Theraplay(R) is a child and family treatment for enhancing attachment, self-esteem, trust in others, and joyful engagement. It is based on the natural patterns of healthy interaction between parent and child, and is personal, physical, and fun. Theraplay interactions focus on four essential qualities found in parent-child relationships: Structure, Engagement, Nurture, and Challenge.Theraplay sessions create an active and affective connection between the child and parents, resulting in a changed view of the self as worthy and lovable and of relationships as positive and rewarding.