Type 1 diabetes (T1D) is one of the most frequently diagnosed chronic illnesses of childhood. It currently affects approximately 187,000 children and adolescents under the age of 18 years in the United States, and the prevalence continues to rise (Centers for Disease Control and Prevention [CDC], 2020). While current research on the use of child-centered play therapy (CCPT) with children with T1D is lacking, research demonstrates that children with this disease are more likely to experience symptoms of anxiety and depression than children without chronic illness (Buchberger et al., 2016;. CCPT as an intervention for children with this chronic illness demonstrates promising opportunities. Many play therapists working outside of medical settings, such as hospitals, may be unfamiliar with T1D. Therefore, many play therapists may not yet understand the considerations and adaptations to CCPT needed for children with T1D and their parents. Children with T1D face many unique challenges that can influence their mental health, and it is important for child-centered play therapists to consider adapting CCPT to meet these challenges as they implement play therapy for this population.