When incorporating music into play therapy, clinicians should consider:

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Music in play therapy works best when it respects and engages with the child’s own musical world. Music shapes how we feel and how we act; soothing melodies can lower arousal and invite reflection, while more energetic tunes can support movement, narrative, or imaginative exploration. When a clinician tunes in to the client’s musical preferences and watches how they respond, sessions become safer and more approachable, which is essential for someone who may express themselves more easily through play than through direct conversation.

To use music effectively, gather information about likes and dislikes, favorite genres or instruments, and any associations the client has with certain songs. Observe how different pieces influence mood, focus, or the storytelling in play, and note whether lyrics help or hinder the therapeutic process. Ask for feedback and explain why a particular piece is chosen, then adjust based on the client’s ongoing responses and therapeutic goals. Music should support the work without being overpowering; it should facilitate regulation, imagery, and expression rather than distract or overwhelm.

Choosing music based on the therapist’s own preferences or assuming music has no impact undermines the client-centered nature of play therapy. Likewise, using music that is loud, highly distracting, or inappropriate for the client’s sensory needs can derail engagement and safety.