Carrie Schmitt

Doctor of Occupational Therapy * Pediatric Practitioner

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March 20, 2026

How a client’s story sparked my curiosity

Today, I would love to share the origin story of my multi-year curiosity project and the topic of my doctoral work: interoception. 

I am privileged to work as an occupational therapy practitioner with children and adolescents who experience sensory processing and integration challenges.  Late one summer afternoon, I walked into my mentor’s office for advice…

You see, the little girl I was working with was experiencing significant emotional volatility. I was hoping to understand the source of her struggle. I left with the hypothesis that the child (who was cognitively gifted) was living in a constant state of fight or flight because she was experiencing a discrepancy between her cognitive strength and her sensory processing.  She was white-knuckling her way through each day by over-relying on her cognition. 

Up to that point, she had been taught cognitive management (top-down) of her emotions. In her case, the cognitive piece was no longer serving her because the root cause of her sensory (bottom-up) processing challenges was not being addressed. 

In the mind-body interplay, there was an overemphasis on the mind. 

The questions I began to ask included: 

*How can emotion be controlled if it cannot be identified?
*How can emotion be identified if it isn’t experienced/felt in the body?
And the main question that led me down this path…  
*Where does emotion reside in the sensory system?
Many years and hours of research later, I can confidently say that emotion is rooted in interoception.

Want to read one of the first articles I found on the topic of interoception and emotion? 

Click the link below! 

Interoception and Emotion Article

Reference: 

Critchley, H.D., & Garfinkel, S.N. (2017). Interoception and emotion. Current Opinion in Psychology, 17, 7–14. 

Posted In: Interoception, Pediatric Occupational Therapy, Recommended Reading, Sensory Processing

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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

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