This presentation will cover the use of table top role playing games in a therapeutic setting. In a therapeutic setting, the therapist takes on the role of running the game, while participants select and play characters in a safe setting. The games are designed to encourage participants to develop social skills, such as problem solving, conflict resolution, perspective taking, collaboration, anger management, social anxiety, and impulse control. The therapist is able to challenge participants in areas that they need help, and can work with participants to process discoveries made during each session. This method is more engaging than traditional talk therapy, and allows participants to actively practice coping skills in a safe space.