Children with deafness face societal obstacles every day that require navigation of environmental and communication factors. Deaf children raised in hearing families encounter barriers to development in a hearing world that limits their expression of thoughts, feelings, and emotions. Child-centered play therapy may provide an opportunity for deaf children to experience a therapeutic relationship that fosters the child’s growth and exploration of thoughts, feelings, and emotions in an open and accepting environment. Modifying practices of child-centered play therapy to meet the needs of deaf children using American Sign Language can provide a new opportunity for therapeutic access for these children in a culturally responsive manner. (PsycINFO Database Record (c) 2019 APA, all rights reserved)