Cognitive Behavioral Play Therapy Transcript

Therapist: Hi, Sean. How are you today?

Sean: Good.

Therapist: Good?

Sean: Yeah.

Therapist: Yeah? Are you excited to be here and to talk about some stuff?

Sean: Yeah.

Therapist: Yeah? OK. Well, I thought that the first thing we would do right now is, I want to talk about feelings some. And sometimes we have all sorts of different feelings, right?

Sean: Yep.

Therapist: OK, so what I'm going to do is I'm going to read a book about feelings first. And then we'll talk about them a little. Does that sound fun?

Sean: Yep.

Therapist: OK. I know you like books. So let's start. It's called Today I Feel Silly and Other Moods That Make My Day.

Sean: (Laughs)

Therapist: That's already silly, isn't it?

Sean: You're right.

Therapist: OK, here we go. "Today, I feel silly. Mom says it's the heat. I put rouge on the cat and gloves on my feet. I eat noodles for breakfast and pancakes at night. I dressed like a star and was quite a sight." Do you see the silliness?

Sean: Yeah.

Therapist: Yeah?

Sean: Look at the cat.

Therapist: (Laughs) The cat's eating the noodles, too?

Sean: Yes.

Therapist: "Today, my mood's bad. I feel grumpy and mean. I picked up my room. It still isn't clean. I forgot to feed Franny and water the fern. And the cocoa I'm making is starting to burn!" Oh, she doesn't feel silly anymore, does she?

Sean: No.

Therapist: Ah, oh. "Today, I am angry. You'd better stay clear. My face is all pinched. And I'm red ear to ear. My friends had a play date. They left me out. My feelings are hurt. I want to shout!

Today, I am joyful. My mood is first-rate. My friend's sleeping over. She said she can't wait. My freckles are popping, the sun is so bright. I'm in the relay with—I ran in the relay with all of my might.

Sean: (Laughs)

Therapist: (Laughs)

Sean: Where the cat?

Therapist: I don't know if I see the cat here. I guess the cat stays in the house, huh? Not when she's out running in the relay?

Sean: Yeah, I think.

Therapist: Ah! It turned sideways. "Today, I'm confused. My life's getting hairy. Sam says he's my boyfriend, but he also likes Mary. My mom told my father he might be a dad. I might get a brother. I'm not sure I'm glad.

Sean: Ow.

Therapist: "Today, I am quiet. My mom understands. She gave me two ice creams. And then we held hands. We went to the movies and then had a bite. I cried just a little and then felt all right.

Today, I'm excited there's so much to do. I'm going to sell cookies and lemonade, too. I'm starting a club to go clean up the park. And I've got a big crush on my teacher, named Mark." Those aren't the same.

(Laughs) Is that her teacher?

Sean: Yeah.

Therapist: Yeah. "Today I'm cranky, so nothing seems right. I have diarrhea and broke my new kite. Mom dyed her hair orange. My dad shaved his beard. My tooth came in crooked. This family is weird." That's very silly.

Sean: That clown.

Therapist: "Today, I am lonely. I feel so small. My Auntie's away. I wish that she'd call. My mom's working late. And my dad has the flu. And although I've got stuff, I've got nothing to do.

"Today, I am happy. I'm walking on air. I learned how to knit and to French braid my hair. I did my first solo in hip-hop and jazz. This day's been so great. I'm full of pizazz." Looks like she—

Sean: This.

Therapist: —braided the cat's hair, too. Oh, is he all tangled up?

Sean: Yeah.

Therapist: Hm. "Today I'm discouraged and frustrated, see? I tried rollerblading and fell on my knee. I really want straight hair, but mine's curly-q. Should I cut it or grow it? Oh, what should I do?

Sean: Right, I think she would.

Therapist: Do you think she's going to cut it?

Sean: No.

Therapist: Oh. "Today, I am sad. My mood's heavy and gray.

Sean: In the other way.

Therapist: "There's a frown on my face." It's up—it should go this way? And she's hanging off the bed?

Sean: Yeah.

Therapist: OK. "There's a frown on my face. And it's been there all day. My best friend and I had a really big fight. She said that I tattled. And I know that she's right.

Today, in my mood's great. It's the absolute best. I rode a two-wheeler and passed my math test. I played soccer at recess and we won the game. I sang in the show. And my parents both came." What's she doing there?

Sean: She's singing.

Therapist: She's singing in the show. "I'd rather feel silly, excited, or glad than cranky, or grumpy, discouraged or sad. But moods are just something that happen each day. Whatever I'm feeling inside is OK. How do you feel today?"

And now we've got this really cool face here. And you get to change her expression. So how are you feeling based on all those—those different moods we read? Are you feeling angry? Are you feeling silly? No? Happy?

Sean: Yeah.

Therapist: You're feeling happy? Let's switch up here, too. You can change her eyes to happy, too. You want to turn that so she's got happy eyes and a happy mouth? (Laughs)

Sean: That looks like it.

Therapist: Almost like it's coming up, maybe? Oh, those are angry eyes.

Sean: Anger eyes.

Therapist: Keep going.

Sean: That's only one.

Therapist: Yeah, it's only one happy eye. Right? You need to get so that both her eyes are happy. Oh, those are excited eyes. You want her to have excited eyes and a happy mouth?

Sean: Yep.

Therapist: OK, she looks great. And that's how you're feeling today?

Sean: Yep.

Therapist: Oh, good. So, we just read a book that has all sorts of feelings in it. Do you understand—Sean: Yeah.

Therapist: —feelings? Yeah? That's good. Because the next thing we're going to do is, we're going to draw some faces of feelings. OK? And we're going to color them in. And you're actually going to be the color-er and the drawer.

And we're going to talk about colors that maybe match our feelings, sometimes. And I know one of them was in our book that we read. Remember the one page right here?

Sean: Yeah.

Therapist: And what feeling was she having? Do you remember on that page?

Sean: Cranky.

Therapist: She was actually angry on that page, right? And what color did her face turn when she got angry?

Sean: Red.

Therapist: Red. So the first face we're going to do is, we're going to make a red angry face. Can you color that in red? And then we'll draw a face with the marker. OK?

Sean: Yep.

Therapist: OK. Oh, she must be really angry coloring in all that red, right?

Sean: Yep.

Therapist: OK.

Sean: Don't have nose.

Therapist: Hm?

Sean: She don't have nose.

Therapist: Oh, we'll have to draw a nose after you color it all in red. OK?

Sean: I do the nose?

Therapist: Yes, you can do the nose. I'm going to give you a black marker to draw the nose so that it shows up over the crayon. Does that sound good?

Sean: Yep.

Therapist: OK. You're doing a very good job. OK. Now let me just borrow that pen for one second, because I'm going to write the word angry on there. OK?

Sean: Yep.

Therapist: And now can you draw an angry face?

Sean: Thank you. Don't know how a face. I can't.

Therapist: Oh, just do your best. We'll know because her face is so red, right?

Sean: Oh.

Therapist: That's a good eye. How would an angry mouth look? Would it be smiley like this?

Sean: No.

Therapist: No. Would it be—would it be sad, like this?

Sean: No.

Therapist: No? What do you think it would look like?

Sean: Like this. [Inaudible]

Therapist: Oh like that, like grrrr.

Sean: Yeah.

Therapist: Yeah, OK. Yes, that's a very good angry face. OK, let me see that marker. I'll put the cap back on while we're doing our next—our next face. OK?

Sean: Yeah.

Therapist: And our next face, we're going to use the color yellow. What color—what feeling do you think yellow will remind you of?

Sean: Happy?

Therapist: Happy, yeah. So why don't we draw a happy yellow face. So, first color it in yellow.

Sean: Upside down, right?

Therapist: Oh, you can do it whatever way you want. You color it in yellow. And then you can draw the happy smile and the happy eyes.

Sean: Can make a nose?

Therapist: Oh yes, absolutely. Very nice nose.

Sean: [Inaudible]

Therapist: OK, and let me use that yellow mark—crayon. And I'll write the word happy on there.

Sean: A bit happy.

Therapist: Mm hm. And now, what would a happy face look like to you? Like that? That's a good happy face. You've got a smile. OK, what about the nose?

Sean: Oh, OK.

Therapist: (Laughs)

Sean: [Inaudible]

Therapist: Very good.

Sean: I did a—Therapist: Very good, bud.

Sean: —bad nose.

Therapist: Now, we're going to do just two more faces. OK? And what we're going to talk about today, there's lots of feelings. But we're going to talk about—

Sean: I know.

Therapist: —just two more. What?

Sean: Orange and blue.

Therapist: Orange and blue. Let's do—you want to do blue first? OK, let's do blue first. And you can start coloring that in.

What do you think of feelings—what feeling does blue make you think of? I can think of a Veggie Tales show that talks about Madame Blueberry. Do you remember that one?

Sean: No.

Therapist: No?

Sean: I didn't—I didn't watch that one.

Therapist: Oh, OK. Well, what feelings does blue make you feel—think about?

Sean: Happy.

Therapist: It makes you think happy?

Sean: Yeah.

Therapist: OK, kind of like yellow?

Sean: Yeah.

Therapist: Is that because you like the color blue?

Sean: Yeah.

Therapist: OK. I like the color blue, too. It's one—Sean: My favorite color is blue.

Therapist: It's one of my favorite colors, too. I have lots of blue clothes.

Sean: And red.

Therapist: And red, too?

Sean: Yeah.

Therapist: Well—Sean: And purple.

Therapist: And purple, too? Yeah, just like that.

Sean: And green.

Therapist: (Laughs) You like a lot of colors. Well blue, a lot of times when we think of blue feelings, we think of sad feelings. Have you ever heard somebody say, oh, I'm feeling kind of blue? That kind of makes them think oh, I'm feeling kind of sad. That's—blue's a color that kind of expresses sad to most people.

Sean: Like rain.

Therapist: Like rain, yeah, like a cloudy, rainy day. Right?

Sean: Yeah.

Therapist: OK.

Sean: I find a blue one now.

Therapist: We'll use these in just a little bit. But we've got to finish making our faces to use those. All right, so we're going to write sad, right there.

Sean: (HIC)

Therapist: Sad, and then if you can make a sad face. What does someone's face look like what it's sad? Oh yeah, with a frown like that.

Sean: Mm hm.

Therapist: Mm hm. Very good. That's a very sad face. OK and then one more color, and it's another feeling that we read about in our book today—Sean: Orange.

Therapist: Orange, right.

Sean: I always have orange.

Therapist: Why don't you start coloring in orange? And what feeling in our book do you think reminded us a little bit of orange?

Sean: I forgot about it.

Therapist: You forgot? Well I think that a lot of times when people think about orange, they think about exciting things, like they're so excited. And orange is a very bright, exciting color.

Sean: Like that one?

Therapist: Kind of like, this is the day where she was—oh no, where's the excited day? I'll find it while you're coloring in.

Sean: Can I help you, too?

Therapist: Oh, here it is. "Today, I'm excited. There's so much to do. I'm going to sell cookies and lemonade, too. I'm starting a club to go clean up the park. And I've got a big crush on my teacher, named Mark." So, she's excited because there's so many things that are coming up that she's looking forward to doing, right?

Sean: Yeah.

Therapist: And orange is a color that a lot of people thinks reminds them of excited feelings.

Sean: So pretty happy?

Therapist: Yeah, excited and happy can sometimes happen at the same time, right?

Sean: So, super happy.

Therapist: Oh, super happy, mm hm. That's kind of like it. Like, there are things that make me feel angry and sad at the same time. And there are things that make me feel happy and excited at the same time. Can I see that crayon so I can write excited in big orange letters?

Sean: And that one and that one and that one?

Therapist: Yeah, just like those ones. Now, you go ahead and make it, what? If you show me with your face, what does excited look like? Oh, a really big smile? I liked that one.

Sean: Oh. That looked like a sad face.

Therapist: Well—but you've got to make him a mouth, now. And your mouth will tell us what his face looks like. Oh, the biggest smile, huh? Oh, with showing his teeth, it's such a big smile.

Sean: Yep.

Therapist: That's very good. Are you all done with it?

Sean: Yeah.

Therapist: OK. Now what we're going to do with our smiley faces is, I'm going to read you a couple different things that happen maybe sometimes, during your day. And if those things happen, you need to tell me with these special shiny things.

You need to tell me what feeling that would make you feel. So for example, I could say something like, I'm going to give you an ice cream. What would that make you feel?

Sean: Exciting.

Therapist: Excited? Would it make you feel anything else out of these four feelings?

Sean: Happy.

Therapist: Happy. So what you would do is, you would just put those special shiny beads right on those two different feelings. OK? So here you go.

You can hold the can of beds. And I'll read you a sentence. And you tell me how that would make you feel. OK? At hockey today, you scored two goals.

Sean: I did.

Therapist: You did, today? That's so funny. How did that make you feel? It made you feel happy?

Sean: Yep.

Therapist: OK. The next one is the other boys tease you. How does that make you feel? Angry?

Sean: Yeah.

Therapist: Does it make you feel any of these other feelings? And sad, it makes you sad and angry?

Sean: Yep.

Therapist: OK. What about if—thank you. You know what? We can put those right back in there. What about if your cousin Sebastian wants you to be in one of his movies that he's making? How would that make you feel?

Sean: You already know.

Therapist: I do already know. Do you know how I know? Because when I said that, your eyes got real big and you smiled.

Sean: Yeah?

Therapist: Yeah. So I knew that that would make you feel—what of your feelings? What of these four feelings? Excited? Anything else? And happy, I like how you're matching the color stones with the colored faces. You're very creative. OK.

Oh, what if you get in trouble and you lose your privilege to play video games? How would that make you feel? Sad? Yeah, that would make me feel sad, too. But what if your mom lets you play with her iPhone? How would you feel if your mom let you play with her iPhone?

Sean: Yellow.

Therapist: Oh, that makes you feel excited?

Sean: Yep.

Therapist: Yeah. Does it make you feel anything else? Does it make you feel angry when your mom lets you play with your iPhone?

Sean: What are these?

Therapist: Do you want me to hold on to those? No? OK.

Sean: What is this color?

Therapist: I think that one looks like it's black.

Sean: Can I have it on there?

Therapist: You can put it—whatever color you want on there. So you would feel excited and happy at the same time, huh?

Sean: Yep.

Therapist: OK. Why do you feel if today was the day of your birthday party?

Sean: Happy and excited.

Therapist: Happy and excited, you can use these ones over again if you want to, these stones. OK, so you would feel happy and excited for a birthday party, huh?

Sean: Yeah.

Therapist: OK. What about if someone breaks your new toy? Would it feel sad?

Sean: Yeah.

Therapist: Yeah. What if that person did it on purpose? Like, they came right up and they kicked your new toy and broke it? What would you feel, then? Would you still just feel sad?

Sean: Maybe.

Therapist: You'd feel sad?

Sean: Maybe.

Therapist: I think that if I had somebody come and break my toy on purpose, I'd probably feel a little angry, too. Have you ever been angry at somebody for breaking your things?

Sean: Yeah.

Therapist: Yeah? OK. What do you feel when you get yelled at for misbehaving? You feel sad and angry if you got yelled at for misbehaving? OK.

Sean: And the [Inaudible].

Therapist: (Laughs) You want use them all? OK. What about, how would you feel if after dinner mom and dad took you out for ice cream?

Sean: Think you won.

Therapist: (Laughs)

Sean: Yeah.

Therapist: You wouldn't feel angry, would you? You're being silly. How would you feel for real, though?

Sean: Happy and then you—the one says ooh! That's good.

Therapist: Oh, that's a cool one, yeah. Happy and excited, because you like to go out for ice cream. Right?

Sean: Can I have two reds?

Therapist: Oh, let me think of one. What if you—what if you have an accident at school? How would that make you feel? You'd be angry?

Sean: And—

Therapist: And sad? OK. That's a neat-looking one, too—

Sean: Look one.

Therapist: —both of them. You know what I really noticed? When we were going through all of those examples? Is that lots of times when you feel sad, you also feel angry. And when you feel happy, you also feel excited, huh?

Sean: Yeah.

Therapist: So, you can have lots of different feelings all at the same time. Isn't that neat? Well, I actually had one more game for us to play. But we ran out of time. So, we're going to have to save it for next time. OK?

Sean: Yep.

Therapist: All right, so, I thank you so much for coming in. You did an excellent job. And I want to thank you for all the hard work. And I wanted you to take a sticker. So you can take any sticker you want, whatever one you want. You like that one? Do you know what that says?

Sean: No.

Therapist: It says great job. So that—

Sean: I think I don't want that one.

Therapist: Oh, you don't want that one? OK.

Sean: I think I want two.

Therapist: You want one that says something different?

Sean: I want the—a bloody one.

Therapist: Oh, I don't have any like that. I've got stars and smiley faces, over here.

Sean: [Inaudible] all them smiley faces?

Therapist: There's these kind. Do you want one—that smiley face?

Sean: No.

Therapist: No?

Sean: I want to see what next, [Inaudible].

Therapist: Oh, we're starting all over again. Those are the ones we already saw, right?

Sean: Yeah.

Therapist: You know, I think it would maybe make sense if you took one of our smiley face ones. Because today, we did so many smiling faces.

Sean: Yeah.

Therapist: Do you want to take a smiley face sticker? You want that one, right there?

Sean: No.

Therapist: No?

Sean: It ain't that one from—that one.

Therapist: From the first page? There's not too many left.

Sean: Might be that one.

Therapist: That is the first page. Yeah?

Sean: And then? What is that?