Play Therapy in Toledo, OR

Photo of Maygen Blessman, Clinical Social Work/Therapist in Toledo, OR
Maygen Blessman
Clinical Social Work/Therapist, LCSW
Verified Verified
Toledo, OR 97391
Not accepting new clients
I believe anyone can change, can find their own personal happiness in life. Every one has the capacity to create the life they want for themselves and the path of healing is open to anyone ready to make the first step. However, many of us need a helping hand to walk that path.
I believe anyone can change, can find their own personal happiness in life. Every one has the capacity to create the life they want for themselves and the path of healing is open to anyone ready to make the first step. However, many of us need a helping hand to walk that path.
(458) 218-7620 View (458) 218-7620
Photo of Ta'mara Sheeley, Professional Counselor Associate in Toledo, OR
Ta'mara Sheeley
Professional Counselor Associate, QHMP, NCC
Verified Verified
Toledo, OR 97391
Not accepting new clients
Life can be challenging, and sometimes it can be hard to navigate independently. I believe everyone has the ability to make changes and that people genuinely do well if they have the skills, resources, and support they need. I believe that connection is key to overall wellness. I have experience working with children, youth, parents, and young adults navigating life changes and stressors and helping them gain awareness and insight into current behaviors, thoughts, and situations that may be challenging. At the same time, I provide guidance to help them achieve their goals.
Life can be challenging, and sometimes it can be hard to navigate independently. I believe everyone has the ability to make changes and that people genuinely do well if they have the skills, resources, and support they need. I believe that connection is key to overall wellness. I have experience working with children, youth, parents, and young adults navigating life changes and stressors and helping them gain awareness and insight into current behaviors, thoughts, and situations that may be challenging. At the same time, I provide guidance to help them achieve their goals.
(458) 216-2836 View (458) 216-2836

More Therapists Nearby

Photo of Jeni Greening, Licensed Professional Counselor in Toledo, OR
Jeni Greening
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Newport, OR 97365
Not accepting new clients
I use Cognitive Behavioral Therapy (also DBT Skills), Collaborative Problem Solving and Play Therapy among my theoretical methods.
Exploring your feelings and thoughts in the moment increases awareness and provides you insight into your strengths. I assist children, youth, adults, and family members find specific ways to change in these moments. We will work together in order for you to reach your goals and realize the sustained changes you seek. I provide therapy for anxiety, mood disorders; behavioral problems, emotional regulation problems, school challenges, managing multiple daily stressors, recovery from trauma. I offer a free phone consultation in order to answer any questions you may have and to talk about how we can work together.
I use Cognitive Behavioral Therapy (also DBT Skills), Collaborative Problem Solving and Play Therapy among my theoretical methods.
Exploring your feelings and thoughts in the moment increases awareness and provides you insight into your strengths. I assist children, youth, adults, and family members find specific ways to change in these moments. We will work together in order for you to reach your goals and realize the sustained changes you seek. I provide therapy for anxiety, mood disorders; behavioral problems, emotional regulation problems, school challenges, managing multiple daily stressors, recovery from trauma. I offer a free phone consultation in order to answer any questions you may have and to talk about how we can work together.
(541) 412-6950 View (541) 412-6950

Online Therapists

Photo of Elizabeth Fisher, Marriage & Family Therapist in Toledo, OR
Elizabeth Fisher
Marriage & Family Therapist, MA, LMFT, PhD
Verified Verified
1 Endorsed
Portland, OR 97219
Have you been through a difficult experience? I specialize in emotional and relational disorders arising from trauma, sexual abuse, attachment disruptions, and less-than-optimal early childhood experiences. These types of experiences can create life-long distress and difficulty with relationships. Finding the right therapist is an important first step in healing from trauma. My orientation integrates modern neuroscience with relational psychotherapy. In addition to traditional methods, I utilize expressive approaches such as sandtray, play therapy, psychodrama, movement, and art therapy in my practice. I will tailor your sessions to meet your unique needs and ways of expressing yourself.
Have you been through a difficult experience? I specialize in emotional and relational disorders arising from trauma, sexual abuse, attachment disruptions, and less-than-optimal early childhood experiences. These types of experiences can create life-long distress and difficulty with relationships. Finding the right therapist is an important first step in healing from trauma. My orientation integrates modern neuroscience with relational psychotherapy. In addition to traditional methods, I utilize expressive approaches such as sandtray, play therapy, psychodrama, movement, and art therapy in my practice. I will tailor your sessions to meet your unique needs and ways of expressing yourself.
(541) 526-7218 View (541) 526-7218
Photo of Sarah M Manlupig, Licensed Professional Counselor in Toledo, OR
Sarah M Manlupig
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Gresham, OR 97030
Eastside Child and Family Therapy is a counseling group practice serving parents, early childhood, children, teens & young adults. We believe in removing some of the barriers to therapy by offering face to face, at our Gresham location & in schools, with our school based program and all over Oregon, with our Telehealth program. We serve families utilizing family systems and parenting support, individuals utilizing PLAY therapy and talk therapy. We believe that parents, children, teens & young adults should be equipped with tools for success! Our Hybrid model of support might be what you've been searching for.
Eastside Child and Family Therapy is a counseling group practice serving parents, early childhood, children, teens & young adults. We believe in removing some of the barriers to therapy by offering face to face, at our Gresham location & in schools, with our school based program and all over Oregon, with our Telehealth program. We serve families utilizing family systems and parenting support, individuals utilizing PLAY therapy and talk therapy. We believe that parents, children, teens & young adults should be equipped with tools for success! Our Hybrid model of support might be what you've been searching for.
(503) 676-5022 View (503) 676-5022
Photo of Scarlet Graham, Licensed Professional Counselor in Toledo, OR
Scarlet Graham
Licensed Professional Counselor, MA, CMHC, LPC
Verified Verified
Tigard, OR 97223
Play Therapy in GA Only for children.
Are you struggling with anxiety or depression? Are you adjusting to a new occupation, move, marriage or divorce? I am honored to walk with you and aid you on or towards your path of personal growth. If you want to develop coping skills for dealing with life's changes and challenges or are someone who wants to go deep to uncover blocks that are keeping you from achieving the happiness you deserve, I am here to walk beside you to meet your goals. I offer Integrative, creative and evidence-based therapy modalities. Psychotherapy can help you lower anxiety and depression and help you achieve your best self.
Play Therapy in GA Only for children.
Are you struggling with anxiety or depression? Are you adjusting to a new occupation, move, marriage or divorce? I am honored to walk with you and aid you on or towards your path of personal growth. If you want to develop coping skills for dealing with life's changes and challenges or are someone who wants to go deep to uncover blocks that are keeping you from achieving the happiness you deserve, I am here to walk beside you to meet your goals. I offer Integrative, creative and evidence-based therapy modalities. Psychotherapy can help you lower anxiety and depression and help you achieve your best self.
(503) 343-9427 View (503) 343-9427
Photo of Monica Dils, Licensed Professional Counselor in Toledo, OR
Monica Dils
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Clackamas, OR 97015
Waitlist for new clients
I have specialties in early childhood play therapy, attachment, child-parent psychotherapy, and collaborative problem solving.
I enjoy working jointly with children and families who have difficulties in their relationships and development, including those who have lived through traumatic events and experienced foster care and adoption. I believe all children and families have inherent strengths and the ability, with help, to make positive changes in their relationships. I can help parents understand their child’s behavior and developmental needs, enhance trust, and build secure attachments within the family. I want families to learn new skills, increase resilience, overcome obstacles, and thrive.
I have specialties in early childhood play therapy, attachment, child-parent psychotherapy, and collaborative problem solving.
I enjoy working jointly with children and families who have difficulties in their relationships and development, including those who have lived through traumatic events and experienced foster care and adoption. I believe all children and families have inherent strengths and the ability, with help, to make positive changes in their relationships. I can help parents understand their child’s behavior and developmental needs, enhance trust, and build secure attachments within the family. I want families to learn new skills, increase resilience, overcome obstacles, and thrive.
(503) 461-4002 View (503) 461-4002
Photo of Brianna Newman, Counselor in Toledo, OR
Brianna Newman
Counselor, BA, MA, LAC
Verified Verified
1 Endorsed
Portland, OR 97204
I have experience in family reunification and play therapy.
I have a passion about helping children and teens find their voice in this midst of disconnection. As humans, we are created for connection. Often, this disconnection to self and others can create stress, exhaustion and loneliness. I desire to be a listening ear and seek to understand you to promote healing through the challenges occurring in your life. I can assist you by guiding you through physical and emotional development, family dynamics, school challenges, communication, relationship distress and trauma. I desire to walk with you on the journey for healing and together we will achieve goals for your child & family.
I have experience in family reunification and play therapy.
I have a passion about helping children and teens find their voice in this midst of disconnection. As humans, we are created for connection. Often, this disconnection to self and others can create stress, exhaustion and loneliness. I desire to be a listening ear and seek to understand you to promote healing through the challenges occurring in your life. I can assist you by guiding you through physical and emotional development, family dynamics, school challenges, communication, relationship distress and trauma. I desire to walk with you on the journey for healing and together we will achieve goals for your child & family.
(480) 685-8513 View (480) 685-8513
Photo of Emily Anne Weidlich, Professional Counselor Associate in Toledo, OR
Emily Anne Weidlich
Professional Counselor Associate, MA
Verified Verified
4 Endorsed
Portland, OR 97215
Everyone needs support and encouragement, and though our friends and family play an integral role in our lives, they often struggle with finding the words to say when we face truly troubling experiences. As a trained counselor, my goal is to skillfully and empathetically help you navigate your challenges by working together to develop greater insight into your experience, foster an honest and compassionate stance towards your previous efforts, and develop more adaptive skills and perspectives to aid you moving forward.
Everyone needs support and encouragement, and though our friends and family play an integral role in our lives, they often struggle with finding the words to say when we face truly troubling experiences. As a trained counselor, my goal is to skillfully and empathetically help you navigate your challenges by working together to develop greater insight into your experience, foster an honest and compassionate stance towards your previous efforts, and develop more adaptive skills and perspectives to aid you moving forward.
(503) 506-4505 View (503) 506-4505
Photo of Vanessa Knight, Professional Counselor Associate in Toledo, OR
Vanessa Knight
Professional Counselor Associate
Verified Verified
Portland, OR 97206
I work with children and adults, with the goal of helping them find more peace, joy, and meaning within their lives. In addition to talk therapy, I also use play and art therapy with children to help them express themselves when they can’t yet find the words.
I work with children and adults, with the goal of helping them find more peace, joy, and meaning within their lives. In addition to talk therapy, I also use play and art therapy with children to help them express themselves when they can’t yet find the words.
(503) 479-4154 View (503) 479-4154
Photo of Mollie A Painton, Psychologist in Toledo, OR
Mollie A Painton
Psychologist, Psy, D
Verified Verified
Eugene, OR 97401
EMDR, Energy Psychology, DBT which incorporates Cognitive Behavioral Therapy with Mindfulness, and Play Therapy for children all tend to relieve anxiety & depression.
Please leave the name of your insurance when you contact me so I can best serve you. Adults, children, adolescents, and their families are welcomed in my private practice, and playroom for the children. My specialty for over 25 years has been working with children, adolescents, and their families. After becoming a Level II EMDR trauma therapist in the past 20 years, I have worked with many adults challenged by difficulties. Both my adult and child clients are often faced with depression, anxiety, and grief commonly created by divorce, death, adoption, abuse, and feelings of hopelessness, anger, and poor self-esteem.
EMDR, Energy Psychology, DBT which incorporates Cognitive Behavioral Therapy with Mindfulness, and Play Therapy for children all tend to relieve anxiety & depression.
Please leave the name of your insurance when you contact me so I can best serve you. Adults, children, adolescents, and their families are welcomed in my private practice, and playroom for the children. My specialty for over 25 years has been working with children, adolescents, and their families. After becoming a Level II EMDR trauma therapist in the past 20 years, I have worked with many adults challenged by difficulties. Both my adult and child clients are often faced with depression, anxiety, and grief commonly created by divorce, death, adoption, abuse, and feelings of hopelessness, anger, and poor self-esteem.
(720) 213-5075 View (720) 213-5075
Photo of Janda Grigsby, Licensed Professional Counselor in Toledo, OR
Janda Grigsby
Licensed Professional Counselor, MA
Verified Verified
2 Endorsed
Philomath, OR 97370
Waitlist for new clients
I have training in, and experience using, play therapy.
I use a person-centered approach to therapy. This means that I believe people are resourceful, capable of self-understanding, and are able to make the changes that they desire. By building a relationship based on respect, genuineness, and empathetic understanding I strive to create an environment where clients can work towards the growth and change they desire as I offer encouragement, support and constructive feedback along the way.
I have training in, and experience using, play therapy.
I use a person-centered approach to therapy. This means that I believe people are resourceful, capable of self-understanding, and are able to make the changes that they desire. By building a relationship based on respect, genuineness, and empathetic understanding I strive to create an environment where clients can work towards the growth and change they desire as I offer encouragement, support and constructive feedback along the way.
(503) 980-4165 View (503) 980-4165
Photo of Breanna Munsell, Clinical Social Work/Therapist in Toledo, OR
Breanna Munsell
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Forest Grove, OR 97116
I am a Licensed Clinical Social Worker and Play Therapist certified in CBT, TBRI, DBT, Theraplay, and have post-graduate certificates in Therapy with Adoptive and Foster Families and Infant-Toddler Mental Health, as well as training in TF-EMDR I am a Certified Clinical Trauma Professional and Certified Grief Informed Professional.
Welcome to a safe space where your journey towards mental and emotional well-being begins. As a dedicated mental health therapist, my primary focus is on fostering empathy and establishing a profound connection with each individual who walks through my door. Your unique experiences and struggles matter, and together, we will navigate the path to healing, growth, and resilience. Together, we'll navigate life's challenges, foster resilience, and unlock your full potential. Let's embark on this transformative path to healing and growth.
I am a Licensed Clinical Social Worker and Play Therapist certified in CBT, TBRI, DBT, Theraplay, and have post-graduate certificates in Therapy with Adoptive and Foster Families and Infant-Toddler Mental Health, as well as training in TF-EMDR I am a Certified Clinical Trauma Professional and Certified Grief Informed Professional.
Welcome to a safe space where your journey towards mental and emotional well-being begins. As a dedicated mental health therapist, my primary focus is on fostering empathy and establishing a profound connection with each individual who walks through my door. Your unique experiences and struggles matter, and together, we will navigate the path to healing, growth, and resilience. Together, we'll navigate life's challenges, foster resilience, and unlock your full potential. Let's embark on this transformative path to healing and growth.
(458) 209-2652 View (458) 209-2652
Photo of Julie Kirchner, Marriage & Family Therapist in Toledo, OR
Julie Kirchner
Marriage & Family Therapist
Verified Verified
1 Endorsed
Newberg, OR 97132
Waitlist for new clients
I have a great passion for play therapy with all its benefits for children and their families.
Life can be overwhelming and unpredictable sometimes, and this could be your first step in improving your mental health. We all want to feel connected to others in our lives, and I can help you strengthen your relationships. I provide a safe, nonjudgmental space where my clients can work through issues in their lives. I will work alongside you to help you achieve your goals. As a wife and a mother of four children, I have gained an understanding of the complexity of family relationships, and I have a passion for helping others to connect.
I have a great passion for play therapy with all its benefits for children and their families.
Life can be overwhelming and unpredictable sometimes, and this could be your first step in improving your mental health. We all want to feel connected to others in our lives, and I can help you strengthen your relationships. I provide a safe, nonjudgmental space where my clients can work through issues in their lives. I will work alongside you to help you achieve your goals. As a wife and a mother of four children, I have gained an understanding of the complexity of family relationships, and I have a passion for helping others to connect.
(971) 253-7585 View (971) 253-7585
Photo of Joyful Living Behavioral Health Inc., Pre-Licensed Professional in Toledo, OR
Joyful Living Behavioral Health Inc.
Pre-Licensed Professional, MS
Verified Verified
Eugene, OR 97401
I am deeply passionate about what I do with children and their families. It's a privilege to sit in a room or play with another human being and have them share with you their suffering, their joy, their anger, their confusion, their sorrow, and their successes.
I am deeply passionate about what I do with children and their families. It's a privilege to sit in a room or play with another human being and have them share with you their suffering, their joy, their anger, their confusion, their sorrow, and their successes.
(541) 800-2046 View (541) 800-2046
Photo of Ami Koide, Marriage & Family Therapist in Toledo, OR
Ami Koide
Marriage & Family Therapist, Ami, Koide, LMFT
Verified Verified
3 Endorsed
Portland, OR 97220
I find it important to keep in mind intersectionalities and how society and culture play an important role.
I wonder what kind of therapists people scroll through psychology profiles to therapist shop for. When people ask me what my ideal client I actually wonder whats people's ideal therapists? I think this is important when thinking about an ideal client and therapists because I see it as a collaborative work. I'm not here to force you what I think is best for you, therapy is something both the client and therapist figure out together to meet the clients' needs and goals.
I find it important to keep in mind intersectionalities and how society and culture play an important role.
I wonder what kind of therapists people scroll through psychology profiles to therapist shop for. When people ask me what my ideal client I actually wonder whats people's ideal therapists? I think this is important when thinking about an ideal client and therapists because I see it as a collaborative work. I'm not here to force you what I think is best for you, therapy is something both the client and therapist figure out together to meet the clients' needs and goals.
(714) 681-1082 View (714) 681-1082
Photo of Shauna Ann Fries, Clinical Social Work/Therapist in Toledo, OR
Shauna Ann Fries
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97304
I also provide play therapy and art therapy when appropriate.
I am accepting NEW clients. I am seeking clients who are ready to work on their personal struggles and gain insight into what is triggering symptoms. I am interested in individuals who are on the spectrum, the LGBTQIA community, Self-esteems and self love concerns, generational trauma, post-traumatic stress disorders, anxiety, and depression. I primarily run my practice Friday through Sunday, with some flexibility. Fot questions, please contact me.
I also provide play therapy and art therapy when appropriate.
I am accepting NEW clients. I am seeking clients who are ready to work on their personal struggles and gain insight into what is triggering symptoms. I am interested in individuals who are on the spectrum, the LGBTQIA community, Self-esteems and self love concerns, generational trauma, post-traumatic stress disorders, anxiety, and depression. I primarily run my practice Friday through Sunday, with some flexibility. Fot questions, please contact me.
(503) 461-2996 View (503) 461-2996
Photo of Teresa Heesacker Counseling, Marriage & Family Therapist in Toledo, OR
Teresa Heesacker Counseling
Marriage & Family Therapist, CSD, LPC, LMFT, RPT
Verified Verified
1 Endorsed
Newberg, OR 97132
Clients can choose from various modalities: play, art and sand tray therapies, outdoor therapy, talk therapy, trauma therapy and EMDR.
I am passionate about well-being. For some, that might mean healing from trauma or growth into the person you want to become. It might mean understanding how to have a happier, healthy relationship with a parent, partner or child. I believe that every person is worthy of a life that is fully-alive and I am dedicated to partnering with people in their journey toward their vision of well-being. I provide clients with a safe, confidential and affirming environment in which they can explore their story, consider what is meaningful to them, cultivate their personal strengths and apply new insights and growth.
Clients can choose from various modalities: play, art and sand tray therapies, outdoor therapy, talk therapy, trauma therapy and EMDR.
I am passionate about well-being. For some, that might mean healing from trauma or growth into the person you want to become. It might mean understanding how to have a happier, healthy relationship with a parent, partner or child. I believe that every person is worthy of a life that is fully-alive and I am dedicated to partnering with people in their journey toward their vision of well-being. I provide clients with a safe, confidential and affirming environment in which they can explore their story, consider what is meaningful to them, cultivate their personal strengths and apply new insights and growth.
(503) 451-6418 View (503) 451-6418
Photo of Ivy Ross, Marriage & Family Therapist in Toledo, OR
Ivy Ross
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Beaverton, OR 97005
Waitlist for new clients
I provide a variety of counseling techniques such as play therapy, cognitive behavioral therapy, parenting strategies, family counseling, and sandtray therapy.
I am currently seeing older children (10 and up), adolescents, and adults for therapy. I am currently not accepting couples for therapy. I believe all individuals have strengths and the capacity to meet their full potential. My main approach is to provide a safe and secure environment for clients to process feelings and learn to manage emotions and behaviors. I incorporate play, art, sandtray, and symbolism to aid in the therapeutic process. My therapy dog, Daisy, is present one day a week and is used for animal assisted therapy. Please feel free to email me to discuss getting started with therapy.
I provide a variety of counseling techniques such as play therapy, cognitive behavioral therapy, parenting strategies, family counseling, and sandtray therapy.
I am currently seeing older children (10 and up), adolescents, and adults for therapy. I am currently not accepting couples for therapy. I believe all individuals have strengths and the capacity to meet their full potential. My main approach is to provide a safe and secure environment for clients to process feelings and learn to manage emotions and behaviors. I incorporate play, art, sandtray, and symbolism to aid in the therapeutic process. My therapy dog, Daisy, is present one day a week and is used for animal assisted therapy. Please feel free to email me to discuss getting started with therapy.
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Photo of Megan Maxwell, Professional Counselor Associate in Toledo, OR
Megan Maxwell
Professional Counselor Associate, MS, NCC
Verified Verified
Portland, OR 97212
I engage children in Child Centered Play Therapy.
My therapy work comes from a relational perspective that encourages growth through insight, self-acceptance, and choice. My clients include children, parents, families, relationships, and individuals across the lifespan. I support children and parents struggling with behavioral issues, explosive emotions, and navigating the hard work of childhood. I work with relationships addressing conflict due to communication and mismatched expectations. I help individuals managing anxiety, depression, self-image, trauma, and whose history holds them back from achieving the future they want.
I engage children in Child Centered Play Therapy.
My therapy work comes from a relational perspective that encourages growth through insight, self-acceptance, and choice. My clients include children, parents, families, relationships, and individuals across the lifespan. I support children and parents struggling with behavioral issues, explosive emotions, and navigating the hard work of childhood. I work with relationships addressing conflict due to communication and mismatched expectations. I help individuals managing anxiety, depression, self-image, trauma, and whose history holds them back from achieving the future they want.
(503) 610-8136 View (503) 610-8136

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Nearby Play Therapy Searches for Toledo

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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.