323 | What to Do When Time Is Up But the Child Isn't Regulated Yet

Episode summary

In this episode, I respond to a question from Crystal, a school-based clinician in Minnesota, about how to end sessions when a child is emotionally dysregulated. Especially in settings like schools, where transitions can be abrupt and expectations are high, it can be tricky to support a child who's deeply engaged in therapeutic work but needs to return to class.

I walk through the importance of a decompression process and share how we build transition time into our sessions through rituals like handwashing and snack choices. I also talk about clinical judgment—recognizing when a child might need a few extra minutes or a gentler route back into their day—and how we can advocate with caregivers and teachers to protect that emotional space. If you've ever faced the challenge of ending a session while a child is still "in it," this episode offers validation, strategy, and a clear CCPT-aligned approach.