The Emotion mania thumb ball is an icebreaker game that can be used between patient and therapist, between family members, etc. You can pass it, throw it, roll it. The game is to "imitate" the written emotion your thumb lands on when catching it. This product was designed to help social interaction, which can be hard during group therapy, or just reconnecting with kids at school. This product is great for stimulating conversation, developing communication skills, and also helps bond families.