The metaphor is typically viewed as a verbal form of expression in traditional talk therapies. However, this definition excludes nonverbal metaphors that children use when they express themselves through play. In this article, the authors examine the use of therapeutic metaphors, both verbal and nonverbal, with children. The roles of the child, counselor, and family in treatment are discussed, along with the benefits and limitations of using therapeutic metaphors with children. The use of quantitative, qualitative, and integrated methods for studying children's use of verbal and nonverbal metaphors in counseling is also examined.