I have never played a game in therapy. My children did when in therapy.. board games., baseball, and basketballs. The therapists told me it was to help the therapy be less intense and less like the client is being watched and in therapy. It makes it more relaxed. I suspect it is like going for a walk in therapy. Which I have done which while nice and good when I don't want it to be at all intense or deep I felt like I accomplished less. While nice and needed sometimes. it os not something I would he up for regularly