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2012年8月29日 星期三

Halloween Fun For Children With Sensory Processing Issues


Halloween parties, costumes, masks, and treats--you can't count on any of these being fun for the child with sensory issues! No wonder October 25-31 was chosen to be National Sensory Awareness Week, drawing attention to the 1 in 20 children who have the hidden disability of sensory processing disorder, also known as SPD, or sensory integration dysfunction. Fortunately, you can make Halloween more enjoyable for the child who struggles with sensory issues.

Costumes and masks often involve new sensations against the skin and body that a child may find repulsive. Experiment beforehand with any make-up, masks, wigs, or hats and see if the child can truly tolerate them for a few hours. For a costume, consider working from the basic pieces of a soft, cotton top and bottom, such as a sweatsuit or pieces of clothing purchased at a used clothing store or pulled from his play clothes pile. Add elements and props that he can hold or wear comfortably. Start looking for a costume early, when the selection is best. Purchase a used costume or costume elements through eBay, second hand shops, and Craigs List to keep your costs down because after trying a costume for a few minutes, your child may realize it is too tight, scratchy, or uncomfortable in some other way.

Treats with plenty of sugar and artificial colors and flavors should be limited for all children, but kids with sensory issues are often more sensitive to these substances. Let her gather all her loot post trick or treating and choose the favorites, then have the rest mysteriously disappear overnight (maybe after using them as math counters!). Or hoard it to use a piece at a time as rewards for overcoming challenges, doing extra chores, or use in therapy. If your child has an occupational therapist or speech therapist, speak to this professional about the possibilities. For example, sour candies in particular can be good for helping a child with poor self-regulation who is stuck in the "loose and floppy" mode to become more alert so she can focus and attend to homework or school work.

If your child has food allergies and intolerances, skip the highly processed, sugary treats altogether. Have a party instead of going Trick or Treating, and provide healthy, fun snacks and nonfood items such as stickers, pencils, and small toys.

Offer opportunities to escape from the noise and bustle of a party or trick or treating. A quieter street to walk down or an empty bathroom or bedroom where she can regroup will help her avoid sensory overload. Let her know what to expect from the occasion, from kids jostling her in doorways and running past her on the street to scary sounds and lighting changes like strobe lights at a Halloween party. And consider celebrating Halloween at a nature center, zoo, or cultural center with a quieter, more structured program, or having a small party at home.

You may want to use this opportunity to talk about fears and how to manage them. Books such as Go Away Big Green Monster by Ed Emberley, featuring a monster the younger child constructs then deconstructs as he turns the pages, can help ease anxiety about monsters and other scary creatures.

And if you do not celebrate Halloween, or your child finds it too scary, consider creating an occasion to give her the "just right" challenge of dressing in unfamiliar clothing and using her imagination to pretend she is someone else for a short time. Costumes and dress-up play encourage young children to break out of cause-and-effect, parallel play and graduate to cooperative, imaginative play, which are important developmental skills. Whatever you do on October 31, please be sensory smart and understanding of your child with sensory issues.

Copyright © 2009 Nancy Peske




Nancy Peske is an author and editor and the parent of a child who at age 2 was diagnosed with sensory processing disorder and multiple developmental delays. Coauthor of the award-winning Raising a Sensory Smart Child: The Definitive Handbook for Helping Your Child with Sensory Processing Issues, available from Penguin Books, Nancy offers information and support on her blog and website at http://www.sensorysmartparent.com She has been active in the SPD community since 2002.





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2012年8月28日 星期二

Helping the Child Who Has Sensory Processing Issues


There's something up with a child you know. He's clumsy, picky, always on the move, or flopped in a chair like a wet noodle. He's impulsive, intense, and quirky. Maybe he has a learning disability, ADHD, or autism, or maybe not, but his behavior and responses to everyday sensations are puzzling. Why does he withdraw or act out? Why are transitions so difficult? Can he really hear the fluorescent lights that he claims are distracting him?

It's very likely that this child you're concerned about has sensory processing disorder, also known as SPD or sensory integration dysfunction. An estimated 1 in 20 children and almost all children with autism have SPD.

The nervous system of a child with sensory processing disorder is wired atypically, causing her body to process everyday sensations differently. Unable to rely on her senses to give her an accurate picture of what is going on in her body and her world, she is prone to anxiety, distractibility, impulsivity, and frustration. A child with SPD will tune out or act out when overstimulated. The need for sensory input such as movement and touch can be so overpowering that the child truly can't control her need to seek it out. An everyday sound or sensation may be experienced as so intense that it sets off a primitive fear response, also known as a fight-or-flight response. Many of us have difficulty tuning out background noise, or prefer clothes that fit a certain way. These are sensory preferences. When a child's sensory issues interfere significantly with learning and playing, he needs the help of an occupational therapist and a sensory smart adult who can teach him how to feel more comfortable in his body and environment.

Fortunately, many of the accommodations that can make a huge difference in the life of a child who has sensory issues are simple and inexpensive. Here are just a few:


Cut out clothing tags, turn socks inside out or buy seamless ones, and avoid clothing with embroidery and elastic that will touch the skin and create distracting, irritating sensations.
To tolerate the intense sensation of having his teeth brushed, the child with SPD may need to use nonfoaming toothpaste and have his mouth and lips desensitized by using a vibrating toothbrush or even just gently pressing a hand-held vibrator against his cheek, jaws, and lips before attempting to brush.
To calm and focus a child with sensory issues, you can try applying deep pressure against the skin as you compress her joints. Hugging, or pressing pillows against her body or rolling her up in a blanket to play "burrito" are often enjoyable ways for a child to get input. Always pay close attention to what a child is telling you, in words or body language, about her response to sensory input. Do not upset her with unwanted touch.
In school or at home, allow him to sit on an exercise ball or an inflatable cushion, with a smooth or bumpy surface. This will meet the movement needs of a child who just has to be able to squirm and help the child with poor body awareness to better sense where his body is when he's seated. When these needs for movement and body awareness are met, the sensory child will focus better on listening, eating, or doing schoolwork.
Provide a quiet retreat when she's overwhelmed by the sensory onslaught of everyday life. Whether she sits alone with you in a car outside of a party or restaurant, or in a quiet, darkened room, listening to relaxing music on a personal music player with headphones, a sensory break can do wonders for a child's ability to tolerate her environment.

A pediatric occupational therapist who is both trained and experienced in helping children with sensory issues can work with parents and teachers to plan and carry out activities for the child that can help him or her function better at home, at school, and away. She can also help problem solve and discover accommodations that will ease the child's discomfort, and set up a "sensory diet" of activities that will help him. Whether working on a consultation basis, in a sensory gym nearby, at home or at school, the right sensory smart OT can make a huge difference for a child with sensory processing disorder.

copyright (c) 2012 Nancy Peske




Nancy Peske is an author and editor and the parent of a child who at age 2 was diagnosed with sensory processing disorder and multiple developmental delays. She is coauthor of the award-winning Raising a Sensory Smart Child: The Definitive Handbook for Helping Your Child with Sensory Processing Issues. You can learn more about sensory issues at http://www.sensorysmartparent.com





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2012年8月27日 星期一

Teenagers and Sensory Processing Disorder: The Special Challenges


Teens with sensory processing disorder have special challenges because of the stage of development they're in and the fact that until now, their sensory issues may have gone unaddressed.

1. Finding the right OT can be difficult. Few occupational therapists are trained or experienced in working with teenagers who have sensory processing disorder. Play-based SI therapy may seem silly and embarrassing to teens.

2. Poor self-esteem. Teenagers who have had sensory issues for years will have learned at least some accommodations to get around them and are less likely to experience the extreme behaviors and responses they did when they were younger. However, years of feeling different and not knowing why, and noticing that they have never been quite as mature and self-controlled as their peers, take their toll. Teens with sensory processing issues usually struggle with self-esteem. They need a lot of encouragement to admit they have sensory issues and need some help.

3. Need for independence. Teenagers need to have their independence respected, so being told, "You need to do X, Y, and Z to manage your sensory issues" usually doesn't go over very well!

4. Desire to fit in. Even teenagers who don't feel the need to have a lot of friends or be conformist want to have some friends they feel they fit in with. Sensory challenges can embarrass them and may make them feel isolated, and different in a negative way.

5. Changing hormones. Teenagers have ever-changing hormones that can exacerbate sensory issues by making them more sensitive to input than they were in the past. The normal changes of adolescence can also make them more moody and emotionally sensitive.

6. New expectations. People are less likely to see your teen as a young, immature person with a hidden disability and more likely to see him or her as a young adult whose behavior is willful.

What's a parent, teacher, or therapist to do?

1. Modify traditional SI therapy techniques to be more teen friendly. As a substitute for playing with a tray of shaving cream or finger-paints, encourage the teen to cook, garden, do art or arts and crafts, and engage in other activities that challenge his tactile issues. Work with a sensory-smart occupational therapist who is willing to alter her approach to helping your teenage son or daughter to reduce any embarrassment or defensiveness.

2. Talk about sensory issues positively. Reassure your teenager that sensory issues are simply a difference in brain wiring that can have advantages but that can also be controlled and addressed to make life a little easier. Explain what SPD is and why in some cases, it's good to be extra sensitive or to crave certain sensations, and that people with sensory issues often have other gifts as well, such as the ability to "think in pictures." Then explain that there are "tricks" you and/or an OT can teach them to "make their lives easier." Everyone wants his life to be a little easier! Acknowledge how hard your teen has to work to be organized or tolerate certain sensations and praise her for her efforts.

3. Offer accommodations and sensory diet ideas for him or her to choose from. Present accommodations and activities to teenagers and let them decide which they would like to use. Honor and respect their choices and encourage them to engage in collaborative problem solving with you. If they don't want to be seen doing a brushing protocol for tactile issues, can they do it discreetly in the bathroom at school? If all the kids are wearing loose clothes and they prefer them tight, can the teen wear tight clothing, such as bicycle shorts, underneath looser clothes that seem more stylish?

4.Help your teen with sensory issues to feel okay as he is and find a group of peers he's comfortable with. Practical solutions for grooming, picky eating, and dressing, and encouraging talks about the upside of being different, can help your teen with sensory issues feel more comfortable among his peers. However, he may also feel better about himself if he expands his group of friends. Encourage your teen to develop hobbies and engage in new activities from individualized sports that don't require high levels of skill and competitiveness to enjoy them to groups that engage in the arts, community service, spiritual growth, etc. Extracurricular activities can help kids find their "tribe" and feel the power to make a difference in the world as well.

5. Accept that your child may be more emotionally sensitive at this stage. Be alert to signs of increased anxiety and depression and consult a medical health professional with any concerns you have. Remember, addressing sensory issues will reduce overall anxiety that can lead to mild or moderate depression (when you feel you can't manage your discomfort, over time, you can develop depression). Don't forget some of the most effective treatments for mild or moderate anxiety and depression include physical exercise, time spent outdoors, meditation, and breathing exercises. Mindfulness practices from yoga and tai chi to tai kwan do and karate can help, too.

6. Focus on self-awareness and accountability for self-regulating. It's very difficult to get others to accept poor self-regulation in a teen, even if you educate them on hidden disabilities. Therefore, the sooner you collaborate with your teen in creating a workable sensory diet that prevents negative behaviors, the better. It will be easier for your teen to develop better self-regulation if she is trained in using specific self-calming and self-alerting techniques that she knows work for her. Hold her accountable for using her alerting music and gum, taking time out to sit in a quiet space and do breathing exercises or use a brushing protocol, etc. Have her participate in creating a sensory diet tailored to her needs to keep her sensory needs met and to prevent fight-or-flight behaviors. Let her experience the natural consequences if she refuses to use her calming, focusing, alerting techniques.

Above all, never forget that kids with sensory issues need a "just right" challenge, a balance of accommodations to make them more comfortable and challenges that take them out of their comfort zone. Sensory diet activities for teenagers help them to develop a higher tolerance for situations and activities they'll encounter in life, and over time, retrain their brains to process sensory information more typically. Be creative and encouraging in setting up a sensory diet for a teenager, and always be collaborative to respect the teen's need for independence.

Finally, if you're a parent frustrated by trying to get your teenager's sensory issues under control, consider joining an in-person or online support group or creating one. Knowing that you aren't alone, and having practical and emotional support from other parents going through the same experiences with their teen, can help you enormously at this stage of your child's development.




Nancy Peske is the coauthor of the book Raising a Sensory Smart Child: The Definitive Handbook for Helping Your Child with Sensory Processing Issues. Learn more about sensory issues at http://www.sensorysmartparent.com and visit Raising a Sensory Smart Child on Facebook.





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2012年8月26日 星期日

How to Treat Sensory Processing Disorder


The body is designed in a way wherein the different sense organs work with the brain for the interpretation of the different senses so that we can exhibit the appropriate responses, both behavioral and motor. However, there are instances when the responses are not proper because of misinterpretation of the senses. This condition is called sensory processing disorder.

Sensory processing disorder (SPD) was formerly known as sensory integration dysfunction was first described by A. Jean Ayres, a neuroscientist who said that this disorder is similar to a 'traffic jam' that occurs in the neurons, wherein some parts of the brain are prevented from receiving the correct information so that sensory information are interpreted correctly. For someone who has SPD, what happens is that sensory information is perceived differently from that which is normal to other people. This will then result in behavior or responses that are unusual, which makes it hard to accomplish some tasks.

The exact causes of sensory processing disorder are not yet known, and are still subject to research studies. There have been results however saying that this is an inherited disorder, but there can also be environmental factors that can contribute to it. When this is not properly managed while a child is still young, it can result to several problems involving the child's emotional, education and social state. Because of the problems with the child's motor skills, he can become isolated from his peers, suffering from low self-esteem. There can also be poor self-concept and failure with academics. Those who are unaware of this disorder will be labeling the child as clumsy, disruptive or even uncooperative. When this gets worse, it will lead to depression, anger problems, anxiety and aggression.

The treatment of sensory processing disorder will warrant the services of an occupational therapist. The occupational therapist will provide sensory integration therapy for the child, wherein sensory stimuli and experiences will be taught to the child. There will also be sensory diet, a therapy where the therapist will plan and schedule activities for the child to address the different needs of the nervous system. There will be different techniques that will be included in the therapy such as calming, alerting and organizing. The treatment for SPD can also include alternative therapies depending on what the doctor says. One of the common therapies is therapeutic body brushing which is ideal for children who are oversensitive to sensory experiences. This will help the SPD patient to learn how to adjust to certain sensory stimulations.

There is no definite cure for sensory processing disorder for the treatments that were mentioned will only help the affected person learn how to adapt and react properly to stimulations. If you are taking care of a child who is suffering from SPD, you have to be patient when dealing with him, since it is not just frustrating for you but it is more difficult to the child. It will take some time before the child can learn the appropriate responses so you will have to assist him and make sure that he learns properly. And of course, you will need to assist him with developing his mental, emotional and social skills.




For more information on Different Types of Diseases, Symptoms and Diagnoses, Please visit: Sensory Processing Disorder and Sensory Integration Disorder.





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Living With Sensory Processing Disorder - A Family Affair


I. A child's view on how SPD effects family relationships

Living and coping with a disorder can often consume a child's world. For children with Sensory Processing Disorder (SPD), this can be especially challenging as most children with SPD are seemingly "normal". Many people do not often realize that these normal-looking children could be plagued by such an emotionally, physically and socially taxing disorder. Emily Brout knows all too well how difficult it is to explain her disorder: "Sometimes it is really hard to explain what Sensory Processing Disorder (SPD) is to other people. It's very complicated and it's not even easy for me to understand! Many people don't know anything at all about SPD because there hasn't been a lot written about it or on T.V. So most people have no idea how SPD makes a person like me feel. In fact, there are many people who don't even think SPD is real! That makes me so mad! Why would anybody make this up?"

Having SPD makes family life and social time with friends tough on Emily. "SPD makes me feel like I'm being attacked by noises, smells, and lights every day. Smells can be really bad, and sometimes even make me throw up. It is very hard to sit in the cafeteria with my friends at school and try to hide the fact that I am gagging because of a smell. Noises are the worst for me. Quiet noises that repeat over and over make me really upset, and these noises are part of every day life. My sister and brother get mad at me because I yell at them for noises that they make. Sometimes, I get really sad and don't want to go anywhere. I also lose my temper and get really mad at people. I don't do this on purpose, but my friends and family don't always realize that. I just cannot help it. Every day I struggle to keep myself calm even though I feel scared, mad and upset on and off, all day."

Coping with a special need such as Sensory Processing Disorder can be equally frustrating to both the child and his or her family.

II. A parent's perspective on raising a child with SPD

Emily's mom, psychologist Dr. Jennifer Brout, can identify with trying to cope with raising a child who has a special need and maintaining her family dynamics. "A wise professor once told me 'Your primary goal is to not make things worse'. As I consulted psychologists and psychiatrists alike, I wondered if there were any clinicians who even understood what Sensory Processing Disorder (SPD) was!" said Brout. "My daughter received Occupational Therapy to remediate her symptoms, yet her personality and our family dynamics had already been shaped by the disorder's complications." Dealing with this frustration and lack of help from mental health professionals who had no real treatment for her daughter, Brout often wondered, "was there anyone out there who would understand that I was not simply giving in to my daughter's 'manipulations' because I was a browbeaten mother lacking any savvy?"

Everyday life posed so many difficulties and heartache for Brout, as a parent who had to watch her child struggle with SPD. "Although her other senses were affected, extreme over-reactivity to certain sounds caused my otherwise sociable, empathic sweet-natured little girl to be unpredictably moody and explosive. During toddler hood and early childhood she threw tantrums that lasted for prolonged periods of time. She was extremely clingy, and often appeared sad. Background noises that most people didn't notice set her off into rages." Not being able to ease a child's suffering could leave any parent feeling helpless. Brout remembers one of those moments with Emily, "when she was six years old she looked at me and said 'When I hear bad noises I feel like I'm turning into the Incredible Hulk'. Then she asked intently, 'Mommy, can you fix my brain?' This moment defined the extent to which my daughter was suffering, and how negatively her self-image had been impacted by SPD. What little girl should envision herself as a huge, green, out of control mutant?"

What can a parent do? How can a parent mediate Sensory Processing Disorder within family life?

For parents coping with their child's SPD, Brout offers this advice, "it is helpful to remind yourself that with Occupational Therapy, sensory integration treatment, and as he or she gets older, your child will be able to implement greater control over his or her behavioral reactions to his or her physiological responses. In the meantime, however, regulation (calming the child so that he or she is not over stimulated and agitated) is the first priority." She goes on to suggest that in order to make this shift, "you must allow yourself to dismiss much of what you have been told about parenting, even by mental health professionals, because it does not apply to SPD children. For now, think of your child as one whose body over-reacts to sensory stimuli, and who is deficient in calming down." When faced with an agitated child whose behavior is effecting family life, Brout suggests using the three R's: Regulate, Reason and Reassure

Regulate: "Help your over-responsive child calm down by identifying the source of the sensory stimuli, and shift the focus from any resulting conflict. As a child develops greater language and cognitive skills this process becomes easier. However, even younger children with limited language skills can be regulated. Each child is unique which is why it is essential to consult with a professional."

Reason: "Once your child is calm, review the incident with him focusing on his thought processes. If he cannot identify the stimuli that triggered his actions, try to do it for him by making suggestions. For younger children, you will have to go through this process with relative simplicity and brevity. With enough consistency your child will understand your message, and will also learn that when he or she is over-stimulated, calming down is the first step! Remember, this process is not an over-night cure!"

Reassure: Remind yourself that your child does not like feeling out of control. Reassure him that over time he will gain control, and that you will help him. Let him know that you expect him to try as hard as he can, but protect his self-esteem and self-image by framing the problem as though it were 'a work in progress'. Repairing damaged self-esteem and poor self-image is much more difficult than reshaping a child's misconstrued ideas about the causes and consequences of behavior. No child should see himself as a huge out of control green mutant being that repels others!"

In regard to family dynamics, Dr. Brout states, "the SPD child feels victimized by the overwhelming sensory stimuli generated by family members. However, siblings are also likely to feel victimized having often been the object of the over-responsive child's mood swings and/or aggression. Therefore, it is important to let siblings know that they are not responsible for these problems and that you are doing everything you can to get help for your over-responsive child and for the family. Behavior is not only about actions and consequences. It is about interpersonal relationships and that is especially true in regard to SPD as it affects family functioning."

___________________________________________________________________________________




Jennifer Jo Brout, Ed.M., Psy.D. is a psychologist focused on Sensory Processing Disorders and their application to mental health. She earned an Ed.M. in School Psychology from Columbia University and a Psy.D in School/Clinical Child Psychology from Albert Einstein College of Medicine. Dr. Brout is currently involved with projects at the KID Foundation Research Institute, Duke University, and in association with audiologists and private clinicians throughout the country.

In 2006, Dr. Brout launched Positive Solutions of New York, LLC to support research in psychological conditions, developmental disorders, and learning difficulties related to sensory processing/regulatory disorders through various creative and public service projects.





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2012年8月23日 星期四

Learning to Live with Sensory Processing Disorder Successfully


I've spent thousands of dollars on Occupational therapy for my son who has had Sensory Processing Disorder and ADHD. I believe in Occupational Therapy and who knows where we'd be if we didn't have the OT. But I've found how to integrate it into our life, and save us some money.

My son loved OT and I know the many benefits that he received from it. But it didn't come without a struggle. Each session was $60 per half hour, or $120 an hour. I loved seeing him thrash around in the mats, swinging on the swings or spinning, running and jumping. I knew that he was getting mental benefits as well as physical and we continued the work at home by doing jumping on the trampoline, wheel barrels and crab crawls. But the money I was spending without being reimbursed started to cut into other things I wanted to do for my son. For instance, I wanted to get him allergy testing, but that $1300 for the test was something I'd have to save for, so we cut out OT.

I've made hundreds of little changes in our lifestyle over the past year and a half since I became somewhat educated about my child's needs. It truly has been a series of trying something and seeing if it worked, and trying another to see if that worked. Some days, it seems we have moved forward several steps, but then we can take several steps backwards in one day, or one giant, dramatic episode.

Here are a few things I've learned about my son. I need complete structure in the house and with his routine. He gets up at a certain time, eats, bathes and does story time every day and every night. We have to plan far in advance to do something out of the ordinary, and the whole house has to be set up to accommodate that. That means, if we have cub scouts or basketball practice, then the house has to be clean before he gets home and I will focus 100% of my time on him before he goes. If we have a play date, the date wraps up at exactly 5PM so I can get home and get dinner on the table by 6:15 and have him in the tub by 7PM. His bedtime is strictly 8:30 and there is no negotiating.

I've learned that I have to spend more time with him in the afternoon. I get all of my work and chores done during the day around my work, so when he gets home, I play with him and part of that play is his OT. He jumps on the trampoline, we box, wrestle, go hunting for treasures in the yard or go for a walk. The afternoon routine always consists of homework and exercise.

I have learned that TV and play dates with other kids are rewards. For good behavior, he can watch a cartoon. He does not get to plop down in front of the TV whenever he wants or turn on the computer. He has to do his home work and gets to play with friends if he has good and we usually plan these play dates. We do this so there is not much stimulation and there isn't a lot of chance where he can get over stimulated.

All throughout the morning and day and evening, I rub Jeremy's muscles. I scratch his back and affectionately massage his legs, arms or feet. In the bathtub I scrub him with a washcloth and he always makes sure that I get under his armpits! That wash cloth takes the place of the OT brush and the massage he gets throughout the day must help too. He doesn't seem to complain about it because I tell him we want to warm up his muscles and keep him in shape.

I have asked Jeremy to help me get in shape so we do push ups together, crab crawls and bear crawls. We race each other and we compete. In the evenings or in the mornings, I have my husband wrestle with Jeremy or have Jeremy try to push my husband over by pushing his hands against my husbands' hands. This helps with the upper body strength and is similar to wall push ups. The wrestling is good for his body as well and acts like the mats in therapy.

Bath time used to be the worst time of the day. Getting him in and out of the tub was a literal nightmare. I dreaded it for the hour before bath time. Now, I give him choices. He can stay in the tub for the whole time or he can get out and watch 15 minutes of TV. He has choices to make and it doesn't matter to me which choice he makes, it is up to him. He usually gets out the tub to watch a few minutes of TV. I have stopped screaming for him to get out of the tub. I simply give him a choice of two things: tub or TV. If he chooses to stay up for longer than he is supposed to, then he loses a play date with friends the next day. If he gets in bed on time, then he gets a special reward and I'll make a special play date for him the next day if I'm able.

We've experimented with no dairy, magnet therapy, supplements and tae kwan do. We've done allergy testing, toxin testing and are hoping to do Mind mapping in the near future. My goal is to get him off of any type of ADHD medication. We'll keep doing different therapies until we've found the magic potion of what works for him. We regularly read healing scriptures and the Psalms in the Bible.

We are on a journey together and I'm definitely not "there" but I have learned a few things along the way. I've learned that my child needs me to keep him comfortable and needs me to structure his life. I've learned that yelling isn't the answer and that building up his body is a process but it's one that is worth the effort. I've learned that putting him first above everything else has worked for me. My career is on hold. Marketing is on hold. Moving ahead with dream projects are on hold. Jeremy has my complete and full attention at the moment.

I've never worked so hard in my life. I don't even eat sugar or drink alcohol much anymore because it might affect my mood and I just don't have time to slow down. I do many of my workouts at home with hand weights, pushups and lunges because I know I need to be strong for this journey.

My son has made me into a better person. His challenges that he had early on due to a premature delivery has made us all work harder in our life. But I see a remarkable person developing right in front of me. He's smart about nutrition and exercise. He understands the value of hard work. He sees that when he eats well and exercises that people comment positively on his body. He has such in depth knowledge of historical bible characters from the cartoons, that he often shares pearls of wisdom with me from the leaders of the Bible. He understands that everyone is a little bit the same like that we all have skin, eyes and hair, and that we're all a little different, in our attitudes, beliefs and actions.

I feel honored to have a child that has had challenges in life out of the gates. He changed my attitude of entitlement to one of hard work and commitment and devotion. I would never give up the last several years of incredible struggle and learning that we've gone through. Now I know what it takes for him to have a good day. It takes muscle work, good food to feed his body, reading to him, being with him and loving him.

Sensory Processing Disorder is a situation that can cause families to be in crisis and have chaos. When the kids are whiney and uncomfortable and mom and dad aren't sleeping, the whole family life is turned upside down. There is hope though, and I hope one day I'll be able to say that all of my discoveries are things that worked over the long haul, but for right now, they seem to, and I'm going to continue to integrate our OT, healthy eating and nurturing of my son into our daily routine.

After all, I've never met another person who I thought was more worth it... than my son.




Mary Gardner, Author of "The Insiders Guide to Professional and Motivational Speaking" , is an executive Communications Consultant and Coach. She is president of Lifestyles Communications, Inc. which helps individuals communicate in the new global and virtual world. Her website is http://www.marygardner.com Sign up for a free report on Sales Tips for the Non Sales Professional at http://www.marygardner.com





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Dyspraxia And Sensory Processing: Are They Related?


Dyspraxia, usually referred to as developmental coordination disorder, is a motor-based difficulty with everyday tasks such as tying shoelaces, eating with a knife and fork, managing buttons and many more. This is typically caused by delayed motor skills and motor planning ability. Despite its name, dyspraxia is more than just a motor coordination disorder. Many children with dyspraxia also have difficulty with certain academic tasks, organisational skills and/or social skills.

Understanding and processing information from our environment is a vital part of everyday living. This skill, known as sensory processing helps us makes sense of the information we get from our senses, including our body and movement senses. We use this important information to determine how to respond and react in the world. Unfortunately, at least 7% of people have a hard time making accurate sense of this information and this can result in a sensory processing disorder (SPD) which can affect everyday activity. Sensory processing disorder is usually treated with sensory integration therapy by a specially trained occupational therapist.

So, is there a link between sensory processing and dyspraxia? Well, due to the historical challenges in assessments and classifications, research in the past has not been able to draw definitive conclusions either way, although newer research is suggesting that there may be a correlation. An increase in awareness of both dyspraxia and sensory processing is likely responsible for this. Now, researchers are often including sensory processing assessments in studies of children with dyspraxia.

Nonetheless, paediatric occupational therapists have argued for a link between these two for some time. This is a logical conclusion to draw. Since processing sensory information affects how we use our body, it's easy to see why difficulty processing sensory information can result in difficult organising and using the body. Examples of tasks which rely on good sensory processing might be something like handwriting: in order to write neatly and accurately, we need to understand how we are holding a pencil, where we are positioning our letters, exactly how far and in which direction to draw our lines, etc. Another example might be doing up buttons: We would need to feel the button in our hands, move the button to be pointing forward and thread the button exactly into the hole, which we are holding with our other hand. Thus, we can easily see how important it is to have good understanding of our sensory systems in order to effectively carry out these tasks.

What are the implications of this? Well, understanding the cause of difficulties can help us address them more effectively. Helping children understand the information they receive from their environment and their body can help them use their body more effectively which can lead to better skills in everyday tasks. Therefore, including sensory integration therapy into a child's intervention programme can be beneficial for a child.




Catherine Milford is an Irish-based occupational therapist and psychologist specialising in dyspraxia. You can learn more about dyspraxia by visiting the dyspraxia information website - [http://dyspraxia.eu].





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2012年8月22日 星期三

Do You See, Hear, Feel, and Smell Too Much? Could it Be Sensory Processing Disorder?


The senses take in sensory information, but the brain does not process them correctly. A person who is ultra-sensitive to environmental input (see, smell, hear, taste, touch, movement, balance, body position) can feel overloaded, anxious, tense, or scared. A feeling of the "fight or flight" response can set in.

The SPD Foundation writes on their website,

"Sensory Processing Disorder (SPD, formerly known as "sensory integration dysfunction") is a condition that exists when sensory signals don't get organized into appropriate responses. Pioneering occupational therapist and neuroscientist A. Jean Ayres, PhD, likened SPD to a neurological "traffic jam" that prevents certain parts of the brain from receiving the information needed to interpret sensory information correctly."

Both children and adults can have SPD. Today, it is primarily children who are treated by an occupational therapist specializing in sensory integration therapy. More adults are learning about SPD and recognizing that they may have had this their entire lives and have adapted in ways that can both help or hinder their lives.

Here are ways that an adult with Sensory Processing Disorder can adapt:


Avoiding situations such as a state fair or amusement parks
At family gatherings, wandering off to a quiet place for a while to rest from the sensory input
Doing balancing exercises
Taking Tae Kwon Do to improve body position awareness
Closing windows in the summer when the neighbors are using leaf blowers
Muting commercials and looking away from the fast-moving images
Wearing clothes that are soft
Cutting labels out of clothing
At meetings, sitting at the head of the conference table so the sound and movement is coming from one direction
Doing grocery shopping and other errands only early in the morning when the stores are quiet
Never shopping on Black Friday
Exercising
Going to sensory integration therapy
Seeking inputs such as scented candles or perfume
Listening to music in surround sound or with headphones

This list is only a few of the adaptation or avoidance techniques that a child or adult may do because each person reacts differently.




Eileen Parker is the creator of the Cozy Calm weighted blanket. She has autism and sensory processing disorder so she knows first-hand how her weighted blanket gives her a happy and restful sleep. Find her weighted blankets at http://www.CozyCalm.com Read her blog at http://www.EileenParker.com





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Sensory Processing Difficulties - Understanding the Family Dilemma


With the diagnosis of Autism Spectrum Disorders on the rise, let's focus on understanding the accompanying sensory processing issues. Although sensory processing difficulties are a symptom of Autism, Sensory Processing Disorder and Asperger's Syndrome, every person can experience processing difficulties throughout life.

Also known as sensory integration, it refers to the way individuals respond to and process sensations. Our brains are constantly processing input from our sense organs (smell, touch, taste, hear, see and feel), even when we sleep. We usually don't notice the process, until it functions adversely. For example, all we need to do to overload our sensory system is navigate a shopping cart through a large grocery or house wares store. The overhead music plays while videos blare, smells rise and blend into one another, fans blow hot or cold air and overly helpful employees repeatedly pop out to greet us while we try desperately to stay in the left part of the brain so that we can get what we came for. Whew! By the time we get through the checkout, trapped between loud videos and beeping registers, we are feeling common symptoms of sensory overload: nervousness, simmering anger, headache and nausea. Now imagine how hard that must be for a small child or someone whose sensory system has difficulty processing the onslaught of stimulation.

Children have not yet developed the brain connections to tell us that they need to get away from the overwhelming stimulation. Instead, they scream, tantrum, run away or have potty accidents. Sensory overload triggers the primitive brain function of fight, flight or freeze and the body reacts without thought. The only goal is to survive, which temporarily hijacks the brain's executive functions, disabling logic, memory (retention and recall) and decision making processes.

For most of us, all we have to do is reduce or eliminate the excess sensory stimulation and the problem is solved. Usually our brains can sort it all, without conscious thought. Unfortunately, this task is much more complicated for someone when sensory processing difficulties are part of a disorder.

The entire family is affected when everyone is held hostage by the anticipation and prevention of rages or ear-piercing shrieks. Even the child feels helpless while he seeks to manipulate his world and the family system to avoid sensory issues. Often seen as behavior problems, these actions may actually help regulate the sensory system and bring it into balance. For the most part, behavior modification techniques do not work; the dysfunctional behavior is the result of a struggling brain process, not a goal-oriented choice.

When a family has a member with sensory processing issues, the choices are to continue living each day feeling powerless in a rage-reaction lifestyle or seek professional help. A neurologist is best qualified to make a diagnosis if Autism or Asperger's Syndrome is suspected. A specially trained pediatric occupational therapist (OT) can diagnose and treat Sensory Processing Disorder. A counselor who has experience with sensory processing issues can address the related anxiety and specific parenting techniques, which brings much needed relief to the family.

Generally, the whole family benefits by getting involved in the change process. An experienced counselor can help re-balance the parental power structure, lessen anxiety and resentment among siblings and coordinate treatment options with the school or daycare facility. Changing the way a brain functions takes time, commitment and active teamwork, which may frustrate parents who want a quick fix.

Lastly, remember to look for support from other parents who live with similar conditions. You can find support groups, information and professional referrals by accessing websites focusing on Sensory Processing Disorder, Asperger's Syndrome and Autism.




Sharon Cuff, MA counsels parents and children in Newtown Square, PA. She has over 25 years experience working with adults and children of all ages, stages and abilities. Call for an appointment at 484-437-0080 and visit her website at http://SharonCuffCounseling.com/





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2012年6月28日 星期四

Is Auditory Processing Disorder Affecting Your Child With Autism in Special Education?


Does your child with autism struggle to understand verbal information? Do you sometimes think that your child must not be listening enough, because they always mix up verbal directions? Have you heard of Auditory Processing Disorder and wonder if your child has it? This article will be discussing APD, diagnosis and possible characteristics of this disorder.

It is important to understand that many disabilities have Co Morbid conditions that may occur with them. For example: a child with Autism may also have Sensory Integration Disorder, ADHD, learning disabilities and also Auditory Processing Disorder. By having knowledge of all disabilities that a child has, you will be able to advocate for appropriate needed special education services.

Auditory Processing Disorder is the inability to attend to, discriminate among, or understand auditory information. Language is developed by children by listening. When auditory skills are weak, the child may experience auditory overload; which makes learning much more of a challenge.

Also much of school learning is done verbally, which puts the child with this disorder at a terrible disadvantage!

Here are a few characteristics and symptoms of APD:

1. Has normal hearing but has difficulty in the reception (receiving) and interpretation of auditory information. Trouble making sense of what he or she hears.

2. May have difficulty staying on task.

3. May look around for visual cues, since they do not understand directions.

4. Responds fairly well in quite situations but may have great difficulty listening in noisy environments.

5. May have difficulty telling the difference between words that sound familiar.

6. May have difficulty remembering information in the order it was said?

7. May be visually alert.

8. May perform poorly on tests requiring verbal language information.

9. May have difficulty working independently.

10. Inconsistent performances.

If your child is showing some of these signs, you may refer them to your special education personnel in your school district, for an Audiological evaluation. Most school districts do not have Audiologists on staff, so they would have to pay for the evaluation for you to take your child to a private Audiologist (if they agree of course-though some hearing officers have given parents Independent Educational Evaluations at public expense, if the school district refuses to evaluate a child in all areas of suspected disability).

A complete Audiological evaluation includes all of the following:

1. Referral

2. Case History

3. Complete Audiological Evaluation

4. AP test battery

5. Results of whether the child has the disorder; and any recommendations for needed special education services or equipment.

Use this information to refer your child for an evaluation if you think that your child may have this disorder. Auditory processing Disorder negatively affects a child's education, but with appropriate special education services and equipment, your child can continue to learn and have a bright future!




JoAnn Collins is the mother of two adults with disabilities, and has helped families navigate the special eduation system, as an advocate, for over 15 years. She is a presenter and author of the book "Disability Deception; Lies Disability Educators Tell and How Parents Can Beat Them at Their Own Game." The book has a lot of resources and information to help parents fight for an appropriate education for their child. For a free E newsletter entitled "The Special Education Spotlight" send an E mail to: JoAnn@disabilitydeception.com. For more information on the book, testimonials about the book, and a link to more articles go to: http://www.disabilitydeception.com.





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2012年6月10日 星期日

Halloween Fun For Children With Sensory Processing Issues


Halloween parties, costumes, masks, and treats--you can't count on any of these being fun for the child with sensory issues! No wonder October 25-31 was chosen to be National Sensory Awareness Week, drawing attention to the 1 in 20 children who have the hidden disability of sensory processing disorder, also known as SPD, or sensory integration dysfunction. Fortunately, you can make Halloween more enjoyable for the child who struggles with sensory issues.

Costumes and masks often involve new sensations against the skin and body that a child may find repulsive. Experiment beforehand with any make-up, masks, wigs, or hats and see if the child can truly tolerate them for a few hours. For a costume, consider working from the basic pieces of a soft, cotton top and bottom, such as a sweatsuit or pieces of clothing purchased at a used clothing store or pulled from his play clothes pile. Add elements and props that he can hold or wear comfortably. Start looking for a costume early, when the selection is best. Purchase a used costume or costume elements through eBay, second hand shops, and Craigs List to keep your costs down because after trying a costume for a few minutes, your child may realize it is too tight, scratchy, or uncomfortable in some other way.

Treats with plenty of sugar and artificial colors and flavors should be limited for all children, but kids with sensory issues are often more sensitive to these substances. Let her gather all her loot post trick or treating and choose the favorites, then have the rest mysteriously disappear overnight (maybe after using them as math counters!). Or hoard it to use a piece at a time as rewards for overcoming challenges, doing extra chores, or use in therapy. If your child has an occupational therapist or speech therapist, speak to this professional about the possibilities. For example, sour candies in particular can be good for helping a child with poor self-regulation who is stuck in the "loose and floppy" mode to become more alert so she can focus and attend to homework or school work.

If your child has food allergies and intolerances, skip the highly processed, sugary treats altogether. Have a party instead of going Trick or Treating, and provide healthy, fun snacks and nonfood items such as stickers, pencils, and small toys.

Offer opportunities to escape from the noise and bustle of a party or trick or treating. A quieter street to walk down or an empty bathroom or bedroom where she can regroup will help her avoid sensory overload. Let her know what to expect from the occasion, from kids jostling her in doorways and running past her on the street to scary sounds and lighting changes like strobe lights at a Halloween party. And consider celebrating Halloween at a nature center, zoo, or cultural center with a quieter, more structured program, or having a small party at home.

You may want to use this opportunity to talk about fears and how to manage them. Books such as Go Away Big Green Monster by Ed Emberley, featuring a monster the younger child constructs then deconstructs as he turns the pages, can help ease anxiety about monsters and other scary creatures.

And if you do not celebrate Halloween, or your child finds it too scary, consider creating an occasion to give her the "just right" challenge of dressing in unfamiliar clothing and using her imagination to pretend she is someone else for a short time. Costumes and dress-up play encourage young children to break out of cause-and-effect, parallel play and graduate to cooperative, imaginative play, which are important developmental skills. Whatever you do on October 31, please be sensory smart and understanding of your child with sensory issues.

Copyright © 2009 Nancy Peske




Nancy Peske is an author and editor and the parent of a child who at age 2 was diagnosed with sensory processing disorder and multiple developmental delays. Coauthor of the award-winning Raising a Sensory Smart Child: The Definitive Handbook for Helping Your Child with Sensory Processing Issues, available from Penguin Books, Nancy offers information and support on her blog and website at http://www.sensorysmartparent.com She has been active in the SPD community since 2002.





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2012年6月7日 星期四

Teenagers and Sensory Processing Disorder: The Special Challenges


Teens with sensory processing disorder have special challenges because of the stage of development they're in and the fact that until now, their sensory issues may have gone unaddressed.

1. Finding the right OT can be difficult. Few occupational therapists are trained or experienced in working with teenagers who have sensory processing disorder. Play-based SI therapy may seem silly and embarrassing to teens.

2. Poor self-esteem. Teenagers who have had sensory issues for years will have learned at least some accommodations to get around them and are less likely to experience the extreme behaviors and responses they did when they were younger. However, years of feeling different and not knowing why, and noticing that they have never been quite as mature and self-controlled as their peers, take their toll. Teens with sensory processing issues usually struggle with self-esteem. They need a lot of encouragement to admit they have sensory issues and need some help.

3. Need for independence. Teenagers need to have their independence respected, so being told, "You need to do X, Y, and Z to manage your sensory issues" usually doesn't go over very well!

4. Desire to fit in. Even teenagers who don't feel the need to have a lot of friends or be conformist want to have some friends they feel they fit in with. Sensory challenges can embarrass them and may make them feel isolated, and different in a negative way.

5. Changing hormones. Teenagers have ever-changing hormones that can exacerbate sensory issues by making them more sensitive to input than they were in the past. The normal changes of adolescence can also make them more moody and emotionally sensitive.

6. New expectations. People are less likely to see your teen as a young, immature person with a hidden disability and more likely to see him or her as a young adult whose behavior is willful.

What's a parent, teacher, or therapist to do?

1. Modify traditional SI therapy techniques to be more teen friendly. As a substitute for playing with a tray of shaving cream or finger-paints, encourage the teen to cook, garden, do art or arts and crafts, and engage in other activities that challenge his tactile issues. Work with a sensory-smart occupational therapist who is willing to alter her approach to helping your teenage son or daughter to reduce any embarrassment or defensiveness.

2. Talk about sensory issues positively. Reassure your teenager that sensory issues are simply a difference in brain wiring that can have advantages but that can also be controlled and addressed to make life a little easier. Explain what SPD is and why in some cases, it's good to be extra sensitive or to crave certain sensations, and that people with sensory issues often have other gifts as well, such as the ability to "think in pictures." Then explain that there are "tricks" you and/or an OT can teach them to "make their lives easier." Everyone wants his life to be a little easier! Acknowledge how hard your teen has to work to be organized or tolerate certain sensations and praise her for her efforts.

3. Offer accommodations and sensory diet ideas for him or her to choose from. Present accommodations and activities to teenagers and let them decide which they would like to use. Honor and respect their choices and encourage them to engage in collaborative problem solving with you. If they don't want to be seen doing a brushing protocol for tactile issues, can they do it discreetly in the bathroom at school? If all the kids are wearing loose clothes and they prefer them tight, can the teen wear tight clothing, such as bicycle shorts, underneath looser clothes that seem more stylish?

4.Help your teen with sensory issues to feel okay as he is and find a group of peers he's comfortable with. Practical solutions for grooming, picky eating, and dressing, and encouraging talks about the upside of being different, can help your teen with sensory issues feel more comfortable among his peers. However, he may also feel better about himself if he expands his group of friends. Encourage your teen to develop hobbies and engage in new activities from individualized sports that don't require high levels of skill and competitiveness to enjoy them to groups that engage in the arts, community service, spiritual growth, etc. Extracurricular activities can help kids find their "tribe" and feel the power to make a difference in the world as well.

5. Accept that your child may be more emotionally sensitive at this stage. Be alert to signs of increased anxiety and depression and consult a medical health professional with any concerns you have. Remember, addressing sensory issues will reduce overall anxiety that can lead to mild or moderate depression (when you feel you can't manage your discomfort, over time, you can develop depression). Don't forget some of the most effective treatments for mild or moderate anxiety and depression include physical exercise, time spent outdoors, meditation, and breathing exercises. Mindfulness practices from yoga and tai chi to tai kwan do and karate can help, too.

6. Focus on self-awareness and accountability for self-regulating. It's very difficult to get others to accept poor self-regulation in a teen, even if you educate them on hidden disabilities. Therefore, the sooner you collaborate with your teen in creating a workable sensory diet that prevents negative behaviors, the better. It will be easier for your teen to develop better self-regulation if she is trained in using specific self-calming and self-alerting techniques that she knows work for her. Hold her accountable for using her alerting music and gum, taking time out to sit in a quiet space and do breathing exercises or use a brushing protocol, etc. Have her participate in creating a sensory diet tailored to her needs to keep her sensory needs met and to prevent fight-or-flight behaviors. Let her experience the natural consequences if she refuses to use her calming, focusing, alerting techniques.

Above all, never forget that kids with sensory issues need a "just right" challenge, a balance of accommodations to make them more comfortable and challenges that take them out of their comfort zone. Sensory diet activities for teenagers help them to develop a higher tolerance for situations and activities they'll encounter in life, and over time, retrain their brains to process sensory information more typically. Be creative and encouraging in setting up a sensory diet for a teenager, and always be collaborative to respect the teen's need for independence.

Finally, if you're a parent frustrated by trying to get your teenager's sensory issues under control, consider joining an in-person or online support group or creating one. Knowing that you aren't alone, and having practical and emotional support from other parents going through the same experiences with their teen, can help you enormously at this stage of your child's development.




Nancy Peske is the coauthor of the book Raising a Sensory Smart Child: The Definitive Handbook for Helping Your Child with Sensory Processing Issues. Learn more about sensory issues at http://www.sensorysmartparent.com and visit Raising a Sensory Smart Child on Facebook.





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2012年6月5日 星期二

How to Treat Sensory Processing Disorder


The body is designed in a way wherein the different sense organs work with the brain for the interpretation of the different senses so that we can exhibit the appropriate responses, both behavioral and motor. However, there are instances when the responses are not proper because of misinterpretation of the senses. This condition is called sensory processing disorder.

Sensory processing disorder (SPD) was formerly known as sensory integration dysfunction was first described by A. Jean Ayres, a neuroscientist who said that this disorder is similar to a 'traffic jam' that occurs in the neurons, wherein some parts of the brain are prevented from receiving the correct information so that sensory information are interpreted correctly. For someone who has SPD, what happens is that sensory information is perceived differently from that which is normal to other people. This will then result in behavior or responses that are unusual, which makes it hard to accomplish some tasks.

The exact causes of sensory processing disorder are not yet known, and are still subject to research studies. There have been results however saying that this is an inherited disorder, but there can also be environmental factors that can contribute to it. When this is not properly managed while a child is still young, it can result to several problems involving the child's emotional, education and social state. Because of the problems with the child's motor skills, he can become isolated from his peers, suffering from low self-esteem. There can also be poor self-concept and failure with academics. Those who are unaware of this disorder will be labeling the child as clumsy, disruptive or even uncooperative. When this gets worse, it will lead to depression, anger problems, anxiety and aggression.

The treatment of sensory processing disorder will warrant the services of an occupational therapist. The occupational therapist will provide sensory integration therapy for the child, wherein sensory stimuli and experiences will be taught to the child. There will also be sensory diet, a therapy where the therapist will plan and schedule activities for the child to address the different needs of the nervous system. There will be different techniques that will be included in the therapy such as calming, alerting and organizing. The treatment for SPD can also include alternative therapies depending on what the doctor says. One of the common therapies is therapeutic body brushing which is ideal for children who are oversensitive to sensory experiences. This will help the SPD patient to learn how to adjust to certain sensory stimulations.

There is no definite cure for sensory processing disorder for the treatments that were mentioned will only help the affected person learn how to adapt and react properly to stimulations. If you are taking care of a child who is suffering from SPD, you have to be patient when dealing with him, since it is not just frustrating for you but it is more difficult to the child. It will take some time before the child can learn the appropriate responses so you will have to assist him and make sure that he learns properly. And of course, you will need to assist him with developing his mental, emotional and social skills.




For more information on Different Types of Diseases, Symptoms and Diagnoses, Please visit: Sensory Processing Disorder and Sensory Integration Disorder.





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2012年6月2日 星期六

Dyspraxia And Sensory Processing: Are They Related?


Dyspraxia, usually referred to as developmental coordination disorder, is a motor-based difficulty with everyday tasks such as tying shoelaces, eating with a knife and fork, managing buttons and many more. This is typically caused by delayed motor skills and motor planning ability. Despite its name, dyspraxia is more than just a motor coordination disorder. Many children with dyspraxia also have difficulty with certain academic tasks, organisational skills and/or social skills.

Understanding and processing information from our environment is a vital part of everyday living. This skill, known as sensory processing helps us makes sense of the information we get from our senses, including our body and movement senses. We use this important information to determine how to respond and react in the world. Unfortunately, at least 7% of people have a hard time making accurate sense of this information and this can result in a sensory processing disorder (SPD) which can affect everyday activity. Sensory processing disorder is usually treated with sensory integration therapy by a specially trained occupational therapist.

So, is there a link between sensory processing and dyspraxia? Well, due to the historical challenges in assessments and classifications, research in the past has not been able to draw definitive conclusions either way, although newer research is suggesting that there may be a correlation. An increase in awareness of both dyspraxia and sensory processing is likely responsible for this. Now, researchers are often including sensory processing assessments in studies of children with dyspraxia.

Nonetheless, paediatric occupational therapists have argued for a link between these two for some time. This is a logical conclusion to draw. Since processing sensory information affects how we use our body, it's easy to see why difficulty processing sensory information can result in difficult organising and using the body. Examples of tasks which rely on good sensory processing might be something like handwriting: in order to write neatly and accurately, we need to understand how we are holding a pencil, where we are positioning our letters, exactly how far and in which direction to draw our lines, etc. Another example might be doing up buttons: We would need to feel the button in our hands, move the button to be pointing forward and thread the button exactly into the hole, which we are holding with our other hand. Thus, we can easily see how important it is to have good understanding of our sensory systems in order to effectively carry out these tasks.

What are the implications of this? Well, understanding the cause of difficulties can help us address them more effectively. Helping children understand the information they receive from their environment and their body can help them use their body more effectively which can lead to better skills in everyday tasks. Therefore, including sensory integration therapy into a child's intervention programme can be beneficial for a child.




Catherine Milford is an Irish-based occupational therapist and psychologist specialising in dyspraxia. You can learn more about dyspraxia by visiting the dyspraxia information website - [http://dyspraxia.eu].





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2012年5月30日 星期三

Sensory Processing Difficulties - Understanding the Family Dilemma


With the diagnosis of Autism Spectrum Disorders on the rise, let's focus on understanding the accompanying sensory processing issues. Although sensory processing difficulties are a symptom of Autism, Sensory Processing Disorder and Asperger's Syndrome, every person can experience processing difficulties throughout life.

Also known as sensory integration, it refers to the way individuals respond to and process sensations. Our brains are constantly processing input from our sense organs (smell, touch, taste, hear, see and feel), even when we sleep. We usually don't notice the process, until it functions adversely. For example, all we need to do to overload our sensory system is navigate a shopping cart through a large grocery or house wares store. The overhead music plays while videos blare, smells rise and blend into one another, fans blow hot or cold air and overly helpful employees repeatedly pop out to greet us while we try desperately to stay in the left part of the brain so that we can get what we came for. Whew! By the time we get through the checkout, trapped between loud videos and beeping registers, we are feeling common symptoms of sensory overload: nervousness, simmering anger, headache and nausea. Now imagine how hard that must be for a small child or someone whose sensory system has difficulty processing the onslaught of stimulation.

Children have not yet developed the brain connections to tell us that they need to get away from the overwhelming stimulation. Instead, they scream, tantrum, run away or have potty accidents. Sensory overload triggers the primitive brain function of fight, flight or freeze and the body reacts without thought. The only goal is to survive, which temporarily hijacks the brain's executive functions, disabling logic, memory (retention and recall) and decision making processes.

For most of us, all we have to do is reduce or eliminate the excess sensory stimulation and the problem is solved. Usually our brains can sort it all, without conscious thought. Unfortunately, this task is much more complicated for someone when sensory processing difficulties are part of a disorder.

The entire family is affected when everyone is held hostage by the anticipation and prevention of rages or ear-piercing shrieks. Even the child feels helpless while he seeks to manipulate his world and the family system to avoid sensory issues. Often seen as behavior problems, these actions may actually help regulate the sensory system and bring it into balance. For the most part, behavior modification techniques do not work; the dysfunctional behavior is the result of a struggling brain process, not a goal-oriented choice.

When a family has a member with sensory processing issues, the choices are to continue living each day feeling powerless in a rage-reaction lifestyle or seek professional help. A neurologist is best qualified to make a diagnosis if Autism or Asperger's Syndrome is suspected. A specially trained pediatric occupational therapist (OT) can diagnose and treat Sensory Processing Disorder. A counselor who has experience with sensory processing issues can address the related anxiety and specific parenting techniques, which brings much needed relief to the family.

Generally, the whole family benefits by getting involved in the change process. An experienced counselor can help re-balance the parental power structure, lessen anxiety and resentment among siblings and coordinate treatment options with the school or daycare facility. Changing the way a brain functions takes time, commitment and active teamwork, which may frustrate parents who want a quick fix.

Lastly, remember to look for support from other parents who live with similar conditions. You can find support groups, information and professional referrals by accessing websites focusing on Sensory Processing Disorder, Asperger's Syndrome and Autism.




Sharon Cuff, MA counsels parents and children in Newtown Square, PA. She has over 25 years experience working with adults and children of all ages, stages and abilities. Call for an appointment at 484-437-0080 and visit her website at http://SharonCuffCounseling.com/





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2012年5月29日 星期二

Do You See, Hear, Feel, and Smell Too Much? Could it Be Sensory Processing Disorder?


The senses take in sensory information, but the brain does not process them correctly. A person who is ultra-sensitive to environmental input (see, smell, hear, taste, touch, movement, balance, body position) can feel overloaded, anxious, tense, or scared. A feeling of the "fight or flight" response can set in.

The SPD Foundation writes on their website,

"Sensory Processing Disorder (SPD, formerly known as "sensory integration dysfunction") is a condition that exists when sensory signals don't get organized into appropriate responses. Pioneering occupational therapist and neuroscientist A. Jean Ayres, PhD, likened SPD to a neurological "traffic jam" that prevents certain parts of the brain from receiving the information needed to interpret sensory information correctly."

Both children and adults can have SPD. Today, it is primarily children who are treated by an occupational therapist specializing in sensory integration therapy. More adults are learning about SPD and recognizing that they may have had this their entire lives and have adapted in ways that can both help or hinder their lives.

Here are ways that an adult with Sensory Processing Disorder can adapt:


Avoiding situations such as a state fair or amusement parks
At family gatherings, wandering off to a quiet place for a while to rest from the sensory input
Doing balancing exercises
Taking Tae Kwon Do to improve body position awareness
Closing windows in the summer when the neighbors are using leaf blowers
Muting commercials and looking away from the fast-moving images
Wearing clothes that are soft
Cutting labels out of clothing
At meetings, sitting at the head of the conference table so the sound and movement is coming from one direction
Doing grocery shopping and other errands only early in the morning when the stores are quiet
Never shopping on Black Friday
Exercising
Going to sensory integration therapy
Seeking inputs such as scented candles or perfume
Listening to music in surround sound or with headphones

This list is only a few of the adaptation or avoidance techniques that a child or adult may do because each person reacts differently.




Eileen Parker is the creator of the Cozy Calm weighted blanket. She has autism and sensory processing disorder so she knows first-hand how her weighted blanket gives her a happy and restful sleep. Find her weighted blankets at http://www.CozyCalm.com Read her blog at http://www.EileenParker.com





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2012年5月27日 星期日

Living With Sensory Processing Disorder - A Family Affair


I. A child's view on how SPD effects family relationships

Living and coping with a disorder can often consume a child's world. For children with Sensory Processing Disorder (SPD), this can be especially challenging as most children with SPD are seemingly "normal". Many people do not often realize that these normal-looking children could be plagued by such an emotionally, physically and socially taxing disorder. Emily Brout knows all too well how difficult it is to explain her disorder: "Sometimes it is really hard to explain what Sensory Processing Disorder (SPD) is to other people. It's very complicated and it's not even easy for me to understand! Many people don't know anything at all about SPD because there hasn't been a lot written about it or on T.V. So most people have no idea how SPD makes a person like me feel. In fact, there are many people who don't even think SPD is real! That makes me so mad! Why would anybody make this up?"

Having SPD makes family life and social time with friends tough on Emily. "SPD makes me feel like I'm being attacked by noises, smells, and lights every day. Smells can be really bad, and sometimes even make me throw up. It is very hard to sit in the cafeteria with my friends at school and try to hide the fact that I am gagging because of a smell. Noises are the worst for me. Quiet noises that repeat over and over make me really upset, and these noises are part of every day life. My sister and brother get mad at me because I yell at them for noises that they make. Sometimes, I get really sad and don't want to go anywhere. I also lose my temper and get really mad at people. I don't do this on purpose, but my friends and family don't always realize that. I just cannot help it. Every day I struggle to keep myself calm even though I feel scared, mad and upset on and off, all day."

Coping with a special need such as Sensory Processing Disorder can be equally frustrating to both the child and his or her family.

II. A parent's perspective on raising a child with SPD

Emily's mom, psychologist Dr. Jennifer Brout, can identify with trying to cope with raising a child who has a special need and maintaining her family dynamics. "A wise professor once told me 'Your primary goal is to not make things worse'. As I consulted psychologists and psychiatrists alike, I wondered if there were any clinicians who even understood what Sensory Processing Disorder (SPD) was!" said Brout. "My daughter received Occupational Therapy to remediate her symptoms, yet her personality and our family dynamics had already been shaped by the disorder's complications." Dealing with this frustration and lack of help from mental health professionals who had no real treatment for her daughter, Brout often wondered, "was there anyone out there who would understand that I was not simply giving in to my daughter's 'manipulations' because I was a browbeaten mother lacking any savvy?"

Everyday life posed so many difficulties and heartache for Brout, as a parent who had to watch her child struggle with SPD. "Although her other senses were affected, extreme over-reactivity to certain sounds caused my otherwise sociable, empathic sweet-natured little girl to be unpredictably moody and explosive. During toddler hood and early childhood she threw tantrums that lasted for prolonged periods of time. She was extremely clingy, and often appeared sad. Background noises that most people didn't notice set her off into rages." Not being able to ease a child's suffering could leave any parent feeling helpless. Brout remembers one of those moments with Emily, "when she was six years old she looked at me and said 'When I hear bad noises I feel like I'm turning into the Incredible Hulk'. Then she asked intently, 'Mommy, can you fix my brain?' This moment defined the extent to which my daughter was suffering, and how negatively her self-image had been impacted by SPD. What little girl should envision herself as a huge, green, out of control mutant?"

What can a parent do? How can a parent mediate Sensory Processing Disorder within family life?

For parents coping with their child's SPD, Brout offers this advice, "it is helpful to remind yourself that with Occupational Therapy, sensory integration treatment, and as he or she gets older, your child will be able to implement greater control over his or her behavioral reactions to his or her physiological responses. In the meantime, however, regulation (calming the child so that he or she is not over stimulated and agitated) is the first priority." She goes on to suggest that in order to make this shift, "you must allow yourself to dismiss much of what you have been told about parenting, even by mental health professionals, because it does not apply to SPD children. For now, think of your child as one whose body over-reacts to sensory stimuli, and who is deficient in calming down." When faced with an agitated child whose behavior is effecting family life, Brout suggests using the three R's: Regulate, Reason and Reassure

Regulate: "Help your over-responsive child calm down by identifying the source of the sensory stimuli, and shift the focus from any resulting conflict. As a child develops greater language and cognitive skills this process becomes easier. However, even younger children with limited language skills can be regulated. Each child is unique which is why it is essential to consult with a professional."

Reason: "Once your child is calm, review the incident with him focusing on his thought processes. If he cannot identify the stimuli that triggered his actions, try to do it for him by making suggestions. For younger children, you will have to go through this process with relative simplicity and brevity. With enough consistency your child will understand your message, and will also learn that when he or she is over-stimulated, calming down is the first step! Remember, this process is not an over-night cure!"

Reassure: Remind yourself that your child does not like feeling out of control. Reassure him that over time he will gain control, and that you will help him. Let him know that you expect him to try as hard as he can, but protect his self-esteem and self-image by framing the problem as though it were 'a work in progress'. Repairing damaged self-esteem and poor self-image is much more difficult than reshaping a child's misconstrued ideas about the causes and consequences of behavior. No child should see himself as a huge out of control green mutant being that repels others!"

In regard to family dynamics, Dr. Brout states, "the SPD child feels victimized by the overwhelming sensory stimuli generated by family members. However, siblings are also likely to feel victimized having often been the object of the over-responsive child's mood swings and/or aggression. Therefore, it is important to let siblings know that they are not responsible for these problems and that you are doing everything you can to get help for your over-responsive child and for the family. Behavior is not only about actions and consequences. It is about interpersonal relationships and that is especially true in regard to SPD as it affects family functioning."

___________________________________________________________________________________




Jennifer Jo Brout, Ed.M., Psy.D. is a psychologist focused on Sensory Processing Disorders and their application to mental health. She earned an Ed.M. in School Psychology from Columbia University and a Psy.D in School/Clinical Child Psychology from Albert Einstein College of Medicine. Dr. Brout is currently involved with projects at the KID Foundation Research Institute, Duke University, and in association with audiologists and private clinicians throughout the country.

In 2006, Dr. Brout launched Positive Solutions of New York, LLC to support research in psychological conditions, developmental disorders, and learning difficulties related to sensory processing/regulatory disorders through various creative and public service projects.





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Learning to Live with Sensory Processing Disorder Successfully


I've spent thousands of dollars on Occupational therapy for my son who has had Sensory Processing Disorder and ADHD. I believe in Occupational Therapy and who knows where we'd be if we didn't have the OT. But I've found how to integrate it into our life, and save us some money.

My son loved OT and I know the many benefits that he received from it. But it didn't come without a struggle. Each session was $60 per half hour, or $120 an hour. I loved seeing him thrash around in the mats, swinging on the swings or spinning, running and jumping. I knew that he was getting mental benefits as well as physical and we continued the work at home by doing jumping on the trampoline, wheel barrels and crab crawls. But the money I was spending without being reimbursed started to cut into other things I wanted to do for my son. For instance, I wanted to get him allergy testing, but that $1300 for the test was something I'd have to save for, so we cut out OT.

I've made hundreds of little changes in our lifestyle over the past year and a half since I became somewhat educated about my child's needs. It truly has been a series of trying something and seeing if it worked, and trying another to see if that worked. Some days, it seems we have moved forward several steps, but then we can take several steps backwards in one day, or one giant, dramatic episode.

Here are a few things I've learned about my son. I need complete structure in the house and with his routine. He gets up at a certain time, eats, bathes and does story time every day and every night. We have to plan far in advance to do something out of the ordinary, and the whole house has to be set up to accommodate that. That means, if we have cub scouts or basketball practice, then the house has to be clean before he gets home and I will focus 100% of my time on him before he goes. If we have a play date, the date wraps up at exactly 5PM so I can get home and get dinner on the table by 6:15 and have him in the tub by 7PM. His bedtime is strictly 8:30 and there is no negotiating.

I've learned that I have to spend more time with him in the afternoon. I get all of my work and chores done during the day around my work, so when he gets home, I play with him and part of that play is his OT. He jumps on the trampoline, we box, wrestle, go hunting for treasures in the yard or go for a walk. The afternoon routine always consists of homework and exercise.

I have learned that TV and play dates with other kids are rewards. For good behavior, he can watch a cartoon. He does not get to plop down in front of the TV whenever he wants or turn on the computer. He has to do his home work and gets to play with friends if he has good and we usually plan these play dates. We do this so there is not much stimulation and there isn't a lot of chance where he can get over stimulated.

All throughout the morning and day and evening, I rub Jeremy's muscles. I scratch his back and affectionately massage his legs, arms or feet. In the bathtub I scrub him with a washcloth and he always makes sure that I get under his armpits! That wash cloth takes the place of the OT brush and the massage he gets throughout the day must help too. He doesn't seem to complain about it because I tell him we want to warm up his muscles and keep him in shape.

I have asked Jeremy to help me get in shape so we do push ups together, crab crawls and bear crawls. We race each other and we compete. In the evenings or in the mornings, I have my husband wrestle with Jeremy or have Jeremy try to push my husband over by pushing his hands against my husbands' hands. This helps with the upper body strength and is similar to wall push ups. The wrestling is good for his body as well and acts like the mats in therapy.

Bath time used to be the worst time of the day. Getting him in and out of the tub was a literal nightmare. I dreaded it for the hour before bath time. Now, I give him choices. He can stay in the tub for the whole time or he can get out and watch 15 minutes of TV. He has choices to make and it doesn't matter to me which choice he makes, it is up to him. He usually gets out the tub to watch a few minutes of TV. I have stopped screaming for him to get out of the tub. I simply give him a choice of two things: tub or TV. If he chooses to stay up for longer than he is supposed to, then he loses a play date with friends the next day. If he gets in bed on time, then he gets a special reward and I'll make a special play date for him the next day if I'm able.

We've experimented with no dairy, magnet therapy, supplements and tae kwan do. We've done allergy testing, toxin testing and are hoping to do Mind mapping in the near future. My goal is to get him off of any type of ADHD medication. We'll keep doing different therapies until we've found the magic potion of what works for him. We regularly read healing scriptures and the Psalms in the Bible.

We are on a journey together and I'm definitely not "there" but I have learned a few things along the way. I've learned that my child needs me to keep him comfortable and needs me to structure his life. I've learned that yelling isn't the answer and that building up his body is a process but it's one that is worth the effort. I've learned that putting him first above everything else has worked for me. My career is on hold. Marketing is on hold. Moving ahead with dream projects are on hold. Jeremy has my complete and full attention at the moment.

I've never worked so hard in my life. I don't even eat sugar or drink alcohol much anymore because it might affect my mood and I just don't have time to slow down. I do many of my workouts at home with hand weights, pushups and lunges because I know I need to be strong for this journey.

My son has made me into a better person. His challenges that he had early on due to a premature delivery has made us all work harder in our life. But I see a remarkable person developing right in front of me. He's smart about nutrition and exercise. He understands the value of hard work. He sees that when he eats well and exercises that people comment positively on his body. He has such in depth knowledge of historical bible characters from the cartoons, that he often shares pearls of wisdom with me from the leaders of the Bible. He understands that everyone is a little bit the same like that we all have skin, eyes and hair, and that we're all a little different, in our attitudes, beliefs and actions.

I feel honored to have a child that has had challenges in life out of the gates. He changed my attitude of entitlement to one of hard work and commitment and devotion. I would never give up the last several years of incredible struggle and learning that we've gone through. Now I know what it takes for him to have a good day. It takes muscle work, good food to feed his body, reading to him, being with him and loving him.

Sensory Processing Disorder is a situation that can cause families to be in crisis and have chaos. When the kids are whiney and uncomfortable and mom and dad aren't sleeping, the whole family life is turned upside down. There is hope though, and I hope one day I'll be able to say that all of my discoveries are things that worked over the long haul, but for right now, they seem to, and I'm going to continue to integrate our OT, healthy eating and nurturing of my son into our daily routine.

After all, I've never met another person who I thought was more worth it... than my son.




Mary Gardner, Author of "The Insiders Guide to Professional and Motivational Speaking" , is an executive Communications Consultant and Coach. She is president of Lifestyles Communications, Inc. which helps individuals communicate in the new global and virtual world. Her website is http://www.marygardner.com Sign up for a free report on Sales Tips for the Non Sales Professional at http://www.marygardner.com





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2012年5月26日 星期六

Helping the Child Who Has Sensory Processing Issues


There's something up with a child you know. He's clumsy, picky, always on the move, or flopped in a chair like a wet noodle. He's impulsive, intense, and quirky. Maybe he has a learning disability, ADHD, or autism, or maybe not, but his behavior and responses to everyday sensations are puzzling. Why does he withdraw or act out? Why are transitions so difficult? Can he really hear the fluorescent lights that he claims are distracting him?

It's very likely that this child you're concerned about has sensory processing disorder, also known as SPD or sensory integration dysfunction. An estimated 1 in 20 children and almost all children with autism have SPD.

The nervous system of a child with sensory processing disorder is wired atypically, causing her body to process everyday sensations differently. Unable to rely on her senses to give her an accurate picture of what is going on in her body and her world, she is prone to anxiety, distractibility, impulsivity, and frustration. A child with SPD will tune out or act out when overstimulated. The need for sensory input such as movement and touch can be so overpowering that the child truly can't control her need to seek it out. An everyday sound or sensation may be experienced as so intense that it sets off a primitive fear response, also known as a fight-or-flight response. Many of us have difficulty tuning out background noise, or prefer clothes that fit a certain way. These are sensory preferences. When a child's sensory issues interfere significantly with learning and playing, he needs the help of an occupational therapist and a sensory smart adult who can teach him how to feel more comfortable in his body and environment.

Fortunately, many of the accommodations that can make a huge difference in the life of a child who has sensory issues are simple and inexpensive. Here are just a few:


Cut out clothing tags, turn socks inside out or buy seamless ones, and avoid clothing with embroidery and elastic that will touch the skin and create distracting, irritating sensations.
To tolerate the intense sensation of having his teeth brushed, the child with SPD may need to use nonfoaming toothpaste and have his mouth and lips desensitized by using a vibrating toothbrush or even just gently pressing a hand-held vibrator against his cheek, jaws, and lips before attempting to brush.
To calm and focus a child with sensory issues, you can try applying deep pressure against the skin as you compress her joints. Hugging, or pressing pillows against her body or rolling her up in a blanket to play "burrito" are often enjoyable ways for a child to get input. Always pay close attention to what a child is telling you, in words or body language, about her response to sensory input. Do not upset her with unwanted touch.
In school or at home, allow him to sit on an exercise ball or an inflatable cushion, with a smooth or bumpy surface. This will meet the movement needs of a child who just has to be able to squirm and help the child with poor body awareness to better sense where his body is when he's seated. When these needs for movement and body awareness are met, the sensory child will focus better on listening, eating, or doing schoolwork.
Provide a quiet retreat when she's overwhelmed by the sensory onslaught of everyday life. Whether she sits alone with you in a car outside of a party or restaurant, or in a quiet, darkened room, listening to relaxing music on a personal music player with headphones, a sensory break can do wonders for a child's ability to tolerate her environment.

A pediatric occupational therapist who is both trained and experienced in helping children with sensory issues can work with parents and teachers to plan and carry out activities for the child that can help him or her function better at home, at school, and away. She can also help problem solve and discover accommodations that will ease the child's discomfort, and set up a "sensory diet" of activities that will help him. Whether working on a consultation basis, in a sensory gym nearby, at home or at school, the right sensory smart OT can make a huge difference for a child with sensory processing disorder.

copyright (c) 2012 Nancy Peske




Nancy Peske is an author and editor and the parent of a child who at age 2 was diagnosed with sensory processing disorder and multiple developmental delays. She is coauthor of the award-winning Raising a Sensory Smart Child: The Definitive Handbook for Helping Your Child with Sensory Processing Issues. You can learn more about sensory issues at http://www.sensorysmartparent.com





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