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How Can Sand Tray Therapy be Effectively Used Across Different Client Populations and Therapeutic Contexts?

Katie Fries, MSW, LCSW

March 3, 2025

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Question

How can sand tray therapy be effectively used across different client populations and therapeutic contexts?

Answer

Sand tray therapy is a versatile and powerful modality that can be utilized with clients of all ages—not just young children as is commonly assumed. It can be adapted for individual, group, couples, or family therapy, offering a nonverbal, experiential form of expression that supports emotional processing and communication. The sensory and symbolic elements of sand tray therapy create opportunities for the exploration of inner experiences, narratives, and relationships in a tangible and often deeply resonant way.

A key element in the therapeutic process is the sand itself, which serves multiple functions. While it may be shaped and moved to represent landscapes or emotional terrain, such as hills, valleys, or water, the sand also plays a significant role in self-regulation. The tactile engagement of running hands or tools through the sand can induce a calming, soothing effect—similar to techniques used in EMDR or guided imagery when clients are asked to envision a safe place. This sensory experience can help regulate the nervous system and promote a sense of safety, often without the need for miniatures or verbal processing.

Additionally, the choice of sand color can influence client experience. Different colors—white, orange, red, purple—may evoke distinct emotional or symbolic responses. While there is no one "correct" sand color, therapists may intentionally select a particular shade to align with therapeutic goals or to invite specific associations within the client. Regardless of age or presenting issue, sand tray therapy offers a unique combination of sensory input and symbolic representation that can foster insight, regulation, and healing.

 

 

This Ask the Expert is an edited excerpt from the course, ‘Introduction to Sand Tray Therapy,’ presented by Katie Fries, MSW, LCSW


katie fries

Katie Fries, MSW, LCSW

Katie Fries has a Bachelor of Arts in Global Studies-South Asia/Human Rights and Justice with a minor in family violence prevention. Katie earned her master's of social work from Rutgers University and is a registered play therapist and licensed clinical social worker in Pennsylvania. Katie specializes in treating complex trauma and has extensive training in EMDR, trauma-informed hypnotherapy, and  Gestalt therapy. Katie currently serves as owner and clinical director of All of You Therapy, LLC, where she works with children, teens, and adults and provides clinical mentorship to other therapists.


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