The study explores how elementary guidance counselors become aware of and address the challenges they face in counseling special education students by using sandtray creation. A constructionist qualitative research approach was utilized, recruiting three elementary guidance counselors as participants. The research participants engaged in three semi-guided sandtray creation sessions, each lasting 1.5 to 2 hours, followed by semi-structured, in-depth interviews. Additionally, a 15–30-minute follow-up interview was conducted two weeks after completing the third sandtray session. The interview data were then analyzed by thematic analysis. The research results encompass four main themes: (1) the challenges encountered by elementary guidance counselors in counseling special education students; (2) the potential ways for elementary guidance counselors to overcome these challenges; (3) reflections and insights derived from sandtray creation, and (4) practical applications and breakthroughs in clinical counseling work. Additionally, the research findings showed that the challenges faced by elementary guidance counselors in counseling special education students could be addressed through the sandtray creation process. By engaging in sandtray creation and discussion, viable strategies for overcoming counseling challenges can be stimulated. Subsequently, integrating the awareness and reflections gained from the process of sandtray creation, elementary guidance counselors can apply these insights in counseling practice. The journey from being aware of challenges to overcoming them is a continuous cycle. Finally, the researchers discuss and provide recommendations for future research and practical applications based on the results.
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