Play Therapy in Arlington, WA

Photo of Kristina Coyle, LICSW, Clinical Social Work/Therapist
Kristina Coyle
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Arlington, WA 98223
Completely Vaccinated! SATURDAY AND EVENING APPOINTMENTS AVAILABLE!!!! *** For well over a decade I have worked with children, adolescents, and families to heal relationships that have been strained due to trauma, attachment disruption, divorce, behavioral challenges, and chronic mental health conditions. After earning my Certification in Play Therapy I have seen profound changes in my clients. Let me show you and your family the power of therapeutic PLAY! Using your child's primary language of play, behaviors shift and they learn how to appropriately express their feelings and needs.
Completely Vaccinated! SATURDAY AND EVENING APPOINTMENTS AVAILABLE!!!! *** For well over a decade I have worked with children, adolescents, and families to heal relationships that have been strained due to trauma, attachment disruption, divorce, behavioral challenges, and chronic mental health conditions. After earning my Certification in Play Therapy I have seen profound changes in my clients. Let me show you and your family the power of therapeutic PLAY! Using your child's primary language of play, behaviors shift and they learn how to appropriately express their feelings and needs.
(360) 386-1618 View (360) 386-1618
Photo of Issy Kleiman, MA, LMFT, Marriage & Family Therapist
Issy Kleiman
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Arlington, WA 98223
Hi there! My name is Israella, but you can call me Issy. I know how crucial finding the right therapist is for your mental health journey. I want to recognize how hard it can be to take the first step. I'm so proud of you. My mission is to provide vital support to couples, families, and individuals of all ages and backgrounds seeking top-tier mental health care in Washington. I empower my clients to gain profound insights into their strengths and weaknesses while developing effective coping mechanisms and communication skills. However, life often presents us with unexpected challenges, leaving us feeling unprepared.
Hi there! My name is Israella, but you can call me Issy. I know how crucial finding the right therapist is for your mental health journey. I want to recognize how hard it can be to take the first step. I'm so proud of you. My mission is to provide vital support to couples, families, and individuals of all ages and backgrounds seeking top-tier mental health care in Washington. I empower my clients to gain profound insights into their strengths and weaknesses while developing effective coping mechanisms and communication skills. However, life often presents us with unexpected challenges, leaving us feeling unprepared.
(360) 215-2020 View (360) 215-2020
Photo of Issy K Kleiman - Counseling Services for Wellbeing, MA, LMFT, Marriage & Family Therapist
Counseling Services for Wellbeing
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Arlington, WA 98223
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
(206) 426-0366 View (206) 426-0366
Photo of Josh Evergreen, MA, LMHC, Counselor
Josh Evergreen
Counselor, MA, LMHC
Verified Verified
Arlington, WA 98223
Starting therapy can be overwhelming and sometimes frightening, and I want to acknowledge the strength and bravery that it takes to try something new. I offer individual counseling for adults and adolescents (age 13+) with a wide range of presenting issues. I practice using Acceptance and Commitment Therapy (ACT). ACT is all about creating new ways of handling your life’s problems to engage more fully and freely as you build a meaningful life. When we have a problem, it’s our natural drive to solve it. Most often, this works. However, when it doesn’t, it can leave us feeling lost and powerless to life's challenges.
Starting therapy can be overwhelming and sometimes frightening, and I want to acknowledge the strength and bravery that it takes to try something new. I offer individual counseling for adults and adolescents (age 13+) with a wide range of presenting issues. I practice using Acceptance and Commitment Therapy (ACT). ACT is all about creating new ways of handling your life’s problems to engage more fully and freely as you build a meaningful life. When we have a problem, it’s our natural drive to solve it. Most often, this works. However, when it doesn’t, it can leave us feeling lost and powerless to life's challenges.
(360) 230-8435 View (360) 230-8435

More Therapists Nearby

Photo of Dr. Kristen Michelle Brashear, MA, PsyD, LMHCA, Counselor
Dr. Kristen Michelle Brashear
Counselor, MA, PsyD, LMHCA
Verified Verified
Marysville, WA 98270
I use play therapy with children.
I understand that reaching out for help can be difficult and I am here to support you. I offer free consultation so we can meet to discus your or your child's therapy needs and determine if we will be a good fit. I have extensive training and experience working with children, tweens, teens, adults, and couples, My practice focuses on anxiety, depression, ADHD and other neurodiversity, puzzling behavior, learning disabilities, giftedness, trauma, and catastrophic illness. I am open to a phone call even if you just looking for information. I look forward to meeting you!
I use play therapy with children.
I understand that reaching out for help can be difficult and I am here to support you. I offer free consultation so we can meet to discus your or your child's therapy needs and determine if we will be a good fit. I have extensive training and experience working with children, tweens, teens, adults, and couples, My practice focuses on anxiety, depression, ADHD and other neurodiversity, puzzling behavior, learning disabilities, giftedness, trauma, and catastrophic illness. I am open to a phone call even if you just looking for information. I look forward to meeting you!
(360) 226-8426 View (360) 226-8426
Photo of Jeri L Richards, MA, LMHC, CMHS, Counselor
Jeri L Richards
Counselor, MA, LMHC, CMHS
Verified Verified
Silvana, WA 98287
Your comfort with and relationship to your therapist is a primary factor in the success of your therapy, so after you've had a chance to review my information, I invite you to give me a call to see if we'd be a good fit.
Your comfort with and relationship to your therapist is a primary factor in the success of your therapy, so after you've had a chance to review my information, I invite you to give me a call to see if we'd be a good fit.
(425) 368-5968 View (425) 368-5968
Photo of Laura Mote, LICSW, Clinical Social Work/Therapist
Laura Mote
Clinical Social Work/Therapist, LICSW
Verified Verified
Stanwood, WA 98292
A wise mentor once explained to me that emotions were (E)nergy in (Motion). And that was all the aha I needed to start developing a therapeutic practice focused on the movement of stuck trauma, unhelpful thoughts and poor relationships through the brain and body to develop healing or what Dr. Bruce Perry calls rhythm. One approach to developing rhythm is EMDR. It is an approach that moves us through stuck trauma as quickly as possible. EMDR creates rhythm by building confidence, clarity, self-compassion, and healthy connection with the self and others.
A wise mentor once explained to me that emotions were (E)nergy in (Motion). And that was all the aha I needed to start developing a therapeutic practice focused on the movement of stuck trauma, unhelpful thoughts and poor relationships through the brain and body to develop healing or what Dr. Bruce Perry calls rhythm. One approach to developing rhythm is EMDR. It is an approach that moves us through stuck trauma as quickly as possible. EMDR creates rhythm by building confidence, clarity, self-compassion, and healthy connection with the self and others.
(360) 995-1039 View (360) 995-1039
Photo of Shanice N Watson, MEd, LMHCA, NCC
Shanice N Watson
MEd, LMHCA, NCC
Verified Verified
Marysville, WA 98270  (Online Only)
Do you find that anxiety is showing up too often in your life and you want to learn how to manage it and stay in control? Are you making a transition in your life and you need some support and tools to make the next decision for yourself? Are you at a place in your life where you realize it's time for some things to change, and that change needs to start with you? Do the aftermath from trauma keep showing up and wreaking havoc in your relationships, job, and personal joy? If it sounds like I'm talking about you, then Renewed Mindset Therapy PLLC can help. I look forward to speaking to you!
Do you find that anxiety is showing up too often in your life and you want to learn how to manage it and stay in control? Are you making a transition in your life and you need some support and tools to make the next decision for yourself? Are you at a place in your life where you realize it's time for some things to change, and that change needs to start with you? Do the aftermath from trauma keep showing up and wreaking havoc in your relationships, job, and personal joy? If it sounds like I'm talking about you, then Renewed Mindset Therapy PLLC can help. I look forward to speaking to you!
(509) 550-2399 View (509) 550-2399
Photo of Melissa Marshall, MA, LMHCA, Pronoun, She/her, Counselor
Melissa Marshall
Counselor, MA, LMHCA, Pronoun, She/her
Verified Verified
Marysville, WA 98270
I have spent the last 25 years in a wide range of settings working with children, adolescents, adults, and families regarding issues of depression, anxiety, childhood trauma, and other related issues. My areas of expertise include relational problems, sexual abuse issues, trauma/PTSD, Dissociative disorders, and attachment issues.
I have spent the last 25 years in a wide range of settings working with children, adolescents, adults, and families regarding issues of depression, anxiety, childhood trauma, and other related issues. My areas of expertise include relational problems, sexual abuse issues, trauma/PTSD, Dissociative disorders, and attachment issues.
(425) 249-3807 View (425) 249-3807
Photo of Dan Abshere - Camano Counseling, Consulting, and Wellness, NCC, LMHCA
Camano Counseling, Consulting, and Wellness
Mental Health Counselor, NCC, LMHCA
Verified Verified
Marysville, WA 98270
Looking for a therapist who understands you, and the problems you’re facing? Everyone is different, and the challenges we face are complex, which is why I offer therapies that suit your needs while integrating sleep, diet, fitness, relationships, and careers. I provide stress, communication, and social and emotional training for organizations; and specialize in supporting veterans, students, and their families.
Looking for a therapist who understands you, and the problems you’re facing? Everyone is different, and the challenges we face are complex, which is why I offer therapies that suit your needs while integrating sleep, diet, fitness, relationships, and careers. I provide stress, communication, and social and emotional training for organizations; and specialize in supporting veterans, students, and their families.
(360) 525-2759 View (360) 525-2759
Photo of Denise Redford - Reflections Counseling, LMFT, MHP, Marriage & Family Therapist
Reflections Counseling
Marriage & Family Therapist, LMFT, MHP
Verified Verified
Marysville, WA 98270
The thing that is universal to why someone is seeking therapy is that they want a place to talk about thoughts, feelings and relationships without fear of being judged or of hurting someone's feelings. It is always an honor to be trusted to hear people’s thoughts, feelings and experiences. I do not believe it is my roll to tell someone how to do things, how to feel about things or how to think about things. I believe my role is to ask you questions, offer relevant information and skills but mostly listen to what you what. To do this, I use a variety of different techniques, skills and theories.
The thing that is universal to why someone is seeking therapy is that they want a place to talk about thoughts, feelings and relationships without fear of being judged or of hurting someone's feelings. It is always an honor to be trusted to hear people’s thoughts, feelings and experiences. I do not believe it is my roll to tell someone how to do things, how to feel about things or how to think about things. I believe my role is to ask you questions, offer relevant information and skills but mostly listen to what you what. To do this, I use a variety of different techniques, skills and theories.
(425) 264-8735 View (425) 264-8735
Photo of Tatiana Bowers, MA, MHP, LMFT, Marriage & Family Therapist
Tatiana Bowers
Marriage & Family Therapist, MA, MHP, LMFT
Verified Verified
2 Endorsed
Marysville, WA 98270  (Online Only)
Life can be messy and difficult. It is hard to rise up from difficulties and reach your true potential. My clients feel heard, understood and supported while acquiring skills and knowledge to create the changes in their live that makes them happy and successful. Hoping things will change with time is probably not going to happen. You are precious and matter. I truly believe that people are meant to live exordinary lives. Let me help you reach your potential. Embrace Hope Counseling is a Video Telehealth Therapy Practice which gives clients the ability to have sessions without wasting time getting to an office.
Life can be messy and difficult. It is hard to rise up from difficulties and reach your true potential. My clients feel heard, understood and supported while acquiring skills and knowledge to create the changes in their live that makes them happy and successful. Hoping things will change with time is probably not going to happen. You are precious and matter. I truly believe that people are meant to live exordinary lives. Let me help you reach your potential. Embrace Hope Counseling is a Video Telehealth Therapy Practice which gives clients the ability to have sessions without wasting time getting to an office.
(425) 689-7589 View (425) 689-7589
Photo of Jolene Janacek, SUDP, BA, AAST, YTT, Drug & Alcohol Counselor
Jolene Janacek
Drug & Alcohol Counselor, SUDP, BA, AAST, YTT
Verified Verified
Marysville, WA 98270
Hi there, My name is Jolene and I am a co-occurring disorders and trauma specialist, level 200 and 300 yoga instructor, sound healer, and domestic violence advocate. I am 40 years old and have been in the counseling/healing profession for almost 20 years. I would love to help you explore your identity and relationship with substances, trauma and other issues. I use a variety of techniques and modalities to explore and restore energy and your focus in life. Please reach out if you are feeling lost, empty or are in need of support. "You are enough". My work here on Psychology Today is private pay - under the title of life coaching.
Hi there, My name is Jolene and I am a co-occurring disorders and trauma specialist, level 200 and 300 yoga instructor, sound healer, and domestic violence advocate. I am 40 years old and have been in the counseling/healing profession for almost 20 years. I would love to help you explore your identity and relationship with substances, trauma and other issues. I use a variety of techniques and modalities to explore and restore energy and your focus in life. Please reach out if you are feeling lost, empty or are in need of support. "You are enough". My work here on Psychology Today is private pay - under the title of life coaching.
(425) 390-5464 View (425) 390-5464
Photo of Kathie Stratmeyer - Fountaingate Wellness, LMHC, LMFT, LMT, HP, Marriage & Family Therapist
Fountaingate Wellness
Marriage & Family Therapist, LMHC, LMFT, LMT, HP
Verified Verified
Marysville, WA 98270
Do you feel overwhelmed, lost, or burned out? Maybe you are stuck in an unsuccessful and unfulfilling place and you need tools and encouragement to set and achieve your goals. Fountaingate is ready to assist you in recognizing and managing the obstacles preventing you from walking in that place of confidence and security.
Do you feel overwhelmed, lost, or burned out? Maybe you are stuck in an unsuccessful and unfulfilling place and you need tools and encouragement to set and achieve your goals. Fountaingate is ready to assist you in recognizing and managing the obstacles preventing you from walking in that place of confidence and security.
(360) 854-3581 View (360) 854-3581
Photo of Charline Arends, MA, LMFT, CMHS, Marriage & Family Therapist
Charline Arends
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
Marysville, WA 98270
Waitlist for new clients
I am a Licensed Marriage and Family Therapist and Child Mental Health Specialist in Washington State. I counsel people ages two to hundred in aspects of their lives from creating a strong parent/infant bond to adolescent struggles to saying goodbye at life's end. I see individuals, children, adolescents, couples, and families.
I am a Licensed Marriage and Family Therapist and Child Mental Health Specialist in Washington State. I counsel people ages two to hundred in aspects of their lives from creating a strong parent/infant bond to adolescent struggles to saying goodbye at life's end. I see individuals, children, adolescents, couples, and families.
(425) 318-1814 View (425) 318-1814
Photo of Pat Martinelli, MS, LMHC, CMHS, Counselor
Pat Martinelli
Counselor, MS, LMHC, CMHS
Verified Verified
4 Endorsed
Marysville, WA 98270
Not accepting new clients
My work with children is through play therapy; the language of children.
As a client-focused, strength based, brief therapist I believe clients lead the way. It is my privilege to help you move towards your goals through self awareness and skills-based guidance. A person is much more than a diagnosis and at times labels can get in the way. Changes that match who a person is and where they are in their life lead to success. What we create together should be manageable so that "better" continues after our relationship ends.
My work with children is through play therapy; the language of children.
As a client-focused, strength based, brief therapist I believe clients lead the way. It is my privilege to help you move towards your goals through self awareness and skills-based guidance. A person is much more than a diagnosis and at times labels can get in the way. Changes that match who a person is and where they are in their life lead to success. What we create together should be manageable so that "better" continues after our relationship ends.
(425) 217-8040 View (425) 217-8040

Online Therapists

Photo of Kara Meyer, RPT, LMHC, Counselor
Kara Meyer
Counselor, RPT, LMHC
Verified Verified
Duvall, WA 98019
I am a Licensed Mental Health Counselor and am trained in cognitive behavioral therapy (CBT) for children and adolescents as well as certified in Aut Play Therapy.
I specialize in youth 12 & under and the families that love them. I have specific experience & training with youth & young people with symptoms of autism spectrum, sensory processing difficulties, attention deficits & disruptive behaviors. I utilize you & your child’s strengths to improve emotional, cognitive & behavioral functioning. I incorporate children’s interests to foster a connection & relationship in counseling. Whether it be through play, art, music, or the outdoors, I want to encourage individuality & confidence while learning how to improve overall functioning. My goal is to help you & your child find balance.
I am a Licensed Mental Health Counselor and am trained in cognitive behavioral therapy (CBT) for children and adolescents as well as certified in Aut Play Therapy.
I specialize in youth 12 & under and the families that love them. I have specific experience & training with youth & young people with symptoms of autism spectrum, sensory processing difficulties, attention deficits & disruptive behaviors. I utilize you & your child’s strengths to improve emotional, cognitive & behavioral functioning. I incorporate children’s interests to foster a connection & relationship in counseling. Whether it be through play, art, music, or the outdoors, I want to encourage individuality & confidence while learning how to improve overall functioning. My goal is to help you & your child find balance.
(425) 475-1732 View (425) 475-1732
Katie Accola
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bellevue, WA 98008
I am influenced by: play therapy, creative expressive arts, sand tray therapy, attachment-based therapy, family systems, strength-based, mind/body connection to mental health, and cognitive behavioral therapy through a trauma-informed lens.
I work with children, teens, and adults on an individual and family therapy level. My holistic approach helps you recapture your personal power by building upon your strengths, establishing goals, and examining values. I believe in your inherent capacity for growth, healing, and change. I can help you build upon skills and discover how to adapt and thrive. I create a safe and welcoming place for this to occur.
I am influenced by: play therapy, creative expressive arts, sand tray therapy, attachment-based therapy, family systems, strength-based, mind/body connection to mental health, and cognitive behavioral therapy through a trauma-informed lens.
I work with children, teens, and adults on an individual and family therapy level. My holistic approach helps you recapture your personal power by building upon your strengths, establishing goals, and examining values. I believe in your inherent capacity for growth, healing, and change. I can help you build upon skills and discover how to adapt and thrive. I create a safe and welcoming place for this to occur.
(425) 414-8659 View (425) 414-8659
Photo of Suzra Martha Antoine, MSW, LICSWA, CCTP, Clinical Social Work/Therapist
Suzra Martha Antoine
Clinical Social Work/Therapist, MSW, LICSWA, CCTP
Verified Verified
2 Endorsed
Seattle, WA 98112  (Online Only)
Evidence-based practices I uses are Cognitive behavioral therapy, Dialectical behavioral therapy, Trauma- Play, Play Therapy, TF-CBT, Art Therapy, and mindfulness/coping skills.
Are you struggling with anxiety, depression, PTSD, ADHD, trauma, and multiple mental health diagnoses? I assist clients in healing from trauma, helping youth, adolescents, and adults cope with life stressors, and low self-esteem. I also assist individuals in identifying their emotions, thoughts, and behaviors, establishing goals, empowering individuals to believe in themselves by offering compassion and support to clients in learning different coping skills to overcome life's stressors.
Evidence-based practices I uses are Cognitive behavioral therapy, Dialectical behavioral therapy, Trauma- Play, Play Therapy, TF-CBT, Art Therapy, and mindfulness/coping skills.
Are you struggling with anxiety, depression, PTSD, ADHD, trauma, and multiple mental health diagnoses? I assist clients in healing from trauma, helping youth, adolescents, and adults cope with life stressors, and low self-esteem. I also assist individuals in identifying their emotions, thoughts, and behaviors, establishing goals, empowering individuals to believe in themselves by offering compassion and support to clients in learning different coping skills to overcome life's stressors.
(206) 204-5185 View (206) 204-5185
Photo of Steven Kubacki, PhD, Psychologist
Steven Kubacki
Psychologist, PhD
Verified Verified
Seattle, WA 98115
These include Modern Psychodynamic, Cognitive-Behavioral, Stress Management, Behavioral Medicine, EMDR (Eye Movement Desensitization Reprogramming), Guided Imagery, Play Therapy, Parental Counseling, Psychodrama, Meditation, and Spiritual Counseling.
I have been providing psychotherapy and consulting services since 1993 for adults, adolescents, children, couples, and families. My practice is quite diverse and involves the following services: (1) Treatment of PTSD, trauma, bereavement, relationship issues, depression, anxiety disorders, eating disorders, borderline disorder, ADHD, bipolar, conduct disorders, obsessive-compulsive disorder, and Asperger’s. (2) Treatment of chronic pain, quality of life issues, and psychology problems due to debilitating or acute illnesses, such as cancer and auto-immune diseases. (3) Personal growth, spiritual development, and wellness counseling. (4) Sports psychology to improve performance and motivation. (5) Cognitive, personality, learning, and pre-surgical assessments.
These include Modern Psychodynamic, Cognitive-Behavioral, Stress Management, Behavioral Medicine, EMDR (Eye Movement Desensitization Reprogramming), Guided Imagery, Play Therapy, Parental Counseling, Psychodrama, Meditation, and Spiritual Counseling.
I have been providing psychotherapy and consulting services since 1993 for adults, adolescents, children, couples, and families. My practice is quite diverse and involves the following services: (1) Treatment of PTSD, trauma, bereavement, relationship issues, depression, anxiety disorders, eating disorders, borderline disorder, ADHD, bipolar, conduct disorders, obsessive-compulsive disorder, and Asperger’s. (2) Treatment of chronic pain, quality of life issues, and psychology problems due to debilitating or acute illnesses, such as cancer and auto-immune diseases. (3) Personal growth, spiritual development, and wellness counseling. (4) Sports psychology to improve performance and motivation. (5) Cognitive, personality, learning, and pre-surgical assessments.
(206) 922-8133 View (206) 922-8133
Play Therapy

Who is play therapy for?

Play therapy is generally targeted to children between the ages of 3 and 11 who have social, emotional, or behavioral difficulties. Play therapy has also been found helpful for children who have experienced physical or emotional abuse or witnessed atrocities. Play therapy is also often recommended for children who are undergoing major medical procedures or who are suffering from chronic illness; many children’s hospitals are equipped to offer play therapy on-site. Play therapy is also sometimes used for adults; creative writing, music, and art are expressive forms that can all be adapted for therapeutic purposes.

Why do people need play therapy?

Children often do not have the language skills or words to know or to express what is troubling them. Yet they often spontaneously draw or use playthings to depict scenarios that reflect problems in their everyday life. Play therapy provides children with an array of objects and play situations to act out their feelings or experiences so that therapists can get a clear picture of what children might be struggling with and help them find solutions. In addition, play therapists are skilled at helping children understand their inner experience and find words for them, necessary steps toward helping children learn to control their own behavior and come up with solutions to problems they encounter.

What happens in play therapy?

A child enters a comfortable playroom where they are free to choose the objects they want to play with. The play therapist will typically observe how they play with the toys—whether a sandbox, puppets, dolls and action figures, trucks, costumes, drawing and painting materials, or more—because such play provides clues to a child’s family and social relationships, difficulties they are encountering in the world, and what going on inside themselves. Sometimes the therapist may ask the child to use the play objects to tell a story about their family. Using the same instruments of play, therapists can help children discover more advantageous ways of thinking and behaving.

What kinds of problems do play therapists treat?

Play therapy can help children who display destructive or self-destructive impulses; children who seem angry, sad, or fearful; children who experience frequent social, emotional, family, or school difficulty. Play therapy is often of value to children who have experienced a loss or distressing family experience, who are regularly exposed to family conflict, or who have been physically or emotionally abused. Play therapy can help children who are perpetrators of bullying as well as those who are targets of bullying. It helps children learn to identify their feelings, to express them in constructive ways, and to regulate them so they can get on with the business of development.

How long does play therapy last?

Play therapy sessions may last for 30 to 45 minutes, and they usually occur weekly for about 20 sessions. Each session is tailored to the individual child and the kinds of problems they are struggling with. Play that is highly repetitive often indicates a problem requiring further exploration. Therapists typically measure progress through session-to-session changes in play behavior.