This article describes the application of sand therapy to Cognitive Behavioral Play Therapy (CBPT). An overview of CBPT is provided to consider how foundational theoretical aspects are applied to sand therapy. Case examples give the reader insight into how CBPT sand therapy may be used within a play therapy session. Case examples include both directive and non-directive prompts to demonstrate using either or both at appropriate times within a session. These are chosen through collaboration between client and therapist and are tied to treatment goals. Aspects of CBPT, including role play, CBT-focused facilitative responses, and psychoeducation, are also incorporated into the sandtray process.