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Therapists observe someone during play to gain insights about their behavior. Play therapy can be useful for treating mental health conditions or behavioral disorders. It can also be a support tool for those with developmental differences, such as autism and attention deficit hyperactivity disorder (ADHD). Although play therapists primarily work with children, they sometimes use this treatment to engage with adolescents and adults as well. A variety of licensed professionals practice play therapy. These may include social workers, counselors, and psychologists. Keep reading to learn more about the benefits of play therapy for children and adults. What is play therapy Share on PinterestWeekend Images Inc./Getty ImagesPlay therapy is a tool that originally comes from the field of psychotherapy, or talk therapy. It involves a trained therapist observing a client while they play and following their lead as they do. The approach is based on the idea that children communicate unconsciously through play. This means they reveal things about themselves without realizing they are doing it. It is through play that children learn how to interact with the world and develop skills. As such, it is a natural means of self-expression for them. During play, a child may either directly or symbolically act out their feelings, allowing a therapist to gain insight into their emotional state. Playing together provides a safe environment for this to happen, allowing people to express things they might otherwise find difficult. Participating in a shared activity also fosters trust between the therapist and the client, creating a therapeutic relationship. This can be especially useful for children, who may feel distrustful of strangers. Play Therapy International (PTI) reports that up to 71% of children who undergo play therapy show a benefit. Sessions usually last 30–45 minutes. Who can have play therapy Therapists most often use play therapy for children, but it may help adults in some circumstances too. The Association for Play Therapy (APT) states that mental health practitioners may use it to help treat a range of conditions, such as:anxietydepressionbehavioral disorders, such as conduct disorder or oppositional defiant disorder (ODD) It may also help with new behavioral problems that occur due to life events, such as bereavement, divorce, or a traumatic experience. Play therapy can also be a supportive intervention for people with neurodevelopmental differences. This could include those with:autism ADHDlearning disabilities Play therapy does not “cure” these conditions but instead provides emotional support and teaches skills that help children learn and socialize. Benefits for children Research indicates that play therapy may: Help autistic children learn skills A small 2018 study explored the effects of play therapy in 20 autistic children. After 2 years, the children experienced a significant improvement in their behavioral and developmental skills. The authors suggest that play therapy may help autistic children with social interactions. However, research in a larger group of children is necessary to confirm whether play therapy is effective. Reduce disruptions to learning in ADHD A small 2017 study of three first-grade school students found that child-centered play therapy helped to reduce the symptoms of ADHD, including difficulty concentrating, intrusive behavior, and oppositional behavior. The children participated in three sessions per week over the course of 6 weeks. The therapy appeared to help to varying degrees, ranging from small to large improvements. However, this was a very small study focusing on three specific cases. It may not reflect how effective play therapy is in a larger population. Reduce ODD symptoms ODD is a condition in which a child is persistently hostile and uncooperative toward peers and authority figures. A 2019 clinical trial involving 45 children with ODD found that, in comparison to no treatment, both individual and group play therapy improved ODD symptoms. Children receiving play therapy had one session per week for 8 weeks. At the end of the study, parents, caregivers, and teachers reported reductions in ODD-related behavior. These improvements lasted for at least 2 months, suggesting play therapy may create long-lasting changes. However, more research is necessary to confirm this. Benefits for adults There is not as much research into the benefits of play therapy for adults. Older research suggests it may: Boost mental health in older age An experiment in 2001 observed how play therapy affected a small group of older adults in a nursing home. They underwent play therapy involving creative writing, music, art, games, and sand tray therapy. After engaging in one to two sessions per week for 6–10 weeks, the participants:socialized more with othersappeared to have better self-esteemappeared to have lower rates of depressionshowed interest in solving problems, such as feeling lonely However, this is based on observations rather than data. Facilitate coping with trauma Play therapy cuts through adult guardedness and provides a relaxed environment, explains an older 2010 American Counseling Association article. This enables adults to safely examine their feelings and approach threatening topics. For example, the article mentions an exercise that helped survivors of domestic violence express how they felt about their abusive relationship. Foster communication in developmental disabilities Adults with developmental disabilities may have few opportunities for validation and emotional expression, notes an older 2003 journal article. The authors cited two case studies that indicated play therapy may offer a positive effect on various aspects of psychological health, including emotional well-being. Techniques and examples Below are play therapy techniques with examples of their use. General play with toys The older 2010 review article shows that play therapy may involve allowing the child to play with toys in one of three categories:Real-life toys: These break the ice and target withdrawn or introverted children. They include items such as:dollsboats play moneyAggressive toys: These foster the release of anger and hostility. They include items such as: ropes toy guns superhero figuresCreative toys: These offer a way to express a wide range of emotions. They include items such as: crayonsPlay-DohLego toys As the child plays, the therapist tries to interpret how they feel. These interpretations guide the play, allowing the therapist to test whether their theory is correct. The child’s reaction will either reinforce or reject their interpretation. Once the therapist understands what the play means, they will guide it to help the child in various ways. For example, they may help them learn to solve a problem or work through an emotion. Game playing Game playing is a technique that therapists may use with older children, adolescents, and adults. An older 2008 review article reports that following the rules can help a distractible person focus attention. Games are also a socialization tool, teaching people how to take turns and be a gracious loser or winner. Role-playing Playing a role in a drama may help a child who has experienced a traumatic event, notes the older 2008 review article. Instead of reliving the event, a child symbolically deals with it through characters in an enacted narrative. This play acting can help them move toward an inner resolution. Stories Hearing or reading a story allows children to see how others have overcome problems similar to their own. An older 1999 journal case study suggests they may then apply what they have learned to their own real-life situation. Sand tray In sand tray play, a therapist provides a child with a tray, sand, and miniature toys to create a scene or play world. A 2017 study involving seven children between the ages of 7 and 10 indicated that the technique may help people who experience sexual abuse. In the study, the children’s play had a theme of violence, and it expressed the need for protection. It also encouraged the creation of situations with positive outcomes. What training do play therapists have A play therapist may have a master’s degree or higher, as well as a license in a mental health field, such as:social workcounselingpsychology Once someone is qualified, they register as a play therapist. This indicates they have completed additional coursework and clinical supervision in play therapy. The APT offers a training program that gives people “Registered Play Therapist” status. Summary Play therapy is a form of psychological treatment that uses play to allow people to express unconscious feelings, or things they find hard to express through words. According to PTI, 71% of children who receive it experience a positive change. The potential benefits include a reduction of behavioral problems that stem from anger, grief, or trauma. Play therapy may also help people with developmental differences to work through problems or learn skills that help in daily life. If someone wants to try play therapy, they can looked for a registered play therapist. In the United States, the APT issues these qualifications. Last medically reviewed on April 4, 2022AutismMental HealthADHD / ADDPediatrics / Children's HealthPsychology / Psychiatry 12 sourcescollapsedMedical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.Carlson, R., et al. (1999). Play therapy and the therapeutic use of story. https://files.eric.ed.gov/fulltext/EJ603020.pdfHeiden, L. E. (2008). Play therapy with adults. https://scholarworks.uni.edu/cgi/viewcontent.cgi?article=1825&context=grpLandreth, G. L. (2001). Innovations in Play Therapy: Issues, Process, and Special Populations [Abstract]. Florence, KY: Brunner-Routledge.https://psycnet.apa.org/record/2001-16195-000Homeyer, L. E., et al. (2008). Play therapy: Practice, issues, and trends. https://files.eric.ed.gov/fulltext/EJ1069021.pdfHow does therapeutic play work? (n.d.). https://playtherapy.org/about-play-therapy/Kool, R., et al. (2010). Play therapy: Considerations and applications for the practitioner. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989834/Morshed, N., et al. (2019). A comparative study on the effectiveness of individual and group play therapy on symptoms of oppositional defiant disorder among children. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC6887760/Pittala, E. T., et al. (2018). Clinical outcomes of interactive, intensive and individual (3i) play therapy for children with ASD: A two-year follow-up study. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5948870/Robinson, A., et al. (2017). The effects of child-centered play therapy on the behavioral performance of three first grade students with ADHD. https://www.apa.org/pubs/journals/features/pla-pla0000047.pdfSenko, K., et al. (2019). Play therapy: An illustrative case. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659989/Tornero, M. D. L. A., et al. (2017). Change during psychotherapy through sand play tray in children that have been sexually abused. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5415598/Why play therapy? (n.d.).https://www.a4pt.org/page/WhyPlayTherapyFEEDBACK:Medically reviewed by Karin Gepp, PsyD — By Mary West on April 4, 2022 Latest newsWhat sets 'SuperAgers' apart? Their unusually large neuronsOmega-3 may provide a brain boost for people in midlifeSeasonal affective disorder (SAD): How to beat it this fall and winterCDC: Monkeypox in the US 'unlikely to be eliminated in the near future'Why are more women prone to Alzheimer's? 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