367 | Night Terrors, Adoption, and Age-Appropriate Truth

In this episode, I respond to a question about a six-year-old client with a history of early instability who has experienced recurring night terrors. I explain why night terrors are not always trauma-based and how frequency, intensity, and impact on daily functioning matter far more than the behavior itself. I also discuss why periods of regression—especially after significant gains—are developmentally normal and do not indicate a loss of progress or a return to earlier levels of anxiety.

I walk through how CCPT supports long-term regulation across environments and why, in this case, returning to co-sleeping is not necessary even during transitional stressors like starting a new school. I introduce the concept of "reverse Pandora's box," emphasizing that once a child has achieved internal regulation, they don't lose that capacity during temporary setbacks. Finally, I address questions about adoption disclosure and explain why age-appropriate truth, delivered with relational preservation as the priority, is the most ethical and developmentally sound approach as children grow and mature.

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Common 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. Landreth, G.L., & Bratton, S.C. (2019). Child-Parent Relationship Therapy (CPRT): An Evidence-Based 10-Session Filial Therapy Model (2nd ed.). Routledge. https://doi.org/10.4324/9781315537948 Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.