Spirited Conversations - Engaging and Elevating Pediatric OT

Tracy Stackhouse, Cory Dundon, Michelle Maunder
Spirited Conversations - Engaging and Elevating Pediatric OT

We are on a mission to build the collective knowledge of paediatric occupational therapists and fellow human beings alike. Most of us are drawn this field because we love children and we believe in the infinite possibility of childhood. But. Once we enter practice, there is often a feeling of being  overwhelmed by all there is to know in order to be effective. This podcast was conceived to include you in our SpIRiTed conversations. These discussions have kept us engaged and had an unmeasurable impact on us as therapists. We want to share our regular clinical conversations with others, not knowing all the answers, but allowing each of us to have the space to think and put the pieces together.  Tracy’s ability to make clinical reasoning and neuroscience accessible to all is incredibly powerful and worth sharing. ‘Show Notes can be found at www.spiritedconversationspodcast.com Hosted on Acast. See acast.com/privacy for more information.

  1. 17 OCT

    28. Therapeutic Power of Playfulness

    In this insightful episode, we explore the transformative role of play and playfulness in paediatric occupational therapy from multiple perspectives. From real-life case studies to theoretical discussions on the STEPPSI model and polyvagal theory, we uncover how play enhances child development and therapy. Learn about the challenges and triumphs therapists face in incorporating fun into clinical practice, and discover strategies for balancing playful engagement with therapeutic goals. Through stories, research, and practical tips, we highlight the profound impact of playful interactions and social dynamics in fostering growth and emotional regulation in children. 00:00 Exploring Play in Child Development 01:16 The Origins and Evolution of STEP SI 05:24 Personal Journeys into Pediatric Occupational Therapy 08:05 The Vulnerability and Joy of Play 10:03 Balancing Playfulness and Professionalism 20:55 Clinical Reasoning in Play-Based Therapy 25:18 Playfulness vs. Play: Definitions and Applications 28:45 Case Study: Attuned Play in Therapy 33:19 Struggles with Play and Skill Development 34:28 Letting Go of the Agenda 35:30 A Breakthrough in Play 38:22 The Importance of Play in Therapy 39:28 Navigating Play and Regulation 41:31 Personal Reflections on Play 45:20 Autonomic Nervous System in Play 47:15 Grandchildren and Play Dynamics 53:06 Therapeutic Strategies in Play 59:14 Concluding Thoughts on Play Connect with us:  Instagram: https://www.instagram.com/spiritedconversations_ot/ Facebook: https://www.facebook.com/spiritedconversationsOT YouTube: https://www.youtube.com/@spiritedconversations_OT Website: https://www.spiritedconversationspodcast.com/   Loved this episode and want an easy cost-free way to support us? Subscribe to our youtube channel! Hosted on Acast. See acast.com/privacy for more information.

    1h 2m
  2. 25 JULY

    27. Ayres Just Right Challenge & Adaptive Response

    In this episode, we dive into the principles of adaptive responses and just right challenges as laid out by Jean Ayres in sensory integration therapy. We share our experiences and discuss the application of these principles in clinical practice. You’ll hear us talk about the developmental nature of this approach, the role of neuroplasticity, and the importance of individualized treatment. Through our conversation we highlight the significant impact of understanding and using these principles can have on children's functional abilities and overall quality of life. 00:00 Introduction and Excitement About the Sensory Integration and Learning Disorders 00:43 A Funny Story About a Lost Book 05:32 Discussing Adaptive Response and Just Right Challenge 06:55 Reading and Analysing Jean Ayres' Work 14:31 The Importance of Developmental Sequences in Therapy 23:48 Understanding Executive Functions and Developmental Insights 25:00 The Profound Concept of Developmental Approach 25:31 Adaptive Responses and Internal Motivation 27:15 The Just Right Challenge in Therapy 28:43 The Importance of the Spirit Tool 29:58 Tailoring Therapy to Individual Needs 31:44 Trusting the Developmental Process 32:44 Real-Life Success Stories 37:42 Applying Developmental Principles Across Domains 43:03 The Role of Neuroplasticity in Therapy 50:10 Quirky Stories and Insights 53:58 Concluding Thoughts and Reflections   Connect with us:  Instagram: https://www.instagram.com/spiritedconversations_ot/ Facebook: https://www.facebook.com/spiritedconversationsOT YouTube: https://www.youtube.com/@spiritedconversations_OT Website: https://www.spiritedconversationspodcast.com/   Loved this episode and want an easy cost-free way to support us? Subscribe to our youtube channel! Hosted on Acast. See acast.com/privacy for more information.

    54 min
  3. 12 MAY

    26. Following a Child's Lead.

    In this episode, we delve into the often cited but widely misunderstood concept of 'Follow the Child's Lead'. Through our personal anecdotes, theoretical explorations, and practical insights, we wonder about the origins of this principle, its application across different disciplines and its pivotal role in treatment and intervention strategies. We unpack the nuances of following a child’s lead versus following a child’s need, and the profound impact of tuning into a child’s developmental trajectory for effective treatment. Join us as we dive deep into how this principle shapes our approaches to therapy and beyond, providing actionable takeaways for professionals and parents alike.    TIMESTAMPS:   00:00 Introduction: Exploring Treatment Principles  00:54 Deep Dive into 'Follow the Child's Lead'  02:16 Clinical Perspectives and Personal Stories  03:30 Understanding and Misunderstandings of Following the Child  05:57 Expanding on 'Follow the Child's Lead' with Clinical Insights  32:27 Exploring the Concept of Affordances in Treatment  53:29 Concluding Thoughts on Following the Child's Lead  Both DFX and SEED are growing! Please message us if you are interested in joining either of our teams!  https://dfxlearningjourneys.thinkific.com/  For information about Regulation 101 contact info@seedpaediatricservices.com   Full transcription of our episode is available on our website: https://www.spiritedconversationspodcast.com/  Connect with us:   Instagram: https://www.instagram.com/spiritedconversations_ot/  Facebook: https://www.facebook.com/spiritedconversationsOT  YouTube: https://www.youtube.com/@spiritedconversations_OT  Loved this episode and want an easy cost free way to support us? Subscribe to our youtube channel!    Hosted on Acast. See acast.com/privacy for more information.

    55 min
  4. 14 FEB

    25. Sensory Over Responsive and Sensory Diets

    This episode is a detailed conversation about sensory modulation and its application in the field of occupational therapy. It examines various types of behaviours connected to sensory modulation and provides a thorough explanation of how to support individuals dealing with these behaviours. We discuss the intricacies of sensory modulation, particularly sensory over-responsiveness and under-responsiveness, sensory diets, and the impact of arousal and autonomic functions on sensory modulation. Key ideas include distinguishing between positive and negative valence responses, strategies for regulation and recovery, and the role of safety in sensory modulation.    00:00 Introduction and Updates on Training Programs 01:14 Addressing Listener Questions: Sensory Modulation and Language 02:12 Understanding Sensory Modulation and Behavioural Outcomes 04:43 The Complexity of Sensory Modulation and Its Impact on Treatment 08:48 The Importance of Differentiating Sensory Modulation Issues 09:29 The Role of Neurological Structures in Sensory Modulation 10:17 The Influence of Autonomic Functions on Sensory Modulation 11:04 Understanding the Behavioural Outcomes of Sensory Modulation 11:34 The Importance of Precise Differentiation in Sensory Concepts 13:57 The Role of Sensory Modulation in Adaptive Function 16:05 The Impact of Sensory Modulation on Treatment 18:07 The Role of Safety in Sensory Modulation 20:12 The Importance of Understanding Sensory Modulation in Treatment 38:10 The Role of Sensory Diets in Treatment 43:50 Conclusion: The Future of Sensory Modulation Treatment Full Transcript Available on our website: https://www.spiritedconversationspodcast.com/ Don’t forget you can take the Spirit and STEPPSI Course through DFX's learning journeys: https://dfxlearningjourneys.thinkific.com/   For other courses on offer through Seed, email us for more information: info@seedpaediatricservices.com Hosted on Acast. See acast.com/privacy for more information.

    56 min
  5. 06/09/2023

    23. Understanding Interoception and its Role in Sensory Processing

    In this episode we discuss the relationship between interoceptive processing, conscious and subconscious as well as how that relates to the polyvagal theory. We explore how interoception changes in the different states of the nervous system, such as ventral vagal, sympathetic, and dorsal vagal states. We also discuss the role of interoception in emotions and feelings, and how it can impact social interactions. Our conversation begins our discussion around the importance of understanding interoceptive processing in clinical practice and hopefully offers insights into how we can support individuals with different interoceptive needs. Check out DFX's learning journeys to build your clinical reasoning skills with Tracy: https://dfxlearningjourneys.thinkific.com/   Curious about Regulation 101, follow our link or email us for more information: https://seedot.thinkific.com/courses/regulation-101   Timestamps 00:00:00 - Introduction to the episode and announcement of available training 00:03:23 - Discussion on the relationship between interoception and polyvagal theory 00:06:19 - Importance of understanding the receptors in interoceptive processing 00:08:13 - Interception extends beyond visceral organs to include other receptors 00:09:19 - Interception involves both physical sensations and emotional feelings 00:12:01 - Context of sensation and social touch 00:14:27 - Receptors becoming bristly when not open to receive touch 00:21:13 - Neuroceptive function of comfort and safety 00:23:26 - Tuning into social cues and internal/external focus 00:26:42 - Relationship between state and receptor activation 00:28:20 - Stretch receptors and their role in processing interoceptive information 00:30:07 - Electrical and chemical changes in interoceptive processing 00:31:44 - The role of mismatch and posterior insula in emotion 00:33:59 - Shift from subconscious to awareness-based processing 00:38:44 - Impact of interoception on mobilization 00:41:53 - Tracy discusses the interaction between polyvagal system and interoception 00:43:08 - Tracy explains how states impact interoceptive cues and choices 00:48:42 - Discussion on the role of attention in interoceptive awareness 00:49:52 - The anterior insula's role in drawing attention to interoceptive signals 00:50:59 - Individual differences in valence tipping and interoceptive awareness 00:54:40 - Treatment considerations for interoceptive cues and shame triggers Key Takeaways: Interoception involves the processing of internal bodily sensations and emotions.Interoceptive processing is influenced by the state of the nervous system, such as the ventral vagal state, sympathetic state, and dorsal vagal state.The quality and function of interoceptive receptors can change depending on the state of the nervous system.Interoceptive cues can signal safety or threat, leading to different physiological and emotional responses.Attentional processes play a role in interoceptive processing, with the ability to shift attention between internal and external cues. Our Favourite Quote from this episode: "The valence-based function of interoception tells us if something is good or bad, and if we want more or less of it." – Tracy M Stackhouse. Hosted on Acast. See acast.com/privacy for more information.

    56 min
  6. 07/08/2023

    22. Somatosensory Foundations of The Self

    This episode we discuss the importance of the somatosensory system in forming our sense of self through our relationships and how it shapes neurodevelopment. We explore how individuals who have not experienced secure attachment early in life may struggle with somatosensory amplification and somatization later on. We chat about the role of touch in creating a sense of safety and connection, and how sensory integrative processing can impact overall wellness. If you’re curious about the need to balance and respect boundaries while providing positive somatosensory experiences for individuals with neurodiversity this episode is for you. Hopefully, like we did, you get a deeper appreciation of the power of touch in building empathy, shared experiences, and a sense of belonging. Check out DFX's learning journeys to build your clinical reasoning skills with Tracy --> https://dfxlearningjourneys.thinkific.com/   Timestamps 00:00 Importance of somatosensory system in attachment relationships and development 02:40 Impact of insecure attachment on somatosensory amplification and somatization 07:00 Neurodevelopment as a window into wellness and decline 10:00 Phantom limb experiences from missing relational experiences 12:30 Importance of sensory integrative processing and Dr. Ayres' work 16:00 Importance of touch in building empathy and connections 19:00 Enhancing somatosensory experiences in therapy 23:00 Balancing respect for individual boundaries and supporting adaptive function 26:00 Challenges of touch in vulnerable populations and the need for boundaries 30:00 Importance of psychoeducation and consent in touch interactions   Connect with us:  Instagram: https://www.instagram.com/spiritedconversations_ot/ Facebook: https://www.facebook.com/spiritedconversationsOT YouTube: https://www.youtube.com/@spiritedconversations_OT Website: https://www.spiritedconversationspodcast.com/   Loved this episode and want an easy cost free way to support us? Subscribe to our youtube channel! Hosted on Acast. See acast.com/privacy for more information.

    58 min
  7. 15/06/2023

    21. Somatosensory Processing and Praxis

    Join us as we explore the interplay between feed forward and feedback in the somatosensory system. Learn how this impacts our ability to perform skilled movements and how our brain prepares for the next action. Find out how inhibition plays a crucial role in allowing us to venture forward in novel experiences.   Check out DFX's learning journeys to build your clinical reasoning skills with Tracy --> https://dfxlearningjourneys.thinkific.com/   Full transcription of our episode is available on our website.    Timestamps: 0:00:00 Introduction and revisiting the topic of praxis 0:01:28 Difficulty of replicating human praxis in robots 0:02:48 Somatosensory basis of dyspraxia 0:05:01 Importance of enhancing somatosensation, movement, and vision 0:05:41 The dynamic and solidified body map of the homunculus 0:06:25 Purpose of somatosensory processing and sensory integrative processing 0:07:49 Treating the whole, not just practicing the end products 0:08:12 Understanding the homunculus and its dynamic nature 0:10:04 Feed forward and feedback happening simultaneously 0:11:35 Interplay between feed forward and feedback happening simultaneously in the brain 0:12:22 Peripheral receptors learning in the neural network 0:13:03 Neurodevelopmental changes in the peripheral and central nervous system 0:13:45 Preparing the body for the next activity 0:14:44 Sensitization of peripheral receptors in response to unexpected events 0:16:12 Pre-emptive preparation of the brain in eye movement control 0:17:19 Interplay between somatosensory, vestibular, and visual systems in response to uneven surfaces 0:17:50 Importance of somatosensation as a perceptual layer that supports skilfulness 0:18:58 The interplay between modulation and discrimination processing in novel experiences 0:20:40 Treating the modulation issue to clear the slate for discrimination to become relevant 0:21:57 Co-regulation through touch in discrimination processing 0:22:25 The spreading activation of the homunculus enriching the body map 0:23:10 The nervous system drawing somatosensory information to create inhibition and engagement 0:23:41 The somatosensory system as the primary inhibitory system 0:24:26 The whole process being somatosensory dependent 0:24:42 The valence and tipping in the somatosensory system 0:25:21 The role of the social engagement secretary in somatosensory modulation 0:27:01 Co-regulation and the importance of a partner in somatosensory experiences 0:29:20 The impact of not meeting a child's somatosensory needs on adaptation and efficiency 0:29:54 The power of OT observations in shifting perceptions and supporting children's sensory needs 0:34:20 The importance of separating modulation from discrimination in clinical reasoning for effective intervention 0:34:54 The interplay between modulation, discrimination, cognition, and executive function in treatment.   Connect with us:  Instagram: https://www.instagram.com/spiritedconversations_ot/ Facebook: https://www.facebook.com/spiritedconversationsOT YouTube: https://www.youtube.com/@spiritedconversations_OT Website: https://www.spiritedconversationspodcast.com/   Loved this episode and want an easy cost free way to support us? Subscribe to our youtube channel! Hosted on Acast. See acast.com/privacy for more information.

    37 min

Ratings & Reviews

4.7
out of 5
14 Ratings

About

We are on a mission to build the collective knowledge of paediatric occupational therapists and fellow human beings alike. Most of us are drawn this field because we love children and we believe in the infinite possibility of childhood. But. Once we enter practice, there is often a feeling of being  overwhelmed by all there is to know in order to be effective. This podcast was conceived to include you in our SpIRiTed conversations. These discussions have kept us engaged and had an unmeasurable impact on us as therapists. We want to share our regular clinical conversations with others, not knowing all the answers, but allowing each of us to have the space to think and put the pieces together.  Tracy’s ability to make clinical reasoning and neuroscience accessible to all is incredibly powerful and worth sharing. ‘Show Notes can be found at www.spiritedconversationspodcast.com Hosted on Acast. See acast.com/privacy for more information.

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