• S1 E1: Sensory Chat - Toddlers and Eating: A Sensory Perspective
    Feb 4 2022
    Listen in as four experienced therapists chat about the challenges that toddlers face with mealtimes. What should we be expecting of 2- and 3-year-olds at mealtimes? What skills do toddlers need to be able to successfully eat? How does their ability to sit up and sit still at the table affect their eating? Are tablets on the table a help or a hindrance? Why do we need to consider family and cultural contexts relating to mealtimes and how do our own sensory preferences affect our children’s mealtime experience? It’s all covered in this episode of Sensory Chat along with some handy tips and reassurance for struggling parents and carers. TRANSCRIPT Lelanie: Welcome to Sensory Chat, my name is Lelanie, I'm an Occupational Therapist and an Advanced Practitioner in Sensory Integration, and I'm calling in from Germany. Amy: Hi, I'm Amy, I'm a Speech and Language Therapist and an Advanced Practitioner in Ayres Sensory Integration, and I'm calling in from Salisbury in Southwest England. Angela: Good evening everyone, I am Angela and I'm calling from Melbourne Australia. I'm an Occupational Therapist and an Advanced Sensory Integration Practitioner. Emma: Hello from me, I am Emma, I am a Physiotherapist and also an Advanced Sensory Integration Practitioner. And I'm calling in this morning from Warwickshire. Lelanie: Our topic today is Toddlers and Eating. And I'm able to hand over to Amy now to set the scene for our next discussion. Amy: So, what we're thinking about in this episode, is really sort of looking at two year olds heading into three year olds around mealtimes. So that's often a time that parents talk to me as being particularly challenging. So, because I'm a Speech and Language Therapist, they're often asking me about a child who won't eat or will only eat a certain, you know, restricted range of foods, but also issues about children not wanting to, or not being able to come and sit with the family at the table, not being able to be part of the family experience of being part of a mealtime. So I think that's what we're going to talk about today. So I suppose to start off with, it would be interesting to have a think about some of the skills that you need in order to sit at the table at two and take part in a meal, have something to eat. So if we think about sort of the motor skills, the social skills, the, the cognitive skills, the language skills that you need to be building in order to take part. So, what do you think, Angela, would you like to, what kind of, if you were looking at a two year old, two to three year old, where would you be looking at their, their motor skills and development? Angela: Yeah, while just listening to you introduce that, I'm thinking, wow, like what a complex task. If we think about all the things that you know, we're asking of little ones during meal times and this idea of trying to break it down and really unpick, you know, each element to try and figure out what might be going on is really helpful, I think. But yeah, so motor skills, I guess, you know, this idea of kids needing to be able to sit upright and to sit still, if we can do both of those, then our hands and our arms are going to be more available to feed ourselves whether that's, you know, using our fingers or having a go at, you know, using a spoon. And so I think thinking about, the size of the tables and the chairs and whether or not it's, it's appropriate for your little one to be at the same table as the family. So I guess thinking about the motor skills, you know, this idea of being able to sit upright at the table, but also sit still, are two really important elements. And so it's thinking about how do we help kids to do that. The furniture, you know, the chair and the table that we use is really important. You know, making sure that the table is not too high, and that, you know, their little arms can come over the top and rest comfortably on the table, but also thinking about some support for their feet. You know, if children have that support under their feet, they're going to feel more grounded. So I think, yeah, the seating and the table height is an important thing to think about. Amy: Yeah. Angela, if I can just pick up on that. So if you think about swallowing, so the back of your throat, the tube that goes down to your lungs for air and the tube that goes down to your stomach for food, in your throat is the same, the same area, the same pipe. And there's a little flap that moves as you swallow to make sure that food doesn't go down into your lungs, you don't choke. Now obviously, as children are learning to coordinate, those are muscles too, they're learning to coordinate that chew and swallow. And that's something that takes some practice and thinking about it sort of in terms of your body's top priority is to keep you safe and keep you alive. That if you're, if you're not stable, if you're not able to sit and feel secure in your sitting or at some level your brain recognizes ...
    Show more Show less
    24 mins
  • S1 E2: Sensory Chat - Eating Out with Children: A Sensory Perspective
    Mar 3 2022
    Eating out with very young children can be a frantic rather than fun experience. Particularly if your child gets easily overwhelmed or over-excited. Listen in as four experienced therapists chat about how to make taking your toddler to a cafe or restaurant be less stressful and more enjoyable for the whole family. Get tips on how to help your child be prepared for the experience. Learn how a stomping walk beforehand can help your child sit for longer later. What should you look for when choosing a child-friendly restaurant -  and we don’t just mean the menu. This episode of Sensory Chat is aimed at parents but will also be useful for teachers and professionals. TRANSCRIPT Lelanie 00:31 Hello, welcome to Sensory Chat. My name is Lelanie. I'm an Occupational Therapist and an Advanced Practitioner in Sensory Integration. I'm calling in from Germany. Amy 00:43 Hi, I'm Amy. I'm a speech and language therapist and also an Advanced Practitioner in Sensory Integration and I'm calling in from Salisbury in Southwest England. Angela 00:54 Hi everyone, my name is Angela. I am an Occupational Therapist and an Advanced Sensory Integration Practitioner, and I'm calling from Melbourne, Australia. Emma 01:06 And good morning from me, I'm Emma Snowdon and I am a Physiotherapist and I'm also an Advanced Sensory Integration Practitioner. And I'm calling in from Warwickshire. Lelanie 01:19 In today's podcast, we're going to be talking about eating out. In an earlier podcast, at the side, we were talking about difficulties from a sensory perspective, that you might see with toddlers eating and feeding at home. This podcast is for parents, but would also be useful for teachers and healthcare professionals. Amy 01:44 Right, so we were thinking really about what happens when you're going out with your little one to a restaurant, I guess that could be like a fast food restaurant, like a pizza place or a burger joint, or it could be like a, sort of a more formal restaurant, particularly if you're thinking about a restaurant where you're going out for a special occasion. So there's quite a lot of excitement and up involved in going into the restaurant. So I'm just wondering, from each of your perspectives, if parents are thinking about, maybe even dreading going to a restaurant with their little one, from a sensory perspective, what kinds of things should they just have in the back of their mind that they should be thinking about? Angela, would you like to kick us off? Angela 02:34 So, I think when we're thinking about taking our little ones to a place to eat, you know, it's all going to be very new. You know, this may be the very first time they've ever been to a place like pizza hut, and so I think if parents can begin to kind of have some conversations around, you know, what the place might look like, what sorts of things they might see in there, you know, what are the people, you know, that there'll be waiters and waitresses, and so it's about preparation. Really. It's about helping our little ones to begin to, understand what to expect. So that would be a good kind of starting point to start kind of talking about it, you know, with their child. Amy 03:24 Yeah, I agree. I think that predictability is very helpful and definitely, you might be thinking about kind of how you can bring in some of the aspects into play. So for example, the idea of having to choose food off a menu is not, I mean, in my home, maybe it's different than your home, but seldom do we have menu choices in my home. So that whole idea of actually there being a choice of foods, that's a new concept, that's a new thing, but that's something that's very easy to play when you're playing, you know, games, games with your child. Emma, what do you think? Emma 04:01 Yeah, I think the thing is the same meetings to think about isn't there, because like you say, it's a whole new experience. And I suppose specifically thinking about, the environment as well. I think we've got to consider all of those extra sensory things that we wouldn't necessarily have at home. So, you know, the noise, that's going to be very different in different places, isn't it. You know, in terms of how echoey it is and how many people are there, but there's other sensory challenges, including the smells, you know, having to sit still, thinking about sitting still, waiting, all those things that can be a real challenge for a two year old in general, but particularly for a two year old with sensory challenges, that could be difficult. So yeah, there's many things, is there an element we want to particularly discuss here? Amy 04:57 I'd love to pick up on that idea of waiting, so I know that. Yeah. So as Ayre's Sensory Integration Practitioners, you know, we think a lot, we talk a lot about the development of executive functions. So those are those higher level skills. And one of those is being able to sort of, inhibit impulses and to kind of wait and to attend those kinds of things. ...
    Show more Show less
    19 mins
  • S1 S3: Sensory Chat - Getting Dressed: A Sensory Perspective
    Apr 4 2022
    Is every morning a struggle to get your preschooler dressed? This episode of Sensory Chat is for you, particularly if your little one has sensory issues around clothing or struggles with balance, body awareness or fine motor skills. Listen as four international therapists draw on their personal and professional experience to chat over what difficulties your child could be experiencing around clothing and dressing along with some practical tips to try. TRANSCRIPT Lelanie Hello. Welcome to Sensory Chat. My name is Lelanie. I'm an Occupational Therapist and an Advanced Practitioner in Sensory Integration. I'm calling in from Germany. Amy Hi, I'm Amy, I'm a Speech and Language Therapist and also an Advanced Practitioner in Ayre's Sensory Integration and I'm calling in from Salisbury in Southwest England. Angela Hi everyone. My name is Angela. I am an Occupational Therapist and an Advanced Sensory Integration Practitioner, and I'm calling from Melbourne, Australia. Emma And good morning from me, I'm Emma Snowden. I am a Physiotherapist and I'm also an Advanced Sensory Integration Practitioner, and I'm calling in from Warwickshire. Lelanie Welcome to this episode of Sensory Chat. Today we're going to be looking at dressing skills in two year olds and what type of sensory challenges we might see in this group of children and what tips can we give you. This podcast is for parents, but it will also be helpful for therapists and teachers. Amy So I think when we're thinking about trying to get a child dressed or trying to help a child get themselves dressed, we have in mind preschoolers, we're thinking about two year olds. There is nothing that brings out that terrible twos as much as perhaps dressing. So I'm wondering if we're thinking about things from a sensory perspective, what kind of challenges the two year olds nervous system would be encountering with that whole procedure of getting dressed. Emma, would you like to kick us off? Emma Yeah. So there's so many things to consider again, isn't there really. If we just take it straight into getting dressed in terms of the sensory issues, I suppose the first thing most people are going to think about is the sort of texture of clothes, whether the child's going to be able to tolerate that. So there's all those elements of it, but then I think the environment bit as well about in the morning that they're waking up from hopefully a nice sleep, and where's their level of arousal? Are they going to be able to cope with that, or are we going to have to think about getting them up and getting them regulated first? Whether that's up-regulating them, getting them awake, so the sorts of issues around that. Amy When you say level of arousal as Sensory Integration Therapists, we know what that means, but obviously a parent might be horrified hearing that. What do you mean when you mean sensory arousal? What do you mean by that? Emma So just sort of how alert and how well the child is, are they still very sleepy in the morning like I am? Takes me a lot to get going in the morning, or were they the child that's been awake from 4 o'clock that morning bouncing off the ceiling? So where the child is, is going to really impact on whatever you're going to be doing, basically isn't it. So there's that to consider first, before we even think about getting dressed. I certainly know from my experience of being a parent, it was very much about "let's just get the job done". That's probably not always the best way to do it, particularly if you've got sensory demands, because for that child, probably the last thing they want to do is think about getting dressed at that point. Is that okay? Does that explain? Amy Yeah, absolutely. So I'm hearing that kind of almost you're saying in some cases, that kind of urge just to get on with it is a little bit counterproductive and actually it might be worth spending a little bit of time trying to get the child's nervous system regulated enough to be able to cope with dressing, and actually that's going to save time in the long run. Emma Absolutely. And particularly if they've got some sensory sensitivities to certain textures and things like that. And also coupled with what you're going to be doing from that point as well, because often this is a big transition for children; waking up in the morning, getting dressed and potentially going somewhere is the massive transition. So there could be other factors like I don't want to be going somewhere or what have you, that could impact that child's desire to get dressed and do what's expected of them. So we do need to look at the bigger picture, and then actually bring it right down to the textures and things of what the clothing is, that's going to be difficult. So there is preparation, I mean, I know a lot of the children I work with, parents have realized this is a really difficult time, and so they will start with some preparation. So that might be some deep pressure hugs in the morning, ...
    Show more Show less
    18 mins
  • S1 E4: Sensory Chat - Bedtime: A Sensory Perspective
    May 4 2022
    If bedtime means dread-time in your house, listen to this relaxed session of Sensory Chat where four international therapists chat over practical tips on helping your little one move towards a sleepy state. What is down-regulation? How can you use the sensory experiences of light, temperature, touch and taste to help get your toddler ready for sleep? Why does making the transition to bedtime longer and slower help, even when it’s probably the last thing you want to do! Listen to this final episode in the current series of Sensory Chat to find out how reframing your view of your child’s bedtime process can improve both your experiences of it. Transcript Lelanie Welcome to sensory chat, in today's episode we're going to be looking at the end of the day, getting ready for bed. What is the process involved in that and how that can be quite challenging for little ones with sensory difficulties. This is for parents, but will also be useful for teachers and healthcare professionals to listen to. Amy So when we're thinking about the state that your brain and your nervous system needs to be in, in order to be able to rest, in order to be able to fall asleep. There's a process of sort of calming down and it's not just sort of chilling out, but that kind of whole body, whole brain calming down, that we call that process of regulation and down-regulation. So I'm wondering if maybe we could just start talking a little bit about what down-regulation means. Angela, is that something that you would be happy to kick us off with? Angela Sure. So down-regulation is, I guess, working towards this sleepy state, you know, we need to be in a sleepy state to be able to then fall asleep. I guess how far we are away from that sleepy state can change each day, you know. And so this can be a real challenge around bedtime because you know, children, you know, may present as quite excited. And so then we perhaps need to work a little bit harder, or for longer, to reach this sleepy state. Amy So definitely in ASI, one of the ways we describe that is trying to get down to baseline for bedtime. And when we mean that, we mean quite a lot of  work that goes into managing the chemicals in your brain. So your neurotransmitters and the hormones that are going to allow you to calm yourself down. So we know that neurotransmitters and hormones like adrenaline and cortisol, those pep you up, give you energy to keep you going, but we're talking here about the opposite. So the parts of your nervous system that allow you to chill out and calm down, Lelanie, what are some of the things, what are some of the kind of sensory strategies generally that are useful for helping people to down-regulate, helping people to calm? Lelanie So one of the things that I think about a lot is around evening time, children are exhausted, and they often get this extra burst of energy running around the house. And then you have excited parents coming from work, tossing children up in the air, which sometimes doesn't help the frazzled parent who is at home with the child that time of day. It's about, for me, it's about slowing down, being calm, getting calm down. I actually think in Europe and it's very hard in the summer because you have the sun shining until 11 o'clock at night in some places, thinking about my colleagues in Scandinavia where it's sunshine so that's really hard. You want to sort of create the atmosphere as well to set the scene because a two year old doesn't have that instinctive cue, it can't make the connection, I’m tired, I need to slow down. So you need to structure it for them. If you're somewhere bright and sunny, think about curtains that are lined and blacked out or in the winter start dimming lights and just turn the TV volume down, maybe change to a calming program. I know there are BBC programs that used to be on like ‘In the night garden’, which is super annoying, but the tune is very calm and relaxing and thinking about something that is low in excitement and arousal, just to bring that calm vibe. Also in terms of eating, maybe don't eat too late at night and have lots of bright toys or excitable things around and just start packing things away slowly to almost decrease the temptation to still keep going. Amy So I'm hearing that one of the things that probably would be helpful that parents might, might be able to kind of emphasize more, is making that transition into bedtime longer and slower. So starting earlier with sort of just starting to change the pace down, to change the light levels that are around. It's very interesting to me, I’ve done quite a bit of research on, kind of what happens to your brain in terms of the light levels for sleeping. So one of the things that we know is some of the hormones that help you, it’s two different hormones, so one hormone helps you to fall asleep and a different hormone helps you to have the urge to go to bed and rest. So what you're hoping for is you're going to have high ...
    Show more Show less
    17 mins
  • S2 EP1: "Fussy" Eating From a Sensory Integration Perspective
    Mar 3 2023

    Emer, Emma and Amy welcome you to the new series of the Sensory Chat podcast for parents.  We think about the different factors which might result in a child finding it hard to eat the same foods as the rest of the family and we think about where sensory integration might fit into that picture.

    Sensory Chat is brought to you by Sensory Integration Education

    www.sensoryintegrationeducation.com

    Show more Show less
    17 mins
  • S2 EP2: Sensory Supports for Less-stressful Mealtimes
    Mar 28 2023

    Emer, Emma and Amy share the suggestions and tips from their work as Sensory Integration practitioners supporting children who find it harder to eat the same foods as the rest of the family.

    Sensory Chat is brought to you by Sensory Integration Education

    www.sensoryintegrationeducation.com

    Show more Show less
    20 mins
  • S2 E3: What Is Sensory Processing - and Why Do We All Need It?
    May 2 2023
    The Sensory Chat team think about what sensory processing does, and how everyone has an individual combination of preferences and dislikes in their own sensory profile.  We consider how this relates to how we as parents might set up the routines and activities of the day, and what happens when there is a mismatch between the sensory preferences of different family members.  As always, we share practical ideas about to recognise where sensory differences are affecting family relationships, and how to recognise your own sensory style. Transcript Transcript Speaker: Hello and welcome to this episode of Sensory Chat, the podcast for parents and others interested in all things sensory integration. Speaker: Hello, I'm Amy Stevens and I'm calling in from Salisbury in the southwest of England. I'm a speech and language therapist and an advanced practitioner in Ayres Sensory Integration. Speaker: Hello, I am Emer Broderick, and I am an occupational therapist based in London in the UK. I am also an advanced practitioner in Ayres Sensory Integration. Speaker: Hi. I'm Emma Snowdon and I am a children's physiotherapist and I'm also an advanced practitioner in sensory integration. Speaker: Hi, my name's Angela. I am an occupational therapist based in Melbourne, Australia, and I'm also an advanced sensory integration practitioner. Speaker: Hello, I'm Lelanie Brewer. I'm a children's occupational therapist and academic and researcher based in Bahrain. Speaker: This morning, we're going to start exploring the idea of a little bit of myth-busting, basically, about what sensory integration, sensory processing is. When we talk about sensory processing difficulties, sensory processing challenges, you might accidentally come away with the idea that sensory processing is a problem. If you've got sensory processing stuff, there's something going a bit adrift, but actually, that's not really the case, and we're going to explore a little more widely about what sensory processing more generally means. Speaker: If we think about sensory processing, what it is, essentially, it's just how we take in all the information from all the senses that we have, and how our brain processes that and comes up with a response to that information. It's happening constantly throughout the day. Just a reminder to people about the senses we're talking about, we're talking about the five common senses, you know, what we see, what we hear, what we smell, what we taste, and what we touch, and also some of our more internal senses. Our sense of balance, ou​r vestibula​r sense, we call it, knowing our head position and what position, our sense of movement. Then we have our body awareness, knowing what our body is doing in space. We call that our proprioceptive sense. Then we also have an interoceptive sense, which is picking up on those internal cues, things like hunger, earth, bowel and bladder cues, prompting us if we need to eat, if we need to drink, if we need to go to the bathroom. Our body's constantly taking in all this information from the environment from our body and processing it. It's a really complicated system and there's lots of things going on. We all process this information slightly differently, and how we process it can impact our response to it, and this is what we see every day in ourselves and in the people we support and work with. Speaker: Our sensory preferences influence us in ways that we don't even realise every day from the moment we wake up, how hot or how cold is your shower? What clothes am I going to choose to wear today? What am I going to eat for breakfast? How do I get ready? Those are subconscious decisions that are actually informed by our sensory preferences and it also affects our choices in nature and everything we do. Speaker: I think it goes even deeper than that, doesn't it, Lelanie? It influences our greater choices in terms of what we're going to do. I often say when I have children that I'm working with the proprioceptive seekers or vestibular seekers that really need to move their body a lot. These aren't the type of kids that are going to end up in an office job sitting down, and if they are, they're going to also probably be very active, and as soon as they finish work, they're going to go off on a 10-mile bike ride or go for a run. I think our own sense and preferences really influence everything about our lives and what we choose to do and how we choose to work and how we choose our leisure time as well. We don't often think about that in terms of ourselves as adults or parents we work with when we start considering our own sensory preferences. It not only helps us to understand our children better, but it helps us to understand why we might have difficulties interacting with our children and potentially meeting their needs if they're different to our own needs. Speaker: Absolutely. It's not until something disrupts the norm that we start worrying about it. When I used to see quite ...
    Show more Show less
    16 mins
  • S2 E4: The Importance of Regulation and Co-Regulation
    Jun 6 2023
    In this episode, Amy, Emer, Emma, Angela and Lelanie discuss regulation, defining the term and sharing the neurology of being regulated and dysregulated. They dive into how we as individuals experience this through our senses as well as through our emotions. In this conversation, they also highlight co-regulation and how co-regulation can support individuals who may need the support of another to regulate their nervous system. Transcript Speaker: Hello, and welcome to this episode of Sensory Chat, the podcast for parents and others interested in all things sensory integration. Speaker: Hi, I'm Amy Stevens and I'm calling in from Salisbury in the southwest of England. I'm a speech and language therapist and an advanced practitioner in Ayres sensory integration. Speaker: Hello, I am Emer Broderick and I am an occupational therapist based in London in the UK. I am also an advanced practitioner in Ayres Sensory Integration. Speaker: Hi, I'm Emma Snowdon and I am a children's physiotherapist and I'm also an advanced practitioner in sensory integration. Speaker: Hi, my name's Angela. I am an occupational therapist based in Melbourne, Australia and I'm also an advanced sensory integration practitioner. Speaker: Hello, I'm Lelanie Brewer. I'm a children's occupational therapist and academic researcher based in Bahrain. Speaker: Today we thought we would move on slightly from our last episode. We talked in our last episode about our sensory preferences, and we introduced the idea that actually rather than there being anything wrong and that sensory processing, there's something wrong with that, we all process sensory information and we all have our preferences. We talked about maybe some of the difficulties that we experience in our families and with our children, not because there's something wrong with our child, but that we have different preferences that may clash or not necessarily sit together really well. That led us into thinking about regulation, and what we mean by regulation and self-regulation and the importance of co-regulation with the parent-child interaction, that parent-child bond when they're really little to help lead us and to be able to self-regulate. We thought that we would have a discussion about that for this episode. When thinking about regulation, I think we all have an idea what regulation is in our mind. I think we can certainly recognize when we are not regulated, but what do we mean? For me, I always take this back to the neurology, and I don't get into really serious sciencey stuff here, but really simplistically, let's take this to what we would consider as stress. When we are stressed, we are not regulated, we are not calm, we are not in a state where we can function efficiently. For me, that's what regulation is. We can look at regulation in terms of our senses. Are we sensory-regulated? Are our senses working in a way that is going to allow us to function? We can look at it in terms of our emotions as well. Emotionally, if something really bad happened to us that impacts how we are feeling and how calm and how focused we are able to be. For me what's really important is those two things are really, really closely linked. If our senses are not regulated very well and they're not in balance and they're not allowing a dysfunction, that is really going to impact how we emotionally feel, but vice versa as well. If something really awful has happened to us or something really exciting has happened to us, that's going to impact how our senses will feel as well and how we will process the sensory information that's coming in. Just to give you an example of that is a time in my life when I was really, really stressed, taking too much on as you do as a working parent. It was those times that I started to notice that actually I couldn't cope so well with noises around me and I couldn't cope with bright lights in supermarkets. The big thing for me is I worked up, I just couldn't cope driving because that was just too much of a sensory demand. I think this helps us to realize that this is actually, when I'm working with children and sensory difficulties, it always comes back to regulation. Let's focus on where we are, how we are, and how our child is. That is the bit that I like to start with. If we think about co-regulation and where does this ability come from to be able to regulate ourselves? That comes right back from when our babies were actually in our womb or those early days. This is what we mean by attachment. Normal child development happens that we nurture, we comfort, we keep our children safe so we meet all of their needs, and our child will learn that their needs will get met consistently. Obviously, there's situations where this doesn't happen and we know that that leads to difficulties in later life. Let's imagine that this has happened. Our child is safe, we nurture our child, typical child development. Our child then gets confident and they start to explore the ...
    Show more Show less
    19 mins