412 | When an Anxious Child Won't Stay in the Playroom

Episode summary

In this episode, I answer a question about working with a young child who repeatedly tries to leave the playroom during the first few sessions of therapy. Whether the child says they need to see their parent, use the bathroom, or simply can't stay in the room, I explain why these behaviors are often rooted in anxiety, a need for control, and difficulty with emotional regulation—not a true desire to end the session. I walk through how to establish and enforce limits around staying in the playroom while remaining deeply empathic and accepting of the child's experience.

I also discuss why consistency is essential when working with anxious children, how holding firm boundaries actually creates safety, and why giving in to escape behaviors unintentionally reinforces the child's anxiety. This episode offers practical guidance for managing "runners" in child-centered play therapy while reminding us that our role is to stay calm, trust the process, and help children discover that they are capable of working through difficult emotions without escaping them.