369 | Understanding Time and Touch in Child-Centered Play Therapy

Episode summary

In this episode, I answer two questions that touch on both the clinical and relational demands of child-centered play therapy. First, I address why the average number of CCPT sessions has shifted over time from 20–30 to more commonly 30–40 sessions. I share my perspective on what has changed in children's lives—screen exposure, loss of free play, increased anxiety, overdiagnosis, and broader cultural shifts—and how these factors affect children's baseline regulation and their capacity to do therapeutic work. I also explain how to communicate timelines to parents in a way that is honest, grounded, and not overwhelming by focusing on five-session increments rather than long-term commitments.

In the second half of the episode, I respond to a question about physical boundaries in the playroom, particularly with children who are highly relational, sensory-seeking, or physically expressive. I explain why children naturally use physical touch to communicate connection and why our work requires flexibility, self-awareness, and a willingness to shift personal comfort zones when appropriate. I also clarify when limits are truly needed and when discomfort belongs to the therapist rather than the child. Throughout the discussion, I return to one central principle: preserving the therapeutic relationship at all costs while maintaining safety, appropriateness, and unconditional acceptance.