The New York Times wrote a piece on Childhood depression in very young children. Theraplay technique is one of the directive techniques I use in developmental play therapy. 

Nurture

Structure

Engagement 

Challenge

TESTIMONIALS on behalf of Lisa Tretout, M.A.

"Social awkwardness and maintaining friendships have always been difficult for our son.  Lisa's social skills groups have helped him and many others learn peer relations. Our son also enjoyed his group time with the horses."
Parent of a child on the autistic spectrum

"Lisa has been an incredible gift to our family and our child.  As a child affected deeply by the divorce of her mom & dad, she has grown to have a deeper and more compassionate view and feeling about herself, under Lisa''s care.  She is a wonderful counselor and I encourage other parents to know Lisa." Parent of elementary age child

"Lisa's work in play therapy and sand work has helped our son become happier, better behaved and well received at school.  We are very thankful that we found Lisa Tretout.  Even though he is young...we've been worried about his oppositional behavior."
Parents of elemantary age gifted child

"Our teen daughter seemed to be devastated by our divorce, was depressed and isolating last year.  After 6 months of weekly sessions with Lisa Tretout, M.A. we have our daughter back.  I couldn't feel more grateful, and worth the time and investment in a 14 year old's natural tendency towards individuality...but with less conflict and more happiness for our family and our daughter.  She continues to see Lisa to this day" Parents of adolescent high school freshman.

"Social situations have always been difficult for our child, especially this past year in kindergarten.  Working with just a few children with similar issues helped him tremendously.  Hoping he has a good 1st grade year!  Thank you Lisa."
Parent of a child with AD/HD, sensory processing dysregulation