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

April 20, 2023

Play & Regulation

Regulation

I like to think of regulation as having all the resources I need to meet the current demands of my internal and external environments. Regulation is an umbrella term. You may hear of many different types of regulation: emotion, attention, behavior, energy, etc.. Regulation challenges will effect a child’s ability to engage and thrive at home and school.

In clinical practice, occupational therapists often encounter children who are referred to occupational therapy for regulation issues. In contrast to children who mostly display calmness, controlled behavior, and engagement in their environment,  children with regulation challenges not only express more negative, aggressive emotions and behaviors (Dodge, 1989), they are less able to accurately assess their own emotion states (Cook et al., 1994). 

Window of Tolerance

Early in infancy, the playful exchanges between infant and caregiver expand the “window of tolerance” which is the degree of emotional intensity the baby can hold without becoming dysregulated (Siegel,1999). This regulation experience continues as the child ages and this window of tolerance is stretched in the context of play. 

Play & Regulation

Play is about testing the limits of regulation through escalating and recovery, re-regulating through repair when the play goes too far. Consider dress-up and imaginary play. Dressing up as a superhero allows a child to move fast, be powerful, play with volume, interact with villains, etc… Trying out these experiences in a costume allows for experimenting with a range of physical and emotional expressions under the guise of being someone else, a superhero. When something doesn’t go as planned in the play, it isn’t the child who got in your personal space, got too loud, etc…, it is the superhero. This allows for a quicker repair and recovery of the escalation.

Dress-up is one type of play. All types of play have opportunities for experimenting with personal limits of regulation. Think about sledding or playing in the snow. We experiment with the limits of speed or how cold we want our bodies to get. Playing with dolls or other figures allows us to have the figure/doll act in proxy of us with our ideas. Playing sports stretches our ability to play within rules, encounter disappointment/loss, celebrate achievement/wins, and act in consideration of teammates. Regulatory experience through PLAY is vital to expanding the window of tolerance and growing our personal resources in order to meet the daily demands of our lives.

How can you play today?

References:

Cook, E. T., Greenberg, M. T., & Kusche, C. A. (1994). The relations between emotional understanding, intellectual functioning, and disruptive behavior problems in elementary-school-aged children. Journal of Abnormal Child Psychology, 22(2), 205.

Dodge, K.A. (1989). Problems in social relationships. In E.J. Mash & R.A. Barkley (Eds.) Treatment of childhood disorders. New York: Guilford Press.

Posted In: Parent/Caregiver Education, Pediatric Occupational Therapy, Sensory Processing, 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