This chapter discusses how to play conceiving initial treatment planning as a game, which is a helpful framework for organizing and executing myriad task in the intense partial hospitalization program (PHP)/intensive outpatient program (IOP) setting. It reviews the limits the clinician faces in conducting treatment planning as a game. The chapter also discusses reasonable expectations in goal constructing, suggests a game consisting of scripts and methods for treatment planning, and presents depression and anxiety scales. The quality of initial treatment planning is based on how the clinician efficiently joins and attends with the patient and family, offers hope, and gives information as to how recovery theoretically progresses. The PHP/IOP clinician must do initial treatment planning in the midst of numerous other clinical tasks. Developing the script as the strategy for successful initial treatment planning is a learning process.