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What is it?Trouble responding to and receiving
information through sensesMay affect multiple sensesHyper or hyposensitive to things in
environment
CausesNo exact causeAbnormal brain activityGenetic componentMaternal deprivationPremature birthPrenatal malnutrition
Great Book!
Who does it affect?5 to 16% of children exhibit symptoms of SPDBabies, toddlers, school-aged children and
adults
Co-Existing disordersADHDAutism/Asperger’s SyndromeLanguage DisorderLearning DisabilityFragile X SyndromeAnxietyOCD
SymtpomsOver-responsive or under-responsive to
thingsCan not transition Frequent tantrums and meltdownsExists on a spectrum
What does this mean?www.brainbalance
hypersensitive
Fear of sudden
high pitched sound
Poor Balanc
eFear of Climbin
g
Fear of Crowds
Fearful of touch
Background noise
distracting
What does this mean?www.brainbalance
Enjoys movement based play
Hyposensitiv
e
Doesn’t know own strength
Thrill seeker
Clumsy, uncoordinat
ed movement
Can’t understand
personal space
Constantly touching
things
Diagnostic ProcessScreening a. parent checklist b. developmental historyNeeds to affect normal functional and disrupt
everyday lifeIf warranted evaluation follows
Diagnostic ToolsSensory Integration and Praxis Test(children
ages 4-8)Sensory Profile, Sensory Processing
Measure(Parents, Teachers)Comprehensive OT evaluationwww.spdfoundation.net
Benefits of early diagnosisLeads to early
interventionIncrease success of
EIBetter school
experiences
Prevent secondary problems
Correct labeling of unusual behaviors
Improve family life
TreatmentCan be hard to get helpIsn’t recognized as a medical diagnosis
Depends on individual child’s needUsually done by Occupational therapists
Sensory Integration Goal- challenge a child in a fun, playful wayOutcome-child responds appropriately,
functions normally
DIR ModelDevelopmental, Individual Difference,
Relationship-Based ModelDeveloped by Stanley Greenspan, MD &
Serena Weider Ph.D“Floortime” method is major part
www.webmd.com
“Floortime” methodMultiple sessions of
play20 minutes eachFirst parents follow
child’s leadThen parents create
challenges for child
Creating a “shared world” with the parent
Session are tailored to individual child’s needs
DemographicsFour years oldIn Pre-KindergartenHas two siblingsOne with ADHD/ODD diagnosisHighly Intelligent
Initial SymptomsToe WalkingAversion to certain food texturesAversion to certain noisesAvoided over-stimulating thingsRepetitive behaviorsTrouble with transitioning
TreatmentsHad Early intervention therapyPrivate Occupational therapyPrivate feeding therapyParticipates in many extracurricular activities
Present DayStruggles with eating certain thingsNeed for samenessDoesn’t transition wellStruggles with certain texturesStruggles with certain environmentsSome days good, some bad
Lesson’s LearnedBe your child’s advocateListen to your heart, not other peopleBe patientGet your kids involved
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