Facilitating CPRT With Challenging Parent Dynamics

May 29, 2025

In this episode, I respond to a question from Tess in Illinois about coaching parents with personality disorders—specifically borderline and narcissism—within the CPRT (Child-Parent Relationship Therapy) framework. This is a tough but important topic because it forces us to examine fit, expectations, and how to approach CPRT when cognitive or relational barriers are present.

I walk through how to vet parents for CPRT, what makes someone a good candidate, and how personality disorders can complicate the process. I also talk about the critical need for patience: some parents are essentially rewiring their entire parenting approach, and ten weeks isn’t always enough. Finally, I encourage clinicians to hold clear and kind conversations, maintain realistic expectations, and remember that transformation is possible—even when it’s slow.

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Common References:

Cochran, N., Nordling, W., & Cochran, J. (2010). Child-Centered Play Therapy (1st ed.). Wiley.
VanFleet, R., Sywulak, A. E., & Sniscak, C. C. (2010). Child-centered play therapy. Guilford Press.
Landreth, G.L. (2023). Play Therapy: The Art of the Relationship (4th ed.). Routledge.
Bratton, S. C., Landreth, G. L., Kellam, T., & Blackard, S. R. (2006). Child parent relationship therapy (CPRT) treatment manual: A 10-session filial therapy model for training parents. Routledge/Taylor & Francis Group.
Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.

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