This researcher investigated the effects of visual journaling on children with trauma symptoms. Each participant was administered the Child PTSD Symptom Scale (CPSS) before and after each of the five art therapy sessions administered utilizing the “Check, Change What You Need to Change and/or Keep What You Want” art therapy protocol. The participants then completed an exit interview. The results indicated three overarching themes. These included: (a) trauma symptoms (i.e. nightmares, flashbacks, negative feelings, and hyperarousal); (b) quantity and quality of sleep; and (c) overcoming adversity. The results suggested that visual journaling can be used to reduce trauma symptoms in children. The researcher discussed limitations of the current study and possibilities for future research.