356 | Attrition: The Hidden Crisis in Play Therapy (Special Episode)
In this special episode of the Play Therapy Podcast, I address what I believe is one of the most unrecognized threats to effective play therapy: high attrition and the lack of natural termination. After years of speaking with therapists around the world, I’ve realized how few children actually complete the full therapeutic process, and how often families quietly pull their child long before meaningful change has taken place. I walk through why this is happening, why it is so damaging to children and to our field, and why the responsibility falls on us as child-centered play therapists to fix it.
I explain the four clear termination criteria—two clinical and two environmental—that allow us to confidently determine when a child is truly ready to end therapy. I also highlight why tracking data, understanding averages, measuring longevity, and defining success matter so much, especially when most therapists have no system in place to understand their own attrition patterns. Without numbers, structure, and transparent communication, parents lose confidence long before progress becomes visible.
Finally, I share the exact processes and communication strategies that keep parents engaged for the full arc of treatment. From clear articulation at the first meeting to five-week consultation rhythms, expectation-setting, and preparing parents for resistance, we can dramatically reduce premature termination. Natural termination should be the norm—not the exception—and when we commit to systems that support this, children complete their therapeutic journey, parents experience the true value of CCPT, and our model remains strong, respected, and effective.
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