult times in their lives when counseling may be beneficial. We all struggle with various circumstances where it may be helpful to have a separate, unbiased party and support to process through life events. I see individuals, families and couples and have been working in a therapeutic setting for the last 13 years. My specialties include working with those who struggle with depression, self-esteem and relationship issues, as well as other mood and personality disorders.
I strongly believe that every human being goes through difficult times in their lives when counseling may be beneficial. We all struggle with various circumstances where it may be helpful to have a separate, unbiased party and support to process through life events. I see individuals, families and couples and have been working in a therapeutic setting for the last 13 years. My specialties include working with those who struggle with depression, self-esteem and relationship issues, as well as other mood and personality disorders.
(406) 960-4606 View (406) 960-4606
Photo of Tavin Moria Stewart - Tavin Stewart, LCPC, LCPC, Counselor
Tavin Stewart, LCPC
Counselor, LCPC
Verified Verified
Livingston, MT 59047
Accepting new clients. Hello, I specialize in counseling children and adolescents, addressing issues like anxiety, emotional dysregulation, low self-esteem, attachment, depression, and trauma. I mainly counsel through Person Centered, Adlerian, and Family Systems lenses which means I also work with families to increase communication and connection.
Accepting new clients. Hello, I specialize in counseling children and adolescents, addressing issues like anxiety, emotional dysregulation, low self-esteem, attachment, depression, and trauma. I mainly counsel through Person Centered, Adlerian, and Family Systems lenses which means I also work with families to increase communication and connection.
(406) 629-4600 View (406) 629-4600
Photo of Caitlin Adamo (Fireweed Integrative Therapy), LCPC, Counselor
Caitlin Adamo (Fireweed Integrative Therapy)
Counselor, LCPC
Verified Verified
Livingston, MT 59047
As Fireweed grows and spreads vibrantly in the years following a forest fire, we too can renourish our soil, strengthen our substrate, and bloom amongst community. I support individuals and couples who are curious to understand, repair, connect, and live in greater alignment with their values and vision. Together, we can remember and help you access your enduring strengths and create new opportunities for a nourishing life.
As Fireweed grows and spreads vibrantly in the years following a forest fire, we too can renourish our soil, strengthen our substrate, and bloom amongst community. I support individuals and couples who are curious to understand, repair, connect, and live in greater alignment with their values and vision. Together, we can remember and help you access your enduring strengths and create new opportunities for a nourishing life.
(406) 296-5561 View (406) 296-5561
Photo of Kathleen Nelson, MS, LCPC, Counselor
Kathleen Nelson
Counselor, MS, LCPC
Verified Verified
Livingston, MT 59047
I work with children, adolescents and adults with a curiosity about how we can live more connected and meaningful lives. Often the ways we have learned to adapt to our world (or world view) is no longer effective or relevant. I seek to help create deeper awareness and insight into underlying motives, defenses, and desires. Together we explore patterns that contribute to struggles and dissonance in day to day life.
I work with children, adolescents and adults with a curiosity about how we can live more connected and meaningful lives. Often the ways we have learned to adapt to our world (or world view) is no longer effective or relevant. I seek to help create deeper awareness and insight into underlying motives, defenses, and desires. Together we explore patterns that contribute to struggles and dissonance in day to day life.
(406) 962-0309 View (406) 962-0309
Photo of Lori Johnson - In Focus Counseling , MA, LAC, LPC, ACS, Drug & Alcohol Counselor
In Focus Counseling
Drug & Alcohol Counselor, MA, LAC, LPC, ACS
Verified Verified
5 Endorsed
Livingston, MT 59047
Adult OCD Intensives OPEN! With many profiles, it's hard to find one you can trust and who knows the in's and out's of your suffering. Our team treats addiction, anxiety, OCD, and BFRB's for CO, MT, & KS . Does addiction and/or OCD impede what you want? We know that a life is tough to manage. It is isolating, scary, full of doubt , embarrassing, and confusing for others to understand why you just, "can't stop". We know you are having a hard time resisting the compulsions to appease OCD. Often, OCD spirals suffers into addiction. There is a way out. Together, our team will help you focus on what's important.
Adult OCD Intensives OPEN! With many profiles, it's hard to find one you can trust and who knows the in's and out's of your suffering. Our team treats addiction, anxiety, OCD, and BFRB's for CO, MT, & KS . Does addiction and/or OCD impede what you want? We know that a life is tough to manage. It is isolating, scary, full of doubt , embarrassing, and confusing for others to understand why you just, "can't stop". We know you are having a hard time resisting the compulsions to appease OCD. Often, OCD spirals suffers into addiction. There is a way out. Together, our team will help you focus on what's important.
(720) 399-1260 View (720) 399-1260
Photo of Christalie Kuglin, MS, LCPC, Counselor
Christalie Kuglin
Counselor, MS, LCPC
Verified Verified
Livingston, MT 59047
I am interested in learning about each individual I see because my personal aim is to aid clients in reaching their full potential. I believe this can be achieved with a mutual and holistic understanding of each client, specifically within one's social world and through the lens of one's past. For me, counseling is a collaborative process, and I have respect for each individual's autonomy throughout the process. To find meaning, even in the middle of suffering, to heal past or current events, and to develop coping skills can all lead to a deeper understanding of oneself, which is a never ending process.
I am interested in learning about each individual I see because my personal aim is to aid clients in reaching their full potential. I believe this can be achieved with a mutual and holistic understanding of each client, specifically within one's social world and through the lens of one's past. For me, counseling is a collaborative process, and I have respect for each individual's autonomy throughout the process. To find meaning, even in the middle of suffering, to heal past or current events, and to develop coping skills can all lead to a deeper understanding of oneself, which is a never ending process.
(406) 599-2492 View (406) 599-2492
Photo of Kathryn (Kittie) Bowen - Bozeman Counseling Center, MS, LCPC, Counselor
Bozeman Counseling Center
Counselor, MS, LCPC
Verified Verified
5 Endorsed
Livingston, MT 59047
Are you tired of feeling like your life is full of too much stress and chaos? Are you exhausted by constant “overthinking”? Are your emotions so BIG that it feels like you have been hit by a train? Are your relationships a bit messy too? This might all sound overwhelming, but we can HELP! Bozeman Counseling Center is a place where someone finally gets YOU, hears YOU, and YOU feel a sense of belonging. The key word is YOU! If you are looking for a different kind of counseling experience that can help with the BIG challenges and the everyday life stressors, please come check us out. Therapy is the ultimate form of Self-Care!
Are you tired of feeling like your life is full of too much stress and chaos? Are you exhausted by constant “overthinking”? Are your emotions so BIG that it feels like you have been hit by a train? Are your relationships a bit messy too? This might all sound overwhelming, but we can HELP! Bozeman Counseling Center is a place where someone finally gets YOU, hears YOU, and YOU feel a sense of belonging. The key word is YOU! If you are looking for a different kind of counseling experience that can help with the BIG challenges and the everyday life stressors, please come check us out. Therapy is the ultimate form of Self-Care!
(406) 624-6007 View (406) 624-6007
Photo of Robin Bauman, MS, PCLC, Pre-Licensed Professional
Robin Bauman
Pre-Licensed Professional, MS, PCLC
Verified Verified
Livingston, MT 59047
Welcome! My counseling approach has a dynamic flavor that fosters individual and collective exploration to engage in deeper connections, self-awareness, and healing. I deeply respect and honor the unique experiences of all individuals, and invite clients to engage in the therapeutic relationship to uncover lost aspects of the self leading to deeper authentic wholeness & connection. I am a believer in healing through relationship and support clients in getting into contact, exploring, and embracing the parts of their identity that have been hurt in order to heal and promote increased acceptance, compassion, and growth.
Welcome! My counseling approach has a dynamic flavor that fosters individual and collective exploration to engage in deeper connections, self-awareness, and healing. I deeply respect and honor the unique experiences of all individuals, and invite clients to engage in the therapeutic relationship to uncover lost aspects of the self leading to deeper authentic wholeness & connection. I am a believer in healing through relationship and support clients in getting into contact, exploring, and embracing the parts of their identity that have been hurt in order to heal and promote increased acceptance, compassion, and growth.
(406) 319-3360 View (406) 319-3360
Photo of Hannah Jester, LCPC, Counselor
Hannah Jester
Counselor, LCPC
Verified Verified
Livingston, MT 59047
Not accepting new clients
I genuinely believe that healing comes from an authentic, non-judgmental space, and that is what I have to offer you. I show up as my authentic self and encourage you to as well. I work with individuals primarily, though I am open to doing family and/or couples work in conjoint with another provider. I work with those who are experiencing: anxiety, depression, identity exploration, religious trauma, low self-esteem and confidence struggles, acceptance from self or others, guilt, and/or shame. I am available for in-person (office, community, or out in nature) and/or telehealth sessions.
I genuinely believe that healing comes from an authentic, non-judgmental space, and that is what I have to offer you. I show up as my authentic self and encourage you to as well. I work with individuals primarily, though I am open to doing family and/or couples work in conjoint with another provider. I work with those who are experiencing: anxiety, depression, identity exploration, religious trauma, low self-esteem and confidence struggles, acceptance from self or others, guilt, and/or shame. I am available for in-person (office, community, or out in nature) and/or telehealth sessions.
(406) 412-2558 View (406) 412-2558
Photo of Nicole Hardy, MS, LCPC, Counselor
Nicole Hardy
Counselor, MS, LCPC
Verified Verified
Livingston, MT 59047
Not accepting new clients
We as individuals have light and dark aspects of ourselves; parts of ourselves we gladly share with others and parts we hide from our closest friends. Together, we can explore how those light and dark facets affect how you relate to others and make meaning out of those relationships. Additionally, we can discover avenues to build a sense of belonging in your community and create purpose in your life. Through the counseling process, you can reconnect with your true self, partner, and family to build meaningful relationships and become the shining person you were meant to share with this world!
We as individuals have light and dark aspects of ourselves; parts of ourselves we gladly share with others and parts we hide from our closest friends. Together, we can explore how those light and dark facets affect how you relate to others and make meaning out of those relationships. Additionally, we can discover avenues to build a sense of belonging in your community and create purpose in your life. Through the counseling process, you can reconnect with your true self, partner, and family to build meaningful relationships and become the shining person you were meant to share with this world!
(406) 296-6541 View (406) 296-6541

Online Therapists

Photo of Crystal Tetzel, MS, LCPC, CAHPE, IECMHC, Counselor
Crystal Tetzel
Counselor, MS, LCPC, CAHPE, IECMHC
Verified Verified
4 Endorsed
Belgrade, MT 59714
Our clinical work includes ongoing education in body-centered therapies, play therapy, attachment theory, family systems, and trauma research.
In my practice, we hold the premise that every person has an innate capacity for healing and unique qualities that have helped them navigate or even survive life. These qualities are called "creative adjustments." However, there can come a time when these creative adjustments become less effective or ineffective. It is here, that we aim to help one achieve healing and relief from pain and discomfort. Our primary work is with children aged 0-18 years and their parents, parents to be, individual adults, and other providers who work with children.
Our clinical work includes ongoing education in body-centered therapies, play therapy, attachment theory, family systems, and trauma research.
In my practice, we hold the premise that every person has an innate capacity for healing and unique qualities that have helped them navigate or even survive life. These qualities are called "creative adjustments." However, there can come a time when these creative adjustments become less effective or ineffective. It is here, that we aim to help one achieve healing and relief from pain and discomfort. Our primary work is with children aged 0-18 years and their parents, parents to be, individual adults, and other providers who work with children.
(406) 630-5518 View (406) 630-5518
Photo of Kyanne Wear (Sentinel Mental Health Inc), LCSW, Clinical Social Work/Therapist
Kyanne Wear (Sentinel Mental Health Inc)
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Billings, MT 59102
I utilize talk therapy, with techniques from cognitive behavioral, dialectic behavioral therapy as well as components of art therapy and play therapy and I am trained in EMDR.
We all experience some level of emotional distress throughout life. Sometimes the distress can be more than we can manage on our own. I have over 25 years of clinical experience working with children, adolescents, young adults, and families to navigate distress related to adverse life events, anxiety, depression, oppositional behaviors, anger, social skills, poor communication, and self-esteem.
I utilize talk therapy, with techniques from cognitive behavioral, dialectic behavioral therapy as well as components of art therapy and play therapy and I am trained in EMDR.
We all experience some level of emotional distress throughout life. Sometimes the distress can be more than we can manage on our own. I have over 25 years of clinical experience working with children, adolescents, young adults, and families to navigate distress related to adverse life events, anxiety, depression, oppositional behaviors, anger, social skills, poor communication, and self-esteem.
(406) 313-3227 View (406) 313-3227
Photo of Gianna Lishman (Sentinel Mental Health Inc), LCSW-C, Clinical Social Work/Therapist
Gianna Lishman (Sentinel Mental Health Inc)
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Helena, MT 59601
This includes the Attachment Regulation Competency (ARC) Model, Polyvagal Theory, Trauma-Focused Cognitive Behavioral Therapy, Play Therapy, Dialectical Behavioral Therapy, and Expressive Arts Therapy.
I am a trauma-informed child, teen and family therapist who is deeply committed to empowering my clients with the knowledge and skills they need to heal wholeheartedly. I treat both the brain and the body and believe that all behavior is communication. Often times, the challenging behaviors we see in ourselves and our children reflects underlying neurobiological processes related to trauma, unmet needs, and lagging social-emotional skills. As a therapist, it is an honor to walk alongside you on your path to healing.
This includes the Attachment Regulation Competency (ARC) Model, Polyvagal Theory, Trauma-Focused Cognitive Behavioral Therapy, Play Therapy, Dialectical Behavioral Therapy, and Expressive Arts Therapy.
I am a trauma-informed child, teen and family therapist who is deeply committed to empowering my clients with the knowledge and skills they need to heal wholeheartedly. I treat both the brain and the body and believe that all behavior is communication. Often times, the challenging behaviors we see in ourselves and our children reflects underlying neurobiological processes related to trauma, unmet needs, and lagging social-emotional skills. As a therapist, it is an honor to walk alongside you on your path to healing.
(406) 382-3107 View (406) 382-3107
Photo of Michael Stamm, MS, LCMHC, LCPC, RPT-S, Counselor
Michael Stamm
Counselor, MS, LCMHC, LCPC, RPT-S
Verified Verified
3 Endorsed
Bozeman, MT 59715
As a Registered Play Therapist-Supervisor (RPT-S) I have extensive training in play therapy, child development, and attachment based therapies.
As a play therapist, my goal is to provide a safe and therapeutic environment for children and adolescents to express themselves and heal using their primary language: Play. Although appropriate for adults, traditional talk therapy can prove difficult for children and adolescents. By utilizing play therapy, I'm able to build a strong and safe therapeutic relationship, a cornerstone to change and healing. In addition, I provide supervision for licensed counselors seeking the Registered Play Therapist credential. Call or email today for current availability!
As a Registered Play Therapist-Supervisor (RPT-S) I have extensive training in play therapy, child development, and attachment based therapies.
As a play therapist, my goal is to provide a safe and therapeutic environment for children and adolescents to express themselves and heal using their primary language: Play. Although appropriate for adults, traditional talk therapy can prove difficult for children and adolescents. By utilizing play therapy, I'm able to build a strong and safe therapeutic relationship, a cornerstone to change and healing. In addition, I provide supervision for licensed counselors seeking the Registered Play Therapist credential. Call or email today for current availability!
(919) 737-7912 View (919) 737-7912

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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.