How Pretend Play Supports Social and Cognitive Growth in Children with Autism

Pretend play is more than just fun—it’s a powerful developmental tool, especially for children with autism. While imaginative play may not always come naturally to neurodivergent children, when guided and encouraged in the right way, it becomes an incredible gateway for developing social communication, problem-solving, and emotional understanding.

At OrbRom Center in Phnom Penh, we often use pretend play as part of individualized interventions for children on the autism spectrum. Activities like role-playing as doctors, teachers, or shopkeepers allow children to practice real-world interactions in a safe and structured environment.

The Value of Pretend Play in Autism Intervention

Children with autism often face challenges with theory of mind—the ability to understand that others have thoughts, feelings, and perspectives different from their own. Pretend play helps bridge that gap. When a child imagines being a doctor or caring for a patient, they’re learning to take on another person’s role and consider how that person might think or feel.

This kind of role-playing supports not only language development but also enhances empathy and perspective-taking skills. It becomes a natural and low-pressure opportunity for children to use social language, ask and answer questions, and navigate different scenarios—skills that directly translate into everyday life.

Structured Play for Real-World Learning

At OrbRom Center, pretend play is thoughtfully structured to meet each child’s developmental level. Therapists use visual supports, modeling, and step-by-step role-playing to introduce and guide the activity. For children who may feel overwhelmed by open-ended play, this structure builds confidence and understanding.

For example, a session might begin with a therapist modeling how to use a toy stethoscope and asking scripted questions like “How are you feeling?” Then, the child is gently encouraged to repeat and eventually initiate similar interactions. These small steps are critical in building communication and social flexibility.

Supporting Families in Phnom Penh

We understand that families in Phnom Penh may not always have access to the same resources as in larger international cities, but that shouldn’t limit the quality of care. OrbRom Center is committed to providing accessible, research-based intervention for children with autism, tailored to their individual needs and cultural context.

If your child has difficulty engaging in play or struggles with social interactions, our special needs intensive intervention program can help. Our team of specialists combines evidence-based strategies, including pretend play therapy, to support your child’s developmental journey.