What to Expect: Understanding the Stages of Play Therapy

When parents bring their child to play therapy, one of the most common questions is, “What will
this process look like?” Because play therapy is based on the idea that children express
themselves through play rather than words, the process can seem subtle from the outside—but
meaningful changes are often happening beneath the surface.

Play therapy begins with relationship-building. In the first few sessions, children are often
curious and cautious. They may explore the playroom slowly or test boundaries to see if the
space—and the therapist—are truly safe. This stage is all about helping the child feel accepted,
understood, and in control of their experience.

As trust grows, children often begin to express deeper emotions. In the middle stages of therapy,
play may become more intense, dramatic, or emotional. This is a healthy part of the process.
Children use symbolic play to work through confusing or overwhelming experiences. A doll
might get sick over and over. A superhero might lose every battle. These moments allow the
child to express fears, anger, sadness, or confusion in a way that feels safe and manageable.
Eventually, as the therapeutic relationship continues to support the child’s growth, play becomes
more flexible, creative, and connected. Children begin to show new problem-solving skills,
confidence, and emotional regulation. In these later sessions, their play may include more
positive themes and relational connection, both with the therapist and in the stories they create.
The number of sessions a child needs can vary, but progress is often seen in small, meaningful
shifts: less emotional overwhelm, improved behavior at home or school, or stronger
relationships. Throughout the process, the therapist is carefully tracking these changes and
supporting parents along the way.

Play therapy is a gentle, child-centered way of helping children move from confusion to clarity,
and from distress to resilience—one session at a time.