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In person in Natick and telehealth across Massachusetts
Aurora Counseling Associates
Father and son bonding over colorful building blocks in a cozy room.

What we treat

Play Therapy in Natick, MA

Play therapy at Aurora Counseling Associates is the primary way our clinicians work with younger children, generally ages 3 to about 10. Play is how children process experience, work through what is hard, and develop the inner skills they need. A play therapist watches what the child is showing through their play, gently engages, and uses the play to help the child move through what brought them in.

What play therapy is

Play therapy is not babysitting and it is not a child playing with toys while a therapist watches passively. It is a trained intervention that uses the natural language of childhood (play) to help children work through anxiety, behavior concerns, family transitions, trauma, neurodivergence, and the everyday struggles of growing up that have become bigger than they need to be.

A play therapy session might involve:

  • Toys and small figures that allow a child to act out family scenes, school scenes, or imagined scenes that mirror what they are working on internally.
  • Sand tray work, where the child arranges figures in sand and the arrangement becomes the conversation.
  • Drawing and art-making as another expressive channel.
  • Storytelling and dollhouse play, which often surface what a child has not been able to put into words.
  • Games that build specific skills (impulse control, frustration tolerance, social skills, emotion identification) while also building the relationship.
  • Movement and physical play when a child needs to discharge before they can engage.

The therapist's role is to be a steady, attuned presence; to track themes that emerge in the play over time; to use the play to help the child develop new responses; and to support the parents in helping that work move into the rest of the child's life.

Who play therapy is for

Children come for play therapy for many reasons. Common ones:

  • Anxiety, which play therapy reaches through the natural language of childhood rather than talk. When anxiety is the primary concern, our anxiety therapy in Natick page goes deeper on how we treat it across ages.
  • Behavior concerns that are overwhelming the family: outbursts, defiance, sibling conflict that has become destabilizing, behavior at school.
  • Family transitions: divorce, separation, a new sibling, a death in the family, a move, a parent's deployment or extended absence.
  • Grief and loss, including pet loss, which can hit children especially hard.
  • Trauma: medical procedures, accidents, witnessing violence or chronic conflict, abuse, the loss of a caregiver.
  • Neurodivergence: kids with ADHD, autism, sensory processing differences, or learning differences who benefit from play-based work on emotion regulation, social skills, and self-understanding.
  • Adoption-related work and attachment-building in adoptive and foster families.
  • Children who are struggling but cannot or will not talk about it. Play often gets to what talking cannot.

How play therapy works at Aurora

Several principles shape our play therapy work:

  • Parents are part of the work

    We almost always have parent guidance running alongside the play therapy itself. Sometimes that is monthly parent sessions; sometimes it is parent-child sessions; sometimes it is brief check-ins at pick-up. The structure depends on what the family needs.

  • The play is the work, not the prelude to the work

    We do not need the child to "open up and talk." The play is doing the work.

  • The pace is the child's

    We do not push for emotional disclosure. Trust the child to bring what they need to bring, in the form they can bring it.

  • The room is a place the child looks forward to

    A child who likes coming engages with the work. A child who dreads it does not.

  • Coordinating with schools and providers

    We coordinate with schools and pediatricians when that helps the child.

What to expect

The first session is typically with the parents only. We use it to understand what is going on, gather background, and design the structure of the work. The second session is often the child's first time in the room.

Sessions are 45 minutes. Most children come weekly. Play therapy is often medium-length work: many children do focused work for 3 to 9 months and then check in periodically; some do longer work, depending on what they are working on.

A child sitting on the floor building with wooden blocks

Insurance and rates

Self-pay is $200 to $250 per session. In-network with BCBS, Tufts (HMO/PPO/GIC), Tufts Health Direct, Harvard Pilgrim, Point32Health, Optum, UBH, Mass General Brigham Health Plan, and Health Plans Inc. Some clinicians also accept Aetna and UHC; we confirm coverage at intake. HSA, FSA, and out-of-network superbills available. Rates and insurance.

Who you would work with

Clinicians who offer Play Therapy

Read how each person works before you reach out. If you are not sure who to ask for, we will help you choose.

These clinicians list this as a specialty. Most of our team works with it in some form, so if you have someone in mind, ask and we will tell you whether the fit makes sense.

Questions

Common questions

My child just wants to play. Will anything happen?
Yes. The play is the work. The themes a child plays out, the way they engage with the materials, what they avoid, what they keep returning to: these tell the trained eye a great deal, and the gentle intervention in the play shifts what the child is working with. Most parents notice changes at home before the child notices changes in themselves.
Will the therapist tell me what my child played about?
We share themes and patterns we are noticing, what we are working on, and how to support the work at home. We do not share verbatim what your child says or does in session. Anything that suggests safety concerns is always shared with you.
How long will play therapy take?
Most kids do focused work for 3 to 9 months and then either taper or finish. Some children need longer, especially if trauma or complex family circumstances are part of the picture.
Can my child do play therapy if they are neurodivergent?
Yes. Play therapy adapted for neurodivergent children (especially with sensory considerations and clinician training in autism or ADHD) is often a particularly good fit. We will match you with a clinician whose approach works for your child.
Do you do play therapy over telehealth?
Sometimes, for some children. It depends heavily on the child's age, focus, and what we are working on. Generally, in-person is the better fit for play therapy with younger children.
How do I prepare my child for the first session?
Keep it simple. Tell them they are going to meet a new adult who has a room with lots of toys and games. They do not have to talk if they do not want to. They get to decide what to play with most of the time. The first time is just getting to know each other.
Will my child resent me for sending them to therapy?
Most kids quickly stop framing it as something done to them once they meet the therapist. The work feels collaborative, not corrective.

Where to next

Related areas we work in

Get started

Ready when you are

If your child is struggling in a way you cannot quite reach, reach out or call (508) 650-0991. We will help you start.