OT Matters

OT Matters Diane White, Occupational Therapist will update this pages regularly.

Providing useful information to parents about their child's gross and fine motor skills development, sensory processing skills and perceptual development.

12 year old changes. Love the “I’m not being dramatic it’s just my brain is rewiring and I feel things more strongly and...
14/02/2026

12 year old changes. Love the “I’m not being dramatic it’s just my brain is rewiring and I feel things more strongly and intensely”

A Child’s Voice – I am 12

Today, we’re continuing The Inside Story of Emotional Regulation, exploring how regulation develops from ages 2 to 16.

At twelve years old, my body and brain are changing quickly.
Emotions can feel stronger, faster and harder to control, even though I’m often expected to manage them independently.

I may look older and more capable, but my nervous system is still learning how to stay regulated under pressure — especially with social expectations, school demands and sensory overload.

Big emotional reactions at this age aren’t about being dramatic or difficult.
They’re a sign that my nervous system is overwhelmed.

Understanding my developmental stage — not just my age — helps adults respond with empathy rather than control.
For neurodivergent young people, emotional regulation can develop several years later, meaning support still needs to match where the nervous system is.

When adults meet me with curiosity and connection, rather than pressure, they help me build regulation skills that will carry me through the teen years.

Follow for further posts in this series.
Link in comments below ⬇️ or via Linktree Shop in Bio for our Managing Big Feelings Toolkit.

The 🧠 s danger detector
14/02/2026

The 🧠 s danger detector

The amygdala is the brain’s danger detector — but it doesn’t identify what the danger is.

It reacts to felt threat, not facts.
Volume, tone, unpredictability, sensory input, past experiences and sudden change can all trigger the same alarm.

For neurodivergent children and young people, this system is often more sensitive and more easily overwhelmed. What looks small to an adult can feel genuinely unsafe to their nervous system.

This is why behaviour shifts fast, logic disappears, and reactions seem out of proportion.
The brain isn’t misbehaving — it’s protecting.










Lovely explanation about DOPAMINE!  🎵 🪩 👣 🪘 🗣️
09/02/2026

Lovely explanation about DOPAMINE!
🎵 🪩 👣 🪘 🗣️

Your brain is made up of billions of nerve cells called neurons. These neurons communicate with each other by sending chemical signals across tiny gaps called synapses.

You can think of synapses like tiny bridges that messages have to cross to get from one brain cell to another.

Dopamine is one of several chemical messengers (neurotransmitters) that crosses these bridges. Your brain uses many different neurotransmitters - including serotonin, norepinephrine, GABA, and glutamate - each with different jobs.

Dopamine plays a particularly important role in motivation, focus, reward, and motor control.

When dopamine levels are low, communication in certain brain pathways doesn't work as efficiently. Messages get delayed or don't get through clearly. This affects everything from motivation to focus to emotional regulation.

So what increases dopamine in the brain?

Exercise is one of the most well-researched ways to boost dopamine. When you move your body, your brain produces more dopamine. This means more chemical messengers are available to cross those synaptic bridges. The increased dopamine improves how well those specific synapses function - messages travel faster and more reliably in those circuits.

Music and rhythm also trigger dopamine release, especially music that your child enjoys or finds pleasurable. Research shows that even anticipating favorite music can start increasing dopamine levels.

Novel experiences - trying something new, exploring unfamiliar environments, or engaging with new activities - activate dopamine systems. This is why switching up routines or introducing new sensory experiences can help some kids engage and focus better.

Social connection increases dopamine too. Positive social interactions, play with peers, and meaningful connection with adults all support dopamine activity in the brain.

ADHD medications work directly on dopamine systems, which is why they can be effective for many kids with ADHD.

Here's what this means for YOUR child:

When dopamine levels are higher, the brain circuits that rely on dopamine work better. Information retrieval becomes easier.

Your child's ability to access what they already know, think more clearly, and process information all work better.

This is why movement breaks aren't just "letting kids burn off energy" - they're actually putting the brain in a better state for learning and functioning. When you see your child fidgeting, seeking movement, or getting restless, their nervous system is often telling them they NEED more dopamine to function well.

That "difficult behavior" you're seeing? It might be your child's brain trying to regulate itself.

So yes - let them move before that math worksheet. Put on their favorite music while they work! Switch up the activity when they're stuck. Let them take breaks to play with a friend.

These aren't rewards for good behavior or breaks from learning. They're literally supporting their brain chemistry to make learning possible.

The brain works better when dopamine is flowing!
And now you know why.

https://www.facebook.com/share/p/1AeSmHx7FB/?mibextid=wwXIfr
24/01/2026

https://www.facebook.com/share/p/1AeSmHx7FB/?mibextid=wwXIfr

of children aged 5 - 18 with challenges which may be related to autism or ADHD are invited to take advantage of this opportunity to speak to health and care professionals from local services such as South West London and St George's Mental Health NHS Trust Cognus Autism Support. Don't miss out, drop-in!

The One Stop Shop is a pilot running fortnightly Monday afternoons from 1 to 4 pm on
January 26th, February 9th and 23rd, and March 9th and 23rd.

Number one sense: Proprioception
15/01/2026

Number one sense: Proprioception

Proprioception is one of the most important senses you’ve probably never been taught about.
It’s the 'body awareness' system that helps a child know where their body is in space, how much force to use, and how to move smoothly and safely.

When it’s not working smoothly, children can look clumsy, crash into things, press too hard, avoid certain movements, or constantly seek deep pressure (tight hugs, squeezing, heavy work).

This isn’t laziness or attention-seeking.
It’s their nervous system asking for information.

Save this post for the next time a child is climbing, crashing, leaning, or “too rough” — it might be proprioception doing its best to cope.
To save, click on the image, tap the three dots, and choose Save.
If you’d like the girl version, comment GIRL below.

Lovely visual about understanding interoception
15/01/2026

Lovely visual about understanding interoception

Our What Is.... Series - today, INTEROCEPTION.

The hidden sense behind emotional regulation.

If a child seems to “go from 0 to 100” with no warning…

If they melt down suddenly…
If they struggle to tell you what’s wrong until they’re already overwhelmed…

There’s often a hidden sense behind it — interoception.

Today’s one-page visual breaks down what interoception is, why it’s so important for emotional regulation, and how you can gently support a young person whose internal signals feel confusing or too loud.

If you’d like the free parent information sheet to go with it, follow the directions in the visual, ensuring you LIKE the post and I’ll send you the Dropbox link. ⬇️

Great visual on emotional regulation and ages
04/01/2026

Great visual on emotional regulation and ages

Linking into our new series, Understanding the Developing Brain.

Emotional regulation isn’t something children suddenly learn.
It’s something their brain builds over time.

This visual shows how emotional regulation develops from infancy through adolescence — not in a straight line, but gradually, with support, setbacks, and rebuilding along the way.

Babies rely entirely on adults to regulate.
Young children borrow calm and learn language for feelings.
Older children begin to practise skills — and still wobble.
Teens may look independent, but their regulation is still developing well into adulthood.

Big emotions at any age aren’t a failure.
They’re a sign that the nervous system needs support, safety, and connection.

Save this as a reminder when things feel hard.
Share it with someone supporting children or young people.

Emotional regulation interventions, activities, and visual resources are available in the Resource Store — link in comments below ⬇️ or via Linktree Shop in Bio.

Hashtags

Great advice from a peads physio regarding early developmental milestones
17/12/2025

Great advice from a peads physio regarding early developmental milestones

Is It OK If My Baby Skips Crawling? A Physio Explains!
Worried because your baby is bottom-shuffling, bunny-hopping or skipping crawling altogether? In this podcast episode, paediatric physiotherapist Lisa breaks down what’s normal, what’s not, and when to seek support. She also gives activities you can do with your baby to compensate for not crawling. Clear, calm guidance for parents who want to feel confident about their baby’s development.

Watch here: https://youtu.be/oH67rFtMMHQ

11/12/2025

Regarding Surrey County Council.

If you don’t use it you loose it!Sadly with iPhones, tablets, gaming this happens !! Build those muscles in the fingers!...
09/12/2025

If you don’t use it you loose it!
Sadly with iPhones, tablets, gaming this happens !! Build those muscles in the fingers!!!!

💪 Have you ever heard the saying, "If you don’t use it, you lose it"? 💪

Our muscles need regular strength and movement to perform at their best – and this goes for our fingers, too! 🖐️ Finger-strengthening exercises can improve flexibility, build strength, and help reduce discomfort during everyday activities. ✋

✨ Can You Build Muscles in Your Fingers? ✨ While the fingers themselves don’t have muscles, they rely on tendons connected to muscles in the hands and forearms. This connection allows for movement, strength, and dexterity. So, building muscles in the hands and forearms is the secret to improving finger strength and control. 💥

🖐️ Each Finger Has Its Own Job! 🖐️

Thumb 👍: Works with other fingers to pinch, grasp, and lift objects.
Index Finger 👉: Points at objects and helps the thumb pinch and grab.
Middle Finger ✌️: Provides the main force for holding objects.
Ring & Pinky Fingers 🖖: Add power and stability, supporting grip strength.
With practice, we can enhance each finger’s function, supporting everything from fine motor tasks to daily activities! 🌟

03/06/2025

Spotlight Session: "You Don’t Get an EHCP for Dyslexia – True or False?"

Join us in just 2 weeks on Tuesday 17th June, for a powerful online session with Rachael Allison, exploring the facts (and fiction) around EHCPs and IEPs. Whether you're a parent or education professional, this session is not to be missed.

What we’ll cover:

✅ The key differences between EHCPs and IEPs
✅ How to build a strong case with the right evidence
✅ What to look for when choosing a school
✅ Tips for navigating SENDIST appeals

Don’t miss out – book now: https://helenarkell.org.uk/events/spotlight-you-dont-get-an-ehcp-for-dyslexia-true-or-false/

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