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Does My Play Therapy Client Need Child Psychiatry?
Understanding the distinct roles that Play therapy and child psychiatry play in mental health can be crucial to providing the best support. In this article, we discuss the indicators that might suggest a child benefiting from Play therapy could also require the attention of a child psychiatrist.
Quick Look

Determining whether a play therapy client needs child psychiatry involves careful consideration of the child's behaviors, emotions, and overall progress in therapy. While play therapy offers significant benefits for emotional expression and healing, child psychiatry can provide crucial medical insight and treatment options for more complex mental health issues. By remaining open to the signs that indicate a need for psychiatric evaluation and fostering a collaborative approach to care, caregivers and professionals can ensure that children receive the comprehensive support they need to thrive.




Director, Play Strong Institute



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Understanding Play Therapy

Play therapy is a powerful approach to helping children express themselves, understand their emotions, and cope with trauma or psychological issues. It is based on the premise that play is the natural language of children. Through play, therapists can observe and engage with children in a manner that is both non-threatening and inviting, allowing them to explore feelings, resolve conflicts, and gain insights into their behaviors and emotions.

When Play Therapy Is Beneficial

  • Emotional or behavioral issues
  • Trauma and loss
  • Anxiety and depression
  • Developmental differences or delays
  • Family or school-related challenges

Recognizing the Need for Child Psychiatry

Child psychiatry, on the other hand, is a specialized field of medicine focusing on the diagnosis, treatment, and prevention of mental disorders in children and adolescents. Child psychiatrists are medical doctors who can prescribe medication, conduct medical assessments, and offer a broader range of treatments, sometimes including psychotherapy and family counseling.

Signs That a Child Might Need a Psychiatrist

  1. Persistent Behavioral and Emotional Issues: If a child's emotional or behavioral problems persist despite play therapy interventions, a consultation with a child psychiatrist might be necessary. This is particularly true for issues that significantly impact the child's daily functioning.

  2. Suspected Mental Health Disorders: If there's a suspicion of a more complex mental health disorder (such as ADHD, OCD, PTSD, or moderate to severe anxiety and depression), a child psychiatrist can provide a comprehensive assessment and diagnosis.

  3. Need for Medication: In some cases, medication might be required as part of a child's treatment plan. Only a psychiatrist can prescribe and manage psychiatric medication for children.

  4. Complex Trauma or Psychopathology: Children who have experienced severe trauma or who have complex psychological issues might benefit from the specialized skills and medical knowledge of a child psychiatrist.

Collaboration Between Play Therapy and Child Psychiatry

For many children, a combination of play therapy and psychiatric care offers the most comprehensive approach. Play therapy can continue to be a valuable space for children to process their emotions and experiences, while psychiatric care can address biological and more complex mental health needs.

How to Proceed

If you're considering whether a child in play therapy might also need psychiatric evaluation, start by consulting with the play therapist. They can provide insights based on their observations and experiences with the child. Collaboration between therapists, psychiatrists, and the child's family is key to creating a supportive and effective treatment plan.