Heart and Soul OT

Heart and Soul OT I offer mental health OT (occupational therapy) services in Alberta, Canada. Recovery oriented, polyvagal informed and neurodivergent friendly!

A thousand times yes!
11/06/2025

A thousand times yes!

💯💯💯
11/01/2025

💯💯💯

Nailed it! 😂
11/01/2025

Nailed it! 😂

Ah nice post. I've been thinking lately about clients who are diagnosed with BPD, and the stigma this often carries (by ...
11/01/2025

Ah nice post. I've been thinking lately about clients who are diagnosed with BPD, and the stigma this often carries (by health professionals too ugh).....when complex PTSD seems more accurate...

Brilliant!
11/01/2025

Brilliant!

So well said!
10/30/2025

So well said!

The Grocery Store Gauntlet: Why "Simple Tasks" Shatter the Neurodivergent Soul

shriveled and overwhelmed in his car after a grocery run, isn't just a funny meme; it's a profound visual representation of sensory overload—a ubiquitous, often debilitating, experience for those with ADHD, Autism, or both.

"Trying to calm down in the car after getting sensory overload from buying groceries," perfectly articulates a hidden battle many neurodivergent individuals face daily. What seems like a mundane errand for most becomes a draining, dysregulating gauntlet for us. This isn't weakness; it's a neurological reality where our brains process sensory input differently, often with far less filtering than neurotypical brains.

Let's dive into why a grocery store can push us past our limits and what's happening during that "calm down in the car" moment.

Part 1:

The Sensory Assault – Why the Grocery Store is a Battlefield
For neurotypical individuals, a grocery store is a place to get food. For neurodivergent individuals, it's a high-definition, surround-sound, 4D assault on every sensory input channel.

1. The Auditory Avalanche

Fluorescent Hum: The insidious, high-pitched hum of fluorescent lights is often acutely painful for sensitive ears, a constant, irritating drone that chips away at tolerance.

Wheeling Carts & Loud Chatter: The screech of cart wheels, the clatter of dropped items, the PA announcements, the endless stream of muffled conversations, crying babies, and sudden laughter—it all blends into an undifferentiated cacophony. The neurodivergent brain often struggles to filter out irrelevant sounds, meaning every sound is processed with equal intensity. It's like trying to have a conversation while 10 different radios are all playing different stations at full volume.

Beeps and Boops: The constant beeping of scanners, self-checkout machines, and price checkers creates a rhythmic, irritating backdrop that drills into an already overwhelmed auditory system.

2. The Visual Vortex

Overwhelming Stimuli: Bright, artificial lighting (often fluorescent), flashing signs, thousands of brightly colored packages, busy aisles, and a constant flow of moving people create a visual overwhelm that is hard to describe. The brain is trying to process every single thing simultaneously, leading to a feeling of being visually assaulted.

Too Much Information: Each product is screaming for attention with its packaging. Every aisle is a new landscape of information to decode. Finding a single item amidst this visual clutter requires intense focus, which further depletes cognitive resources.

People and Movement: The unpredictable movement of other shoppers, the need to navigate crowds, and the pressure of potential social interaction (even just making eye contact to pass someone) adds immense visual and social cognitive load.

3. Olfactory Overload

Conflicting Scents: The mix of cleaning product smells, fresh produce, bakery scents, perfumes/colognes from other shoppers, and sometimes unpleasant garbage odors can be incredibly jarring. The neurodivergent brain often picks up on these subtle (and not-so-subtle) smells with heightened intensity, creating a nauseating cocktail.

4. Tactile and Proprioceptive Discomfort

Touching Everything: Navigating a cart, reaching for items, waiting in line, accidentally bumping into people, the feel of plastic bags—all contribute to a low-grade tactile irritation.

Proprioceptive Disorientation: Moving through crowded, brightly lit spaces can sometimes make it difficult to orient oneself, leading to a subtle sense of dizziness or spatial disorientation, especially when combined with other sensory input.

Part 2:

The Crash – What Happens During Sensory Overload?
Sensory overload isn't just "feeling stressed"; it's a genuine neurological state of dysregulation. The brain's threat response system goes into overdrive.

1. The Fight, Flight, Freeze, or Fawn Response

Internal Panic: The overwhelming input triggers the sympathetic nervous system. Heart rate increases, breathing becomes shallow, muscles tense. It feels like an internal alarm bell ringing incessantly, signaling danger.

Cognitive Shutdown: The brain, overwhelmed by too much information, starts to shut down. Executive functions like planning, decision-making, and emotional regulation become severely impaired. This can manifest as brain fog, difficulty speaking, or an inability to make simple choices.

Meltdowns/Shutdowns: For some, this leads to a meltdown (an outwardly visible loss of behavioral control, often misinterpreted as a tantrum) or a shutdown (an internal collapse, withdrawal, and inability to interact, often appearing as "zoning out"). Mr. Burns's shrunken posture perfectly embodies a shutdown.

2. Emotional Dysregulation

Intense Irritability: The constant sensory assault can make one incredibly irritable, short-tempered, and prone to snapping.

Anxiety Spike: Generalized anxiety, common with ADHD and Autism, becomes acute. The fear of failure, social faux pas, or simply not being able to escape the environment fuels the panic.

Fatigue: Processing this much unfiltered sensory data is incredibly energy-intensive. Even a short trip can lead to profound mental and physical exhaustion.

Part 3:

The Car – Our Neurodivergent Sanctuary

The car becomes a vital, self-created sensory sanctuary.

1. Controlled Environment

Darkness and Quiet: Turning off the engine, dimming the lights, or closing eyes provides immediate relief from visual and auditory assault.

Personal Space: The car offers a contained, predictable space, free from the unpredictable movements and proximity of other people.

Sensory Tools: This is where earplugs, noise-canceling headphones, sunglasses, or a weighted blanket might come out. These tools provide much-needed sensory input reduction or regulation.

2. Processing and Recovery

Decompression: The brain needs time to process the accumulated sensory data and return to a state of regulation. This period in the car is crucial for the nervous system to calm down.

Stimming: Many neurodivergent individuals might engage in self-soothing behaviors (stimming) in the car—rocking, humming, fidgeting, or listening to specific music—to help regulate their nervous system.

Emotional Release: It's a space for the emotional fallout: a quiet cry, a frustrated sigh, or simply sitting in silence to allow the overwhelming feelings to dissipate.

Beyond the Meme – Validation and Accommodation
The Mr. Burns meme isn't just funny; it's a powerful piece of neurodivergent communication. It validates an experience that is often dismissed or misunderstood by neurotypical society.

For Neurodivergent Individuals: It says, "You are not alone. Your experience is real. You are not weak for being overwhelmed by a grocery store." It encourages self-compassion and permission to prioritize self-regulation.

For Neurotypical Allies: It offers a glimpse into the invisible battles waged every day. It encourages understanding that "simple tasks" are anything but simple for everyone.

OMG!!!! Just learned of this and I am so excited! First Nations owned REHAB services provider in Calgary Alberta opens a...
10/03/2025

OMG!!!! Just learned of this and I am so excited! First Nations owned REHAB services provider in Calgary Alberta opens a clinic.....this will be a model of what a recovery oriented approach ACTUALLY means in Alberta!!!! Awesome news for my own heart and soul today. Congratulations!!!!! 🥰

Wise words re CPTSD and recovery
09/30/2025

Wise words re CPTSD and recovery

You are going to run into a bunch of stuff in this CPTSD recovery journey that won’t seem to make a lot of sense.  You’re going to run into memories that don’t seem to fit in with the rest of …

Ah, love this so much Greg Santucci, Occupational Therapist 🥰                                      I have been speaking ...
09/30/2025

Ah, love this so much Greg Santucci, Occupational Therapist 🥰 I have been speaking up lately about this paradigm shift and whew....it's gonna take time 🤪🤪🤪

What the "function" are you talking about?

I'm going to be blunt. There's no value to classifying a behavior as "attention seeking", "escape", "to get something tangible" or "sensory**", the traditional "functions" of a behavior".

**not related to the theory of sensory integration and most often labeled by professionals with no training in sensory integration.

Each one of those "functions" puts the onus on the child. Those descriptors don't help solve any problems. The human experience cannot be simplified to 4 "functions". You know what DOES help? Actually HELPING the child!

If your FBA (Functional Behavior Assessment) has one of those traditional descriptors or "functions", RIP IT UP and start over. It puts the people working with that child on a trajectory of behavior management instead of helping the child learn the skills they need to be the best versions of themselves.

Here's the re-frame.

Behavior is a symptom.

A child has a concerning behavior when:

1) There is an emotion they can't handle
2) There is a need not being met
3) There is a skill they don't have or
4) There is a problem they can't solve

Each one of those implies HELPING a child!

Helping a child navigate a big emotion. Helping them meet a need.
Helping them learn a skill, or
Helping them solve a problem.

As soon as a professional asks, "what's the function of the behavior", I know there's a massive disconnect not only between how we view behavior, but also how we view the child.

The re-frame supports helping a struggling child. The old paradigm promotes manipulating and/or extinguishing observable behavior. We know more now.

I'll say it again. Behavior is a symptom, not a problem. The problem lies within.

Let's commit to re-framing what behavior is and how we can truly help kids. Let's move away from token boards and behavior plans and focus more on skill building and supporting needs.

We can do it, but we need the old paradigm to be retired. Unfortunately, it's still pervasive in our schools and the mindset of behavior analysts and technicians. Let's choose compassion over compliance and helping over manipulating. Our kids need us to do that. They need our help.

Greg Santucci, MS, OTR
Executive Director
Power Play Pediatric Therapy
Chief Adventure Therapist
ClimbRx

Sharing this post is like sending a giant cyber hug! 🥰

LOL
08/22/2025

LOL

Meanwhile from The Onion

American Psychiatric Association adds ‘Obsessive Categorization of Mental Conditions’ to DSM-5

“We’re confident that continued study will assist doctors in more easily identifying and treating this debilitating disorder, and what we’ve painstakingly catalogued as its 117 common variants and 286 sub-variants, so that its sufferers can go on to live productive, untroubled lives.

OCMC itself could be merely part of a much larger, though mostly benign, mental disorder involving obsessive attempts at educating oneself in order to help others.”

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