

28 Best Therapy Games for Healing Through Play – Self-expression is a crucial aspect of healing through play, particularly for children, where fun activities release dopamine, providing enjoyment, focus, and the motivation to complete tasks.
Play therapy can be helpful as a treatment for all ages. Therapy games are valuable in supporting older children and adults as they work through events and issues from earlier developmental stages (O’Connor et al., 2016).
As a result, play has the potential to strengthen therapeutic bonds, break down barriers in individual and group sessions, and practice the skills learned in therapy.
This article identifies therapy games that you can use inside and outside treatment to help children and adults heal.
Mental health professionals use therapy games with clients to have fun and establish a strong therapeutic relationship between therapist and client and amongst group members (Hill, 2016).
While games typically involve some degree of contest between players, play is often unrestricted and unstructured. Yet both have the potential to build engagement and be enjoyable for adults and children (Hill, 2016).
Playing games is incredibly valuable because it is familiar to all groups and all ages, helping clients learn to (Hill, 2016):
While therapy games can be created specifically for the therapy or treatment, they can also be store-bought, ‘real’ games adapted for therapeutic use (O’Connor et al., 2016; Drewes, 2009).
The following are a sample of games that therapists have found valuable, along with potential uses and interpretations (Hill, 2016; O’Connor et al., 2016; Gruzewski & Choi, 2020).
This popular and inexpensive game uses colorful cards that are simpler than a regular deck of playing cards. On each round, the player either adds a card to their hand if they cannot match the number or color of the upper card on the deck or discards one if they can. The aim is to get rid of all their cards.
Uno is a fun game that even young children can play (they can join forces with an adult if they wish), learning about strategies and pattern matching, developing their communication skills, and coping with losing.
Find it on Amazon.
Often, we focus on the negatives that happen in life, and yet it is crucial that we learn to celebrate our successes.
Remind the group that wins can look different for each person, but they are all equally important and deserve focus and attention.
While we may feel stressed about the present, we are often also anxious about what is yet to happen.
Explain to the individual or group that how we think about the future can cause us to feel anxious and stressed, or calm and controlled.
Explore how it is helpful to identify what is inside and outside our control.
Then, ask them to do the following:
Remind the group that there are no right or wrong answers.
Put everyone’s lists together and discuss how things that appear out of control can sometimes be brought under control or why it is sometimes necessary to accept them as they are.
Games can be an excellent opportunity to discuss feelings with young children.
Due to their age, they may need help and support with each of the following games so that they don’t fail (Mehlomakulu, 2012).
In this family favorite even with young children, each player rolls a die and moves their piece to see if they go up a ladder or down a slide. Use the ups to discuss things that have left the child feeling happy and the downs to talk about something that has made them feel sad.
This is a game of skill and balance, where pulling the wrong piece from the precarious pile could lead to everything toppling over. While a great chance to foster a sound and fun relationship with young children, it can also be used to talk about what it feels like when things go well and when things go badly.
Games work particularly well in group therapy, where they can serve as icebreakers and opportunities to learn new skills (O’Connor et al., 2016).
The following are a sample of practical group activities and games.
This valuable group activity reflects on the importance of mindfulness and staying in the present to avoid distraction from mental chatter (Gruzewski & Choi, 2020):
Discuss within the group what it felt like when the “chatter” was coming fast, how it felt when things slowed down, and how mindfulness could be helpful.
Small groups can be a useful and practical environment for exploring the positive and negative messages we tell ourselves (Gruzewski & Choi, 2020).
If preferred, give participants scores for the number of ‘hits’ they get. And if someone misses, they can try again with their next piece of paper.
Discuss common types of self-talk and how becoming more aware could improve how they feel each day within the group.
The following games include one mindfulness activity that can be used to help slow the pace down either before or after games, especially if tensions are running high.
This exercise offers a practical approach for mindfulness skills (Gruzewski & Choi, 2020):
After the exercise has finished, ask them to reflect on how knowing that thoughts and emotions are just temporary changes our perspective.
When relationships are going through difficult times, it can be tough to begin to talk, even in therapy. These fun icebreaker questions can help lighten the mood and break down barriers (Shuy, 2021):
What funny story have you never told the other person?
What embarrassing story would you like to share?
What did you want to be when you were growing up?
Who was your best friend as a child?
Trust is vital in any relationship; building a fun activity around it can lead to breakthroughs in communication (Shuy, 2021).
In this exercise, one person stands up straight, closes their eyes, and falls backward. The trust element is that the person behind will catch them safely, but first, it takes courage.
Board games are often undervalued and underutilized in therapeutic play and yet, according to research, can be great icebreakers, help with education, encourage fun, and form stronger connections (O’Connor et al., 2016).
The use of board games in treatment can often be either therapist or client led and helps develop mastery while learning frustration tolerance and coping and strategic skills, improving social communication, and building rapport (O’Connor et al., 2016).
Typical board games and their uses include the following (Hill, 2016; O’Connor et al., 2016; EduKate & Inspire, 2021):
As with the popular TV show, in this board game, players must guess a word or phrase to win a round.
The game helps build therapeutic relationships and is valuable for anyone, especially children, who finds it difficult to express themselves (such as those on the autism spectrum).
Even if players don’t know the words, they are typically able to guess the syllables, and the game encourages flexibility in thinking. Playing without the timer may reduce anxiety and make for a more inclusive game that can help when observing family or group dynamics.
Find it on Amazon.
This easy-to-learn game can be played with children and adults. Players race to acquire sets of cards based on colors, shapes, numbers, and shading, with the winner calling out ‘set’ once done.
The game encourages and develops pattern-matching skills and uses working memory. It is incredibly useful with clients who have attention deficit-hyperactivity disorder or autism spectrum traits, and older clients with cognitive difficulties (Hill, 2016).
Find it on Amazon.
Online play can be particularly beneficial for engaging younger children and creating a fun and relaxing environment.
Children, especially younger ones, usually love playing with sand. This online sand play activity is a great way to build rapport and offer the chance for the child to relax, express themselves, and explore various situations and scenarios. This free tool is excellent for virtual counseling, where the client can share their screen with the therapist giving prompts to direct their play (EduKate & Inspire, 2021).
For groups of children of all ages, this wonderful online tool creates a visual representation of marbles being placed in a jar. Marbles can represent acquisition and learning of a wide range of skills, such as participation, coping, acts of kindness, and naming feelings.
Occupational therapy games that teach fine motor skills, balance, cognitive, or sensory skills can be valuable for the young, old, and those recovering from treatment.
Most of the games do not require expensive or difficult-to-source equipment (if anything) yet include equipment and materials common in many houses, for example (Gwen, n.d.):
“Emerging research suggests that commercial, off-the-shelf video games have potential applications in preventive and therapeutic medicine” (Colder Carras et al., 2018, p. 1).
With 40% of the US population playing video games, there is enormous potential to use their obvious draw for therapeutic purposes. It may even be possible to incorporate interventions that promote mental and physical health into existing games (Colder Carras et al., 2018).

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