Autism spectrum disorder (ASD) is a prevalent childhood disorder as 1 in 68 children, 8 years old and younger, are diagnosed with ASD. Additionally, childhood trauma impacts 60% of children living in the United States. Due to the lack of social awareness and increased sensitivity to various stimuli, children diagnosed with ASD are often more prone to victimization. Current treatment interventions for ASD are limited in flexibility and adaptive qualities. Flexibility is especially important for this population; therefore, a more responsive and open therapeutic approach is need. A case study is presented illustrating an adapted child-centered play therapy approach for children on the spectrum who have also endured trauma. © 2018 Association for Play Therapy.