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Supporting Emotional Regulation in Children with Autism Through Occupational Therapy

Emotional Regulation

Emotional regulation is one of the most important skills a child can develop. It’s what helps us handle stress, adapt to change, and respond to the world around us in ways that feel safe and manageable. But for children with Autism Spectrum Disorder (ASD), this skill doesn’t always come easily.

Many children with autism experience challenges when understanding, expressing, and managing their emotions. From sensory overload to communication barriers, there are several reasons emotional regulation may be harder for them. The good news? Occupational therapy (OT) can offer real, lasting support.

At Crawl Walk Jump Run Therapy Clinic, our occupational therapists partner with families to provide personalized tools and strategies that help children with autism better regulate their emotions.

Understanding Emotional Regulation in Autism

Children on the autism spectrum often feel emotions more intensely—and may have a harder time communicating what they’re feeling. Some common challenges include:

  • Sensory sensitivities, like discomfort with loud sounds, bright lights, or certain textures
  • Communication difficulties, making it hard to express emotions in real time
  • Struggles with transitions or changes to routine
    Difficulty interpreting social cues, like facial expressions or tone of voice

When kids feel overwhelmed, they might shut down, act out, or have meltdowns—not because they’re being defiant, but because their brains and bodies are working overtime to cope. Occupational therapy can help build a bridge between emotional chaos and calm.

How Occupational Therapy Supports Emotional Regulation

Occupational therapists work with children to strengthen emotional awareness, resilience, and regulation. Here’s how:

1. Sensory Integration Therapy

Many children with autism experience the world through a different sensory lens. They might be hypersensitive to noise or touch, or barely notice sensory input at all.

How OT helps:

  • Evaluates your child’s sensory profile and identifies triggers
  • Creates a personalized “sensory diet” with activities to keep their system balanced
  • Incorporates calming or alerting tools like swings, weighted blankets, and tactile play

When a child’s sensory system is better regulated, emotional regulation becomes more achievable.

2. Reflex Integration Therapy

Primitive reflexes are involuntary movements we’re all born with. When these reflexes don’t integrate properly, they can affect emotional and physical control.

OT’s role:

  • Uses reflex integration techniques to help the brain and body work together more smoothly
  • Supports the development of a stable neurological foundation
  • Promotes easier movement, better focus, and more consistent emotional responses

A regulated sensorimotor system sets the stage for learning and emotional growth.

3. Craniosacral Therapy (CST)

CST is a gentle, hands-on approach that supports the nervous system by releasing tension around the brain and spinal cord.

Why it matters:

  • Improves the flow of cerebrospinal fluid
  • Reduces stress and physical tension
  • Enhances emotional regulation and sensory processing

This calming technique can help children feel more centered and in control of their emotions.

4. Building Coping Skills

OTs teach children how to recognize their emotions and respond in healthy, productive ways.

Common strategies include:

  • Deep breathing and relaxation exercises
  • Fidget tools or sensory toys
  • Quiet “cool-down” spaces
  • Visual tools like emotion charts or calming toolboxes
  • Yoga and mindfulness practices

These skills are taught in therapy and practiced at home and school, so children have consistent support wherever they go.

5. Emotional Literacy and Self-Awareness

Before children can regulate emotions, they need to understand what they’re feeling. OT helps develop emotional vocabulary and awareness through:

  • Matching facial expressions with emotions
  • Role-playing common social scenarios
  • Using social stories or visual aids to explain feelings
  • Playing games that build turn-taking and impulse control

Over time, children become more confident in expressing emotions and more empathetic toward others.

6. Routines and Environmental Support

Changes in routine, noisy environments, or unexpected events can cause emotional stress. Occupational therapists help families and educators create supportive environments that promote calm and predictability.

Strategies might include:

  • Visual schedules
  • Timers and countdowns
  • Transition cues like music or symbols
  • Adjustments to lighting, seating, or background noise

These changes make a big difference in helping kids feel grounded and secure.

7. Parent and Caregiver Coaching

Occupational therapy isn’t just for the child—it’s for the whole family. Our therapists empower parents and caregivers with practical strategies and guidance, including:

  • How to respond during emotional outbursts
  • When and how to introduce coping tools
  • Creating calm-down routines
  • Recognizing patterns and identifying triggers

With a strong support team, children feel more understood, supported, and safe.

Emotional Regulation

Why Early Support Matters

Learning emotional regulation early sets the stage for success later in life. When children can manage their emotions, they’re better equipped to:

  • Make friends
  • Participate in group settings
  • Navigate change
  • Communicate needs effectively

Occupational therapy offers a safe, structured space for children to build these foundational skills, with guidance every step of the way.

How Crawl Walk Jump Run Can Help

At Crawl Walk Jump Run, we specialize in helping children with autism and developmental delays build skills for everyday success. Our occupational therapy team designs personalized plans that support each child’s emotional, sensory, and developmental needs.

We believe in teamwork, so we collaborate with families, teachers, and other providers to create a unified approach that supports children in every environment.

Emotional regulation is about helping children feel safe, connected to their feelings, and confident in navigating the world.

If your child is struggling with emotional regulation, you’re not alone. We’re here to help.

Contact Crawl Walk Jump Run today to learn how our occupational therapy services can support your child’s emotional growth and well-being.

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Drive Lasting Progress and Confidence in Children Whether your child is receiving physical, occupational, or speech therapy, regular attendance impacts their progress.

The decision to seek therapy is not always an easy one. If you're looking for life improvement, we want you know that we've got your back!

We invite you schedule a call If you have further questions regarding OT/PT/SLP services for kids and adults at Crawl Walk Jump Run in Clinton Township