How to Help Children Regulate Their Emotions and Bodies in Space
Is your child engaging in dangerous behaviors like diving from the couch to the floor? Doing different behaviors than you typically see them do, such as chewing on their shirt or holding their ears? Are they having meltdowns or hiding when you try to get them to stop any of these behaviors?
If so, read on to learn more about sensory dysregulation, which is likely happening more and having a bigger impact on children since social distancing. Crystal Gault West, MS/OTR-L is an occupational therapist who works at FSK and has supported the teachers in providing sensory supports (as well as fine motor).
Sensory dysregulation is when your sensory system is out of balance. This happens when the sensory system either gets way too many sensations to process at one time or not enough. Our sensory systems are always at work in our brain. Our brain takes in what we see, smell, taste, hear, touch, and where are body is in space and decides if and when we need to respond. We all behaviorally respond in different ways to the sensory information we receive and process throughout the day.
Right now, our children are experiencing a huge disruption to their routine and overall way of life, as well as potentially the loss of family members or friends during this COVID-19 pandemic. This pandemic is certainly scary and traumatic, and our children may be having a difficult time coping or demonstrating behaviors that they typically don't do. Children who are experiencing trauma have heightened states of arousal, which significantly impact the way they process and respond to sensory information in their environment.
It will often appear that your child is being "bad", or not listening to you when you ask them to stop their behavior. When a child reaches sensory dysregulation and you try to snap them out of it, they’ll respond with a fight or flight reaction. That means they’re going to have a meltdown, possibly get aggressive, run away, or freeze.
As soon as a child needs some sensory input or needs to avoid some sensory input and can't, they're technically dysregulated because their sensory system is out of balance. Many kids will make tiny tweaks to get the sensory input they need and put themselves back into regulation.
Sensory needs and the way your child responds to dysregulation can vary greatly. The following are examples of what children may do when dysregulated:
Seek semi-dangerous or even dangerous vestibular and proprioceptive input by rough-housing with siblings, jumping off furniture, and diving and sliding on hardwood floor
Seek excessive tactile stimulation they may find comforting, like petting or rubbing a soft blanket or stuffed animal on their face and hands, and excessively touching a parent or sibling
Avoid loud noises in the home, like a sibling crying or music playing, by hiding in a closet, covering their ears, or using noise cancelling headphones
Seek deep pressure for oral motor/proprioception by chewing straws, the top of a pencil, or their own shirt
We can help our children decrease their arousal levels through sensation. Specifically, we can provide opportunities for our children to improve their self-regulation through the use of sensory tools and exposure to specific sensory experiences. The tactile (sense of touch), vestibular and proprioceptive (sense of where my body is in space) sensory systems are the foundations of emotional stability. Touch is integral to developing attachment and forming relationships, while vestibular and proprioception are both grounding and important in connecting to the world around us. It doesn’t matter whether the stressor is a sensory processing issue or an emotional issue, sensory strategies can be a point of entry to regulate the nervous system.
Rhythm provides structure for movement, telling us how to move our bodies through time and space. We can use rhythm to speed up or slow down our arousal levels. The only way to move from these super-high anxiety states, to calmer more cognitive states, is through rhythm. Patterned, repetitive rhythmic activity: walking, running, dancing, singing, yoga, repetitive meditative breathing – you use brain stem-related somatosensory networks which make your brain accessible to relational (limbic brain) reward and cortical thinking. Providing opportunities for your child to engage in rhythmic movement opportunities throughout the day will help to regulate their state of arousal.
Opportunities for deep pressure (proprioceptive) input, such as safe rough play with siblings, deep bear hugs, and placing a weighted blanket on lap while watching television or taking a nap, will help your child to safely calm down and decrease their arousal level. Creating a sensory toolbox with a variety of tactile (touch), auditory (hear), visual (see), olfactory (smell), and gustatory (taste) tools, accompanied with visuals such as a "calm down thermometer", will help your child learn to seek out sensory experiences that are calming and safe to improve their independence with self-regulating their arousal levels.
Guide written by a parent to provide activities (complete with descriptions and pictures) to address each sensory area/need at home
Ideas by age level (including Middle School) to get children moving indoors
Kids can be easily distracted, but regular, short breaks can help to increase productivity, focus, and reduce their levels of stress. From short-breaks (i.e. 1 minute dance break) to long breaks (i.e. 30 minutes running and playing in the park), these movement opportunities help our children develop creativity and social skills, as well as provide a "break" for their brains to re-organize and retain information they have learned throughout the day.
In a 2016 study, psychologist Karrie Godwin and a team of researchers measured how attentive elementary students were during class, and discovered that they spent over a quarter of the time distracted, unable to focus on the teacher or the current task. Shorter lessons, however, kept student attention high: teachers found it more effective to give several 10-minute lessons instead of fewer 30-minute ones (research article: https://www.sciencedirect.com/science/article/abs/pii/S0959475216300275#!).
The best way to use these brain breaks to help organize the brain and prepare for learning and attending to tasks is by engaging in midline crossing activities. Crossing the midline is when we move our arm or leg across the middle of our body to perform a task. Crossing the midline is vital to the development of using both sides of the body together, such as putting on shoes and socks, writing, and cutting. It promotes the coordination and communication of the left and right hemispheres of the brain. It also encourages bilateral coordination, the process of developing a dominant hand and development of fine motor skills. Some great midline crossing brain breaks include Brain Gym and Drive Thru Menu exercises.
Use the Attention exercises for energizing and before starting school work. Use the Relaxation exercises for when the child is overstimulated, before bedtime, and transitioning between activities. These can help PREVENT children from becoming dysregulated, as well as get them back to baseline.
Find a small, private space that can be easily accessed by your child when they need to take a break, calm down, or be away from others.
Have your child(ren) help create the space by choosing blankets, pillows, stuffed animals that help them feel safe and secure. If they are included in planning and creation, they are more likely to use it! They can also select small hand-held toys to put there to keep their fingers busy, which will engage their brains too.
Place supports for feeling identification or reminders of coping strategies close by (e.g. printed out breathing visuals, hand-drawn feeling faces or strategies by the children themselves, etc.)
A calm down bottle can be a fun activity, but also a resource for focusing on the present.
It might feel silly, but model what exactly you want the child to do in using the calm down corner while everyone is calm (not when anyone actually should be using it). Start with a typical situation where your child might have trouble regulating themselves, pretend to be them and talk out loud what they should do and practice in front of them. Then, have your child practice and give them feedback.
Make sure to prompt them to use the calm down space, and provide reinforcement for doing so (afterwards, give them praise, sticker, etc.) if they need the extra motivation.
All of these things to keep in mind when creating a calm down space also apply to older children - help them find a private quiet space they can use when they need to, and have them make it comfortable. You can still have preferred items and cues with strategies to relax, but it may include use of a mindfulness app or youtube video.