Children with FASD have difficulty modulating their arousal level. Some children are under-aroused and may appear hyperactive because they are trying to arouse themselves, while other children may be overly aroused. Difficulty modulating arousal can create problems with learning, emotions, and behavior. This difficulty comes from problems with sensory processing. Having your child evaluated by an Occupational Therapist who is knowledgeable about Sensory Integration theory and treatment is a critical first step. The therapist can then work with you to develop a "User Friendly" sensory diet for home and school. The greatest progress is made when it is consistently applied. Learning to recognize indicators of low or high arousal, and implementing strategies to modulate arousal is a life skill. The good news is, it can be learned!

• Reduce stimulation. Dim lights, lower sound.

• Teach deep breathing and progressive relaxation (tensing and releasing of muscles).

• Take a warm bubble bath with a candle and soft music.

• Get into a hot tub.

• Do 10 push ups.

• Do 10 pull ups on a chin-up bar.

• Rocking or gentle swinging can lower arousal.

• Push or pull a wagon with a heavy load in it (rocks, logs, a person, etc.) Carry a 10 pound bag of rice on your arms through the house.

• Get a deep pressure massage or have someone use a vibrator or rolling pin on your back, legs, arms, etc. Use firm pressure without hurting.

• Blow bubbles or a horn. Suck a thick milk shake through a thin straw. Crunch on a carrot or pretzels. Chew gummie bears, 2 pieces of bubble gum, or fruit roll ups.
  

A great resource is: "How Does Your Engine Run?": The Alert Program for Self-Regulation.
By: Mary Sue Williams and Sherry Shellenberger
Available from: TherapyWorks, Inc. 4901 Butte Place N.W., Albuquerque, NM 87120

Kathryn Shea, LCSW