Carrie Schmitt

Doctor of Occupational Therapy * Pediatric Practitioner

  • Home
  • My Courses
    • An Educator’s Guide to Sensory Processing
    • The Caregiver’s Guide to Sensory Processing
    • Interoception & Introspection
    • Interoception and Mental Health
    • The Sensory Capacity of Interoception
  • Services
    • Sensory Health Consulting
    • Occupational Therapy Evaluation & Intervention
  • Resources
    • Executive Function
    • Play
    • Publications
      • Sensory Processing, Interoception, and Occupational Performance in Adults Seeking Sensory-Based Intervention: An Exploratory Study
      • Interoception: A Multi-Sensory Foundation of Participation in Daily Life
      • Characteristics of Adults With Sensory Differences: An Exploratory Study Using the Multidimensional Assessment of Interoceptive Awareness, Version 2
      • Adolescents’ and Adults’ Perceptions of Sensory-Based Interventions: A Qualitative Analysis
    • Making Sense Podcast
      • Risky Play with Dr. Anita Bundy
      • A Family Nurse Practitioner and mom shares her personal and professional encounters with ADHD and SPD with Dr. Holly Healy
      • Reaching for Sustainable Behavioral Shifts: A Look Inside the Applied Educational Neuroscience Framework with Dr. Lori Desautels
      • A Family’s Journey to Sensory Health with Jerade and Maria Tipton
      • The Role of Occupational Therapy in Trauma Informed and Responsive Care: An OT’s Personal Story with Rachel Ashcraft
      • The Shift to Neurodiversity-affirming Psychological Assessment with Dr. Courtney McDonnell and Dr. Jared Kilmer
    • Parent-Teacher Conference Form
    • Sensory Processing
      • Sensory Inspired Products
  • About
  • Blog
    • Play & Regulation
    • Play & Attachment
    • What is Play?
  • Live Events
  • The Sensory Movement Podcast
    • S1E4:Embodiment in Everyday Life: Feeling Safe in Your Body Again
    • S1E3: From Overwhelm to Regulation: How Sensory Systems Support Safety
    • S1E2: Sensation as the Source of Wisdom in the Body
    • S1E1: Sensory Health Is Human Health

February 10, 2026

From Survival to Safety: Supporting Regulation in Children

Parents often come to me puzzled and sometimes defeated. They have done their best to teach their child coping strategies. The family values emotional awareness and thoughtful problem-solving. Everyone has done what they were “supposed” to do.

And yet, in the hardest moments, nothing seems to work.

The deep breaths don’t land. The reminders fall flat. “Use your words” feels like it echoes into the void. And the question lingers: If my child knows these skills, why can’t they use them when they need them most?

Here’s the part that changes everything: during states of dysregulation, the brain temporarily loses access to the frontal lobe (Siegel & Bryson, 2012). The frontal lobe is where problem solving and reasoning happen. This isn’t a malfunction—it’s design. When the nervous system perceives threat, it shifts into survival mode, prioritizing protection and defense over reflection and reasoning.

This is why a dysregulated child cannot be reasoned with. They aren’t being oppositional. They aren’t choosing chaos. Their system is responding exactly as it was built to—through fight, flight, freeze, or immobility (Kozlowska et al., 2015). Each child tends to have a familiar pathway, one their nervous system has learned is protective.

When regulation returns, the whole brain can come back online. The child can reflect, make sense of what happened, and access skills again. But for some children—especially those with sensory processing differences or trauma—this return to regulation doesn’t happen easily. Their system stays activated, repeating patterns that strain relationships and exhaust the adults who love them.

This is where our role shifts.

Before we teach.
Before we correct.
Before we expect language, logic, or compliance—
we must promote regulation.

Regulation isn’t a reward for good behavior. It’s the foundation that makes behavior, learning, and connection possible.

Co-regulation—offering our calm nervous system to a child who can’t yet find their own. It is not permissive. It’s profoundly reparative. Often, this means doing less: less talking, less explaining, less fixing. It means approaching a child with curiosity instead of control, presence instead of performance.

And just as importantly, it means caring for the adult nervous system too. Because when children escalate, adults often do as well. That’s human. Giving yourself permission to pause, to soften your body, to step back from words and into steadiness.

When we help children return to regulation again and again, we interrupt the cycle that they can get trapped in. We remind their nervous system that safety is available. And from that place, skills become accessible.

The invitation here is simple, but it is not easy:
Notice the state before addressing the behavior.
Lead with regulation before expectation.
Trust that calm is not the end goal but connection is.

Reflection Prompt:

Think of a recent moment when a child’s behavior felt confusing or overwhelming. What might change if you viewed that moment through the lens of nervous system state rather than behavior or compliance?

References

Greene, R. W. (2014). The explosive child: A new approach for understanding and parenting easily frustrated, chronically inflexible children (5th ed.). HarperCollins.

Kozlowska, K., Walker, P., McLean, L., & Carrive, P. (2015). Fear and the defense cascade: Clinical implications and management. Harvard Review of Psychiatry, 23(4), 263–287.

Murray, D.W., Rosanbalm, K., Christopoulos, C., & Meyer, A.L. (2019). An Applied Contextual Model for Promoting Self-Regulation Enactment Across Development: Implications for Prevention, Public Health and Future Research. J Primary Prevent 40, 367–403. https://doi.org/10.1007/s10935-019-00556-1

Siegel, D. J., & Bryson, T. P. (2012). The whole-brain child: 12 revolutionary strategies to nurture your child’s developing mind. Delacorte Press

Posted In: Uncategorized

Get on the List

Meet Carrie

I am a Doctor of Occupational Therapy with 27 years of experience. My professional passions include sensory health and wellness, evidence-based practice, and parent/caregiver education. As a wife and mother of 4 children, I offer compassionate care and place a high value on real life application.

Recent Posts

  • S1E8: Strengths-Based Sensory Profiles: Discovering What Helps You Thrive
  • SIE7 Sensory Processing in Adults: The Conversations We’ve Been Missing
  • S1E6: Supporting Kids With Sensory Processing Differences: Without Fixing Them
  • SIE5: Beyond the Clinic: Sensory Support for Real Life
  • S1E4:Embodiment in Everyday Life: Feeling Safe in Your Body Again

Categories

  • Interoception
  • Parent/Caregiver Education
  • Pediatric Occupational Therapy
  • Making Sense Podcast
  • Recommended Reading
  • Sensory Processing

Popular Posts

Interoception 101

Play & Regulation

Archives

  • October 2026
  • September 2026
  • March 2026
  • February 2026
  • April 2024
  • December 2023
  • October 2023
  • April 2023
  • March 2023
  • February 2023
  • March 2022
  • February 2022
  • January 2022
  • April 2021
  • March 2021
  • February 2021
  • January 2021
  • October 2020
  • August 2020

Categories

Get Social

  • Twitter
  • Instagram
  • LinkedIn
Follow on Instagram

Copyright © 2026 Carrie Schmitt · Theme by 17th Avenue