An Introduction to DIR/Floortime

When a child receives a diagnosis of autism spectrum disorder (ASD), a number of services may be recommended, including speech therapy, occupational therapy, a social skills group, or play therapy. Among the various approaches to play therapy, DIR/Floortime stands out as a developmentally grounded, relationship-based model designed to support children’s emotional, social, and cognitive growth. This approach emphasizes engaging children through play while addressing their unique developmental and sensory needs.

Research indicates that DIR/Floortime has been associated with improvements in social-emotional functioning and communication skills in children with ASD. For example, a controlled study¹ found significant gains in social interaction and emotional regulation in children participating in DIR/Floortime interventions. Another study² reported that DIR/Floortime therapy led to improvements in adaptive behavior and parent-child interaction quality, further supporting its effectiveness.

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Play Therapy

What is Play Therapy? 

Play therapy is a structured, theoretically-based approach that uses play as a medium for children to express feelings, resolve conflicts, and develop coping skills. The typical setup for play therapy involves a playroom equipped with toys, art supplies, and role-playing tools. Sessions are guided by a therapist, who facilitates self-expression and emotional processing through symbolic play.

There are two styles of play therapy, non-directive and directive. In non-directive play therapy a child leads the play, which helps foster autonomy and emotional expression. During directive play therapy the therapist provides structured activities aligned with therapeutic goals.

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