Why a Supportive Space Matters

Eating Disorders develop from a mix of genetic, psychological, and social factors. Talking about body image, food fears, and self-esteem can be really challenging and even add to the pressure of recovery. That’s why play-based therapy, like using a fun tool such as a Sand Tray, can help. It lets clients express their feelings without needing to engage in traditional therapeutic approaches right off the bat, giving clients space to talk, and allowing them a safe and judgment-free way to explore their emotions.

How Sand Tray and Breathing Exercises Help

Staying Calm and Focused: Mindful breathing in the Sand Tray can help clients stay present and feel less overwhelmed when discussing difficult topics. Some therapists have noticed that when clients draw a simple line while practicing deep breathing, it helps them keep a steady, relaxing breath. Feeling the sand move through their fingers, shaping different scenes, or tracing patterns can help calm their nervous system and reduce stress.

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Expressing Feelings Without Words: Many clients have a hard time putting their thoughts about eating disorders into words. The Sand Tray lets them use different objects to show their feelings, triggers, and personal stories in a way that feels safe and natural.

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Changing Unhelpful Thoughts: Moving objects around in the Sand Tray can help clients challenge negative thinking, just like in regular therapy. For example, some clients create a storm to represent their overwhelming thoughts. As they work through their feelings, they can change the scene to show new, more positive ways of thinking.

Simple Ways to Use Sand Tray and Breathing Together

1. Start with a Deep Breath

At the beginning of a session, try simple breathing exercise - if 4 breaths doesn’t feel comfortable, do what makes the most sense for you:

Inhale for four counts

Hold for four counts

Exhale for four counts

Clients can also draw in the sand as they breathe, making lines or shapes that match their rhythm. This helps them stay focused and gives them a visual way to connect with their emotions.

2. Use Objects to Tell a Story

Encourage clients to pick objects that match their feelings about body image, food, or personal experiences. They can use these objects to act out different situations, helping them see their emotions from a new point of view.

3. Pause and Breathe for Emotional Check-Ins

As clients build their Sand Tray scene, remind them to take deep breaths and check in with their emotions. A simple prompt like, "Take a slow breath in and notice what feelings come up as you place each object" can help them become more aware of their thoughts and reactions.

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Using Sand Tray therapy and breathing exercises together gives clients a creative way to process emotions and practice mindfulness. By making space for self-expression, therapists can help clients build confidence, resilience, and self-acceptance on their journey to recovery.

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