Systemic Therapy Through a Pixelated Lens: Using Minecraft in Therapy With Families That Include Autistic Children and Children With ADHD

ABSTRACT This paper presents two accounts of therapeutic work using Minecraft with families that include autistic children and children with ADHD. These accounts show how a popular videogame can be adapted to become the site for systemic interventions and a reflective space for families to explore strengths, difficulties, and relationships. With preparation, a range of systemic techniques and practices – including externalisation, sculpting, circular and reflexive questioning, and perspective‐taking exercises – can be adapted for and implemented within the game. The paper outlines how these approaches were integrated into online systemic therapy, how practical and safety considerations were addressed, and how the families experienced the process. In both accounts, Minecraft provided an accessible, engaging, and flexible environment that supported therapeutic aims while also fostering moments of shared enjoyment, creativity, and bonding. The paper concludes by inviting practitioners to consider Minecraft as a medium for creating more inclusive and accessible services for families that include autistic children and children with ADHD.