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Cognitive Behavioral Play Therapy Approach

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A research-led model from our Research Center · introduction by Susan M. Knell
REHABILITATION · NEURODEVELOPMENT

CBPI-R: Cognitive Behavioral Play Intervention – Remediation

A neurocognitive treatment model that brings structured play and cognitive-behavioral techniques into the rehabilitation of neurodevelopmental disorders.

Play-based rehabilitation for neurodevelopmental difficulties.

Child in a play-based rehabilitation activity

What is CBPI-R?

CBPI-R is a neurocognitive treatment model for neurodevelopmental disorders, developed by Maria A. Geraci and collaborators. It combines structured play activities with cognitive and behavioral techniques to improve engagement and learning skills — particularly in children who show resistance to traditional treatments.

Activities are clinician-guided and oriented to habilitative and rehabilitative goals, fostering active collaboration between families and clinicians.

How a CBPI-R session works

1

Welcome to build adherence

2

Potentiation in motivating contexts

3

Cognitive-behavioral techniques

4

Review with child and parents

5

Homework to generalize the skill

What CBPI-R addresses

Cognitive processes

Play-based neuropsychological rehabilitation of underlying abilities.

Attention & ADHD

Engagement and self-regulation in attention-deficit/hyperactivity disorder.

Communication

Intervention for communication disorders.

Reading

Support for specific reading difficulties.

Writing

Support for specific writing difficulties.

Calculation & movement

Learning and motor-related difficulties.

Documented and research-led

The CBPI-R model is presented in the manual Trattamento neurocognitivo nei disturbi del neurosviluppo (Armando, 2025), with an introduction by Susan M. Knell — part of our ongoing commitment, as a Research Center, to advancing and documenting the method.

Frequently asked questions

What is CBPI-R?

CBPI-R (Cognitive Behavioral Play Intervention, Remediation) is a neurocognitive treatment model for neurodevelopmental disorders developed by Maria A. Geraci and collaborators. It combines structured play activities with cognitive and behavioral techniques to improve engagement and learning skills, especially in children who resist traditional treatments.

Which difficulties does CBPI-R address?

Underlying cognitive processes, attention and ADHD, communication disorders, specific reading and writing difficulties, and difficulties in calculation and movement. Activities are guided by the clinician and oriented to habilitative and rehabilitative goals.

How is a CBPI-R session structured?

Five phases: a welcome phase to build adherence, potentiation of the target ability in motivating contexts, cognitive-behavioral techniques, a review with child and parents, and homework to generalize the skill outside the session.

How is CBPI-R different from CBPT?

CBPT is a psychotherapy model for emotional and behavioral difficulties; CBPI-R applies the same play-based, cognitive-behavioral logic to the rehabilitation of neurodevelopmental disorders, with a focus on cognitive and learning abilities and on collaboration between families and clinicians.

Where is the CBPI-R model published?

The model is presented in the manual Trattamento neurocognitivo nei disturbi del neurosviluppo (Armando, 2025), with an introduction by Susan M. Knell, as part of the CBPT Research Center's work of documenting the method.

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