Blair Bradley, M.S., CCC-SLP
In order for a child to learn a new skill, it is important that the child is in a calm, attentive, and engaged state. To achieve this,
he or she may need to learn self-regulation strategies and/or implement sensory accommodations. Acquiring self-regulation skills begins
with co-regulation, a type of regulation where two people work together to achieve a regulated state. This usually involves a parent or
educator helping a child reach a regulated state. As the child grows and becomes more aware of their own emotions, they can then
self-regulate. Let’s look into how you can incorporate self-regulation skills and sensory accommodations to make your speech sessions
more successful.
Encourage Self-Regulation Acknowledge Emotions
Acknowledging and discussing your child’s emotions can help create a healthy environment for therapy to take place. Emotion charts can be
useful in differentiating emotions and helping your clients identify their feelings. The therapist can help the child by labeling different
emotions in the moment. For example, if a child begins yelling or throwing an object to protest an activity, the therapist can acknowledge
the emotion and then provide options to resolve the conflict. You may say, “I understand you are upset or frustrated. Why don’t we take a
break?”
Increase Awareness of Sensations
Many children have difficulty identifying their sensations while experiencing different emotions. The therapist and/or parent can help
connect the dots for their children by asking probing questions such as, “What are you feeling?” or “What sensations do you feel in your
body?” Using a body map or providing a list of sensations such as, “tight, relaxed, fast, slow” may be helpful. It could also be helpful
to model your own sensations during different emotions. For example, you may say, “When I feel angry, I feel my heart beat faster and
sometimes I feel tightness in my body.” Hearing these examples can help a child understand their own sensations more.
Other Alternatives
SLPs can also promote self-regulation by providing a list of strategies children can use to self-regulate during times of dysregulation.
For example, you may say, “I can see you feel frustrated with sitting in your chair during this activity. What if we sit on the rug or
stand while we complete our work?” Listed below are some common strategies you can use to help calm a child when they are feeling
dysregulated:
- Take deep breaths
- Count to 10
- Do a body scan
- Take a break
- Incorporate movement
Use Sensory Accommodations
Using sensory accommodations in your speech sessions can help satisfy sensory needs and allow your child to remain in a regulated state.
Here is a list of common sensory accommodations you can try with your students.
Physical Accommodations
- Use flexible seating such as ball chairs, wobble chairs, cushions, bean bags, etc.
- Provide proprioceptive input by using weighted blankets or allowing breaks to complete heavy work
- Allow the student to use handheld fidgets
- Provide tactile-rich experiences such as activities with rice/beans, putty, or other varying textures
Auditory Accommodations
- Have noise-reducing headphones available if the child seems bothered by noise in their environment
- Provide a quiet workspace if available
- Play calming music or preferred music to provide additional auditory stimuli if needed
Visual Accommodations
- Use dim lighting or alternative lighting
- Provide color overlays for reading
- Use room dividers
- Limit the number of items on a page
An occupational therapist can assist in recommending specific sensory accommodations/exercises through an OT evaluation.
Reach out to an occupational therapist if you have concerns regarding your child’s sensory needs.
Use the “Map My Emotions” worksheet on the following page to help your students identify different sensations they feel.
Resources
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