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How Do I Engage Children in Telehealth Play Therapy?
Telehealth play therapy has emerged as a vital tool for therapists, especially in times when face-to-face sessions are not feasible. Here’s an introduction on how to engage children in telehealth play therapy, ensuring that they receive the full benefits of therapeutic play even from a distance.
Quick Look

Engaging children in telehealth play therapy requires creativity, flexibility, and a deep understanding of each child’s unique needs. By creating a welcoming environment, leveraging digital tools, and maintaining strong communication, therapists can provide effective and meaningful therapy even from a distance. The key lies in adapting traditional play therapy techniques to the virtual world while ensuring that the essence of therapeutic play remains intact.




Director, Play Strong Institute



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Create a Welcoming Environment

  • Set the Stage: Make sure the child has a quiet, comfortable, and private space for the session. Encourage parents to set up a consistent spot for therapy sessions.

  • Personalize the Space: Allow the child to personalize their space with favorite toys, drawings, or a cozy blanket. This helps create a sense of ownership and safety.

  • Warm Introductions: Start with casual conversations to make the child feel comfortable. Ask about their day, interests, or favorite activities.

  • Consistency is Key: Maintain regular session times to build a routine. Consistency helps children feel secure and more willing to open up.

Utilize Digital Tools and Platforms

  • Interactive Software: Use HIPAA-compliant telehealth platforms that offer interactive features such as drawing tools, games, and virtual toys. Programs can be enhanced with add-ons specifically designed for play therapy.

  • Virtual Playrooms: Some platforms offer virtual playrooms where children can engage with digital versions of toys and games.

Incorporate Physical Toys

  • Hybrid Play: Encourage the use of physical toys alongside digital interaction. The child can show and use their toys during the session, integrating real-world play into the virtual space.

  • Therapist’s Kit: Keep a similar set of toys that the child has, so you can mirror their play and maintain a sense of shared experience.

Engage Through Creative Activities

  • Drawing and Art: Utilize digital whiteboards or share screens for drawing activities. Art can be a powerful medium for expression and therapy.

  • Storytelling: Co-create stories or act out scenarios using toys. This can help children express their thoughts and feelings indirectly.

Adapt Play Therapy Techniques

  • Sandtray Therapy: Virtual sandtray applications allow children to create scenes using a digital sandbox. This method can be as effective as the physical counterpart.

  • Puppet Play: Digital puppet tools or physical puppets can be used to act out scenarios, helping children project their feelings onto the characters.

Interactive Games

  • Therapeutic Games: Online games designed for therapy can help address specific issues such as anxiety, ADHD, or social skills. Games should be age-appropriate and aligned with therapeutic goals.

  • Collaborative Play: Engage in games that require teamwork, which can help build social skills and a sense of connection.

Parental Involvement

  • Guidance and Support: Involve parents in the therapy process. They can assist in setting up the session, provide feedback, and support therapeutic activities at home.

  • Parent-Child Interaction Therapy: If you have the proper training, conduct telehealth PCIT sessions where parents play a direct role, learning techniques to support their child’s emotional and behavioral needs.

Monitor and Adapt

  • Feedback Loops: Regularly seek feedback from the child and their parents to understand what’s working and what’s not. Be flexible and ready to adapt your approach based on their input.

  • Progress Tracking: Use digital tools to track progress and adjust therapy plans accordingly. Keeping a record helps in measuring the effectiveness of the sessions.

Maintain Professionalism and Boundaries

  • Clear Guidelines: Set clear boundaries and guidelines for telehealth sessions, ensuring both the therapist and the child understand what’s expected.

  • Confidentiality: Ensure all telehealth communications are secure and confidential. Use HIPAA-compliant platforms to protect the child’s privacy.