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@TheOTButterfly on Parenting Neurodivergent Kids

Every child’s brain works differently. A scratchy t-shirt tag or excited squeals at a birthday party might be no big deal for one kid… and cue a *total* meltdown for another. What’s going on for kids who feel extra sensitive to sights, sounds, smells, tastes, or textures? And what can parents do? This week, Dr. Becky talks to Laura Petix—the pediatric occupational therapist behind @TheOTButterfly and mom to a sensory sensitive four-year-old herself—to answer these questions and more. They talk all about parenting neurodivergent kids, whose brains process the world in unique ways, and offer practical strategies to support their needs. Whether you’re familiar with terms like “occupational therapy,” “neurodivergence,” and “sensory processing” or hearing them for the first time, you’ll leave this podcast with a deeper understanding of how sensory systems shape behavior and why it’s so important to believe what our kids perceive. Join Good Inside Membership: http://www.goodinside.com Follow Dr. Becky on Instagram: https://www.instagram.com/drbeckyatgoodinside Sign up for our weekly email, Good Insider: https://www.goodinside.com/newsletter Want More? Check these out: Deeply Feeling Kids Need a Different Approach - https://youtu.be/WQNM5EyDtKE How Do I Handle Screen Time With My Kids? - https://youtu.be/LCwlJw70VHY Why Won't My Kids Listen To Anything I Say? - https://youtu.be/Rb7FSL1y3Oo Stop Calling Your Kid "Defiant" - https://youtu.be/DJXEYwgwNwY Motherhood Doesn’t Have to Be Martyrdom - https://youtu.be/ywJMtRHzqFY

Dr. Becky KennedyhostLaura Petixguest
May 6, 202246mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Understand sensory needs to better support neurodivergent kids at home

  1. Occupational therapy is framed as helping people participate in meaningful daily “occupations,” and for kids that means play, learning, routines, and relationships.
  2. Sensory processing differences can look like “defiance” or “inattention,” but often reflect a child’s brain struggling to filter or interpret input (sound, movement, touch) as safe and manageable.
  3. Common real-life scenarios—homework time and birthday parties—are used to show how sensory overload, imposed stimuli, and routine changes can trigger dysregulation and avoidance.
  4. The conversation emphasizes accommodations and environment/task modifications (alternative seating, movement breaks, quieter spaces, headphones) as legitimate supports that preserve learning and connection.
  5. Parents are encouraged to believe children’s sensory experiences, prepare them for triggers, and practice hard routines through playful exposure rather than avoidance or flooding.

IDEAS WORTH REMEMBERING

5 ideas

OT is about participation, not just skills training.

Laura defines “occupation” as meaningful life activities; pediatric OT targets a child’s ability to engage in play, learning, self-care routines, and social life by changing tasks, environments, and underlying capacities.

Many “behavior problems” are sensory-driven communication.

A child who won’t sit to write or seems distractible may be seeking movement (high movement needs) or unable to filter competing stimuli, so the outward behavior masks an overwhelmed nervous system.

Change the setup before you escalate the demand.

Alternative seating (wiggle cushion, standing at a wall, tummy-on-floor writing) plus intermittent movement breaks can reduce power struggles while still holding the boundary that work gets done.

Overwhelm at parties is often imposed input + routine disruption.

Clothing discomfort, unfamiliar food, excitement, noise echo, crowds, and unpredictable body contact can fill a “sensory cup” before the main activity even begins, making clinging/avoidance a protective response.

Regulate first by stepping out, then collaborate with the child.

Laura suggests briefly leaving the stimulating area (e.g., “help me get something from the car”), then using calm, private conversation to learn what’s hard and agree on cues/breaks or permission to opt out.

WORDS WORTH SAVING

5 quotes

People with a sensory processing challenge or sensory processing disorder, their brain doesn't always automatically do that for them, or their brain might interpret some of these external stimuli and things from the environment as dangerous to their body.

Laura Petix

I like to talk about sensory sensitivities as having a small cup, and you can barely hold enough input in there, and it's already full to the top before even stepping into the trampoline room at the birthday party.

Laura Petix

Sometimes your child will not want to participate, and they're just looking for the permission that they don't have to.

Laura Petix

The first tip is to believe them. Believe- I always say believe what they perceive. This is their sensory perception. This is how their brain is interpreting it.

Laura Petix

We can only learn to manage what we allow inside our body.

Dr. Becky Kennedy

What occupational therapy (OT) does for childrenSensory processing and “filtering” inputSensory cup/overload modelHomework resistance as sensory + regulation issueBirthday parties as imposed sensory environmentsNeurodiversity vs neurodivergent vs neurotypicalOT approaches: top-down vs bottom-upAccommodations: movement breaks, alternative seating, headphonesSigns of sensory sensitivity (clothing, grooming, eating, sound)Exposure balance: avoid vs flood vs “in-between” practice

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