From Cutting to Conversations: Handling Safety Concerns in CCPT

Play Therapy Podcast

In this episode of the Play Therapy Podcast, I respond to a question from Christy in New Mexico about working with a 12-year-old client who has a history of cutting and suicidal thoughts. I explore how to approach such sensitive issues within the child-centered play therapy (CCPT) model, emphasizing the importance of adhering to the framework while addressing safety concerns. I discuss setting clear expectations about confidentiality during the first session, which allows safety-related conversations to occur later without disrupting the therapeutic relationship.

I also answer a second question about appropriate toys for older clients in the playroom, sharing suggestions for games, activities, and tools that engage preteens and teens in developmentally appropriate ways. This episode provides practical strategies for balancing adherence to CCPT principles with the necessity of addressing safety issues when they arise.

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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.