S3E15 – How Medical Trauma Impacts Power and Behavior in Kids

Dec 9, 2025

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 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.

Common Play Therapy References:
Cochran, N., Nordling, W., & Cochran, J. (2010). Child-Centered Play Therapy (1st ed.). Wiley.
VanFleet, R., Sywulak, A. E., & Sniscak, C. C. (2010). Child-centered play therapy. Guilford Press.
Landreth, G.L. (2023). Play Therapy: The Art of the Relationship (4th ed.). Routledge.
Bratton, S. C., Landreth, G. L., Kellam, T., & Blackard, S. R. (2006). Child parent relationship therapy (CPRT) treatment manual: A 10-session filial therapy model for training parents. Routledge/Taylor & Francis Group.
Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.

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