Play Therapy for Toddlers & Preschoolers in Charlotte, NC

Toddlers and preschoolers can’t always tell you what’s wrong, but they will show you through play. Our counselors use child-centered play therapy to help children ages 2 to 5 in Charlotte and Pineville work through big emotions, behavior struggles, and life changes. Morning and early-afternoon appointments are available, so sessions fit around naps and preschool.

Who it's for

Signs a toddler or preschooler may benefit from play therapy:

  • Frequent, intense tantrums or meltdowns that are hard to recover from
  • Hitting, biting, or aggression at daycare or preschool
  • Separation anxiety at drop-off that isn’t improving
  • Big fears, clinginess, or new sleep problems
  • Regression after a change: new sibling, move, divorce, loss, or medical event
  • Trouble playing with other children, or being asked to leave a preschool program
  • Sensory sensitivities or difficulty with transitions and routines
  • Selective mutism or shutting down in new settings
  • Early signs of anxiety, sadness, or low frustration tolerance
  • A daycare teacher, preschool director, or pediatrician has suggested an evaluation

If you’re not sure whether what you’re seeing is “normal for the age,” a free consultation is a good place to start. We’ll help you decide whether play therapy, a developmental evaluation, or simply some parent coaching is the right next step.

What Is Play Therapy?

Play therapy is counseling built for the way young children actually communicate. A trained therapist uses carefully chosen toys, art materials, sand, puppets, and pretend play to give a child a safe way to express feelings they don’t yet have words for. Over time, children learn to recognize their emotions, calm their bodies, solve problems, and feel more confident and secure.

At Child & Family Development, play therapy for preschoolers in Charlotte is provided by licensed psychologists and counselors trained in Child-Centered Play Therapy (CCPT) and Child-Parent Relationship Therapy (CPRT), two research-supported approaches designed specifically for children under six.

What to Expect

Before the first visit

We start with a parent intake, either by phone or telehealth, so we understand your child’s history, what’s happening at home and at daycare or preschool, and what you hope will change.

The playroom

Sessions are typically about an hour, adjusted for your child’s age and attention span, in a dedicated playroom at our Midtown Charlotte or Pineville office. Your child chooses how to play; the therapist follows, reflects, and gently guides. To a child it feels like play. To the therapist, it’s assessment and treatment.

Parents are part of the work

For children this young, parent coaching and support is a required part of play therapy, not an optional add-on, because progress depends on what happens between sessions. You’ll get regular parent check-ins, practical strategies for tantrums, transitions, and drop-offs, and, when it fits, Child-Parent Relationship Therapy (CPRT) sessions where we coach you to use play-therapy skills at home.

How long it takes

Many families see meaningful change in 12 to 20 sessions, though every child is different. We’ll set goals with you at the start and review them together. See what to expect, step by step, and learn more about parent coaching.

Why We Schedule Little Kids in the Morning

Two- to five-year-olds do their best thinking before nap time. That’s why we hold morning and early-afternoon appointment slots specifically for our youngest clients. A well-rested child engages more fully in play, and you avoid the late-afternoon meltdown window. If your child attends preschool or daycare, we can often schedule before drop-off or during a mid-day break.

Play Therapy and Developmental Services Under One Roof

Because Child & Family Development is a multidisciplinary practice, your child’s play therapist works alongside occupational therapists, speech-language pathologists, and psychologists who evaluate developmental delays, autism, and ADHD. If a behavior concern turns out to have a sensory, language, or developmental root, we can address it here rather than referring you elsewhere.

Questions from Parents

Is my 3-year-old too young for therapy?

No. Play therapy is designed for children as young as 2. Because it uses play rather than talking, it works with a young child’s natural way of communicating instead of requiring language skills they don’t have yet.

Do I stay in the room during play therapy?

It depends on your child’s age and comfort. Many 2- and 3-year-olds start with a parent present, and we gradually shift to child-only sessions as trust builds. Some approaches, like Child-Parent Relationship Therapy, involve you directly. Your therapist will recommend what fits your child.

How is play therapy different from just playing?

The toys and materials are intentionally chosen, and the therapist is trained to read and respond to what a child’s play is expressing. Themes, repetition, and how a child handles frustration or limits all tell us something. The therapist uses that information to help your child build emotional skills, session by session.

My child's daycare said they may not be able to keep them. Can you help?

Yes. Behavior concerns at daycare or preschool, such as hitting, biting, or repeated disruptions, are one of the most common reasons families come to us. We can work with your child, coach you on strategies, and with your permission coordinate with the school or daycare so everyone is using the same approach.

Does insurance cover play therapy?

Yes. Play therapy is billed as behavioral health counseling and is covered in-network by Aetna, the NC State Health Plan, Blue Cross Blue Shield of NC, Cigna (Evernorth), and MedCost. We file out-of-network for most other plans. Our Client Accounts team can check your specific benefits before your first visit.

Do you offer morning appointments?

Yes. We hold morning and early-afternoon appointments specifically for children ages 2 to 5, since young children engage best before nap time. Ask about availability at either our Midtown Charlotte or Pineville office.

Can play therapy be done over telehealth?

Play therapy for very young children works best in person. However, the parent side of the work, including intake, parent coaching, and CPRT training, can be done by telehealth for families anywhere in North Carolina, and with select clinicians for South Carolina residents.

What if my child also needs speech or occupational therapy?

Many children we see for play therapy also work with our speech-language pathologists or occupational therapists. Because all of these services are under one roof, your child’s providers can coordinate, and appointments can often be scheduled back-to-back.

Our play therapy team

These counselors and psychologists work with children ages 2 to 5 at our Midtown Charlotte and Pineville offices. All hold master’s or doctoral degrees and are licensed in North Carolina.

Insurance for Play Therapy

Play therapy at Child & Family Development is billed as behavioral health counseling. We accept Aetna, Aetna State Health Plan, Blue Cross Blue Shield of NC, Cigna (through Evernorth Behavioral Health), and MedCost for play therapy and counseling in Charlotte, and we can file with most out-of-network plans. See all insurance details.

  • Aetna
  • Aetna State Health Plan (NC State Health Plan for Teachers and State Employees)
  • Blue Cross Blue Shield of NC
  • Cigna (Evernorth Behavioral Health)
  • MedCost
  • Will file with most out-of-network plans

Free Consultation

Your first step: Schedule a free consultation to talk with an expert. Not sure whether play therapy is the right fit? A short call with our intake team can help. We'll listen to what you're seeing, answer your questions, and match you with a counselor who works with your child's age. Morning appointments in Midtown Charlotte and Pineville are available now.

Schedule Now

New client consultation times are now available with our clinical leaders:

Schedule A FREE Phone Consultation Today

Jessica or Erin for Physical Therapy, Mallory for Occupational Therapy, Emily for Speech Therapy, and Brandyn or Missy for Psychology and Counseling. They'll help you identify the services that best fit your child's needs and guide you to the next steps.

Schedule Now