402 | Understanding Extreme Dysregulation and Trusting the CCPT Process

In this episode, I answer a question about a 7-year-old child whose play therapy sessions have been marked by extreme dysregulation, constant limit setting, destruction of materials, and very little observable progress after 16 sessions. I explore several possible explanations for this kind of presentation, including neurodivergence, developmental immaturity, a complete lack of experience with self-regulation and autonomy, and the possibility that the child is testing whether the therapeutic relationship can withstand his most challenging behaviors. I also discuss why children who appear chaotic externally are often revealing the chaos they experience internally, and why those behaviors can provide valuable insight into what is happening beneath the surface. Most importantly, I address the therapist's understandable concern that the process feels "clunky" and ineffective. When a child is this dysregulated, progress is often slower and less obvious, but that does not mean change is not occurring. I explain why these cases require extraordinary patience, trust, and adherence to the model, even when there is little external evidence that things are improving. Sometimes our most challenging clients become our most remarkable transformation stories. This episode is a reminder that CCPT is enough, that self-actualization is always occurring, and that our role is to trust the child, trust the process, and remain faithful to the model even when the journey is difficult. New Resource for Play Therapists: The Parent Companion for Play Therapy is now available at author pricing for therapists. Created specifically to help parents better understand the child-centered play therapy process, this book is designed to support parent engagement, improve buy-in, and reduce attrition throughout the therapeutic journey. As a listener of the Play Therapy Podcast, you can order a copy for just $8 (our cost plus shipping). Click here to order your author-priced copy. ** Limit 1 per therapist, offer valid in the Continental U.S. only. PlayTherapyNow.com is my HUB for everything I do! playtherapynow.com. Sign up for my email newsletter, stay ahead with the latest CCPT CEU courses, personalized coaching opportunities and other opportunities you need to thrive in your CCPT practice. If you click one link in these show notes, this is the one to click! Topical Playlists! All of the podcasts are now grouped into topical playlists on YouTube. Please go to https://www.youtube.com/kidcounselorbrenna/playlists to view them. If you would like to ask me questions directly, check out www.ccptcollective.com, where I host two weekly Zoom calls filled with advanced CCPT case studies and session reviews, as well as member Q&A. You can take advantage of the two-week free trial to see if the CCPT Collective is right for you. Ask Me Questions: Call ‪(813) 812-5525‬, or email: brenna@thekidcounselor.com Brenna's CCPT Hub: https://www.playtherapynow.com CCPT Collective (online community exclusively for CCPTs): https://www.ccptcollective.com Podcast HQ: https://www.playtherapypodcast.com APT Approved Play Therapy CE courses: https://childcenteredtraining.com Facebook: https://facebook.com/playtherapypodcast 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. Landreth, G.L., & Bratton, S.C. (2019). Child-Parent Relationship Therapy (CPRT): An Evidence-Based 10-Session Filial Therapy Model (2nd ed.). Routledge. https://doi.org/10.4324/9781315537948 Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.