Suzie is a kindergartner who’s been acting out at home and at school. Her baby brother is 14 months old. These challenging behaviours began when the baby was a few months old and have escalated to the point that the school recommended therapeutic intervention. At music therapy sessions Suzie plays musical games with the therapist that are fun yet require reciprocity. While Suzie is engaged in playful activity she is acting and reacting, expressing emotions (via the puppets, instruments or dress up characters) and learning to cope with the reactions of others to her. Music therapy offers creative ways for people of all ages to work with a myriad of life challenges.