S3E15 - How Medical Trauma Impacts Power and Behavior in Kids
Play Therapy Parenting Podcast
Release Date: 11/28/2025
Play Therapy Parenting Podcast
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In this episode, I answer a question from Kylee about sibling jealousy — specifically how her seven-year-old daughter reacts during her siblings’ birthdays. I explain how birth order plays a significant role in this dynamic and why middle children often struggle with attention and identity. I walk through how jealousy fits into the bigger picture of being “the forgotten child” in a family of five, and why her daughter’s reactions make sense developmentally. I also share practical steps to reduce jealousy and strengthen connection, including building in weekly one-on-one time with...
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In this episode of the Parent Companion for Play Therapy series, I talk about nature versus nurture and how both play a meaningful role in the behaviors parents often seek therapy for. I explain the difference between a child’s inborn personality traits (nature) and the experiences that shape them over time (nurture), and why many struggles — anxiety, control, sensory sensitivities, aggression, timidity — usually reflect both at work. I walk through how child-centered play therapy honors who a child naturally is while helping them regain regulation when life experiences have pushed their...
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In this episode of the Parent Companion for Play Therapy series, I talk about how many challenging behaviors in young children can be traced back to one core issue: power and control. Melanie wrote in with concerns about her two-and-a-half-year-old nephew — picky eating, tantrums, saying “no” to everything, refusing to follow directions, and melting down when overwhelmed. I walk through how each of these behaviors connects to a child’s need to feel some sense of control in their world, especially when so much of daily life is directed by adults. I also explain why giving in during big...
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In this episode of the Parent Companion for Play Therapy series, I explain the idea of snowball momentum — how one area of growth in child-centered play therapy naturally leads to progress in other areas. Children rarely work on just one issue in isolation. As they begin addressing themes like power and control, self-esteem, anxiety, or aggression, progress in one area creates movement in the others. That momentum grows session by session, especially during the work phase of therapy, and becomes the driving force behind lasting change. I walk through how these therapeutic themes feed into...
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In this episode, I respond to a parent who’s navigating a long list of confusing behaviors with her six-year-old — from struggles with socks and underwear to bedtime battles, toileting challenges, emotional outbursts, and power struggles throughout the day. I explain how all of these issues point back to one core theme: control. Children only have control over a few things in their world, and when life feels overwhelming or unpredictable — especially for a child with medical trauma — they hold on tightly wherever they can. I walk through why these behaviors make sense, how medical...
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In this episode of the Parent Companion for Play Therapy series, I talk about how your child becomes the “identified change agent” in the family once they begin child-centered play therapy. When a child starts growing, regulating better, and acting differently, it naturally disrupts the family’s usual roles and patterns — and everyone else has to adjust. I explain why change in one person always leads to change in the entire system, even when the rest of the family isn’t in therapy. I also talk about birth order, family roles, and the self-fulfilling impact of the labels we use for...
info_outlineIn this episode, I respond to a parent who’s navigating a long list of confusing behaviors with her six-year-old — from struggles with socks and underwear to bedtime battles, toileting challenges, emotional outbursts, and power struggles throughout the day. I explain how all of these issues point back to one core theme: control. Children only have control over a few things in their world, and when life feels overwhelming or unpredictable — especially for a child with medical trauma — they hold on tightly wherever they can.
I walk through why these behaviors make sense, how medical experiences amplify a child’s need for power, and why so many of the “sensory” issues parents describe are actually tied to anxiety and emotional sensitivity. I also offer guidance on how to shift language around limits, how to understand masking behaviors, and why returning to child-centered play therapy may be helpful as he continues processing what he’s been through.
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Common References:
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.