Bloom True Therapy

Bloom True Therapy Neurodiversity-Affirming
DIR Floortime Certified
Occupational Therapy

05/15/2026

When we talk about getting curious about “what’s underneath behavior”, we’re rarely talking about one tidy bucket of “unmet needs.” Often, it’s a stack of systems that are all running at once, all the time, and all feeding into the same nervous system. And it’s often “invisible” to the child, in the sense that they aren’t able to accurately conceptualize and verbalize the experience.

If you think about this using the analogy of a volcano, what we can see is the “eruption”, that eruption is the end of or result of something, but what we don’t see is everything going on inside the magma chamber (inside of the child). An eruption is loud, visible, and it’s the thing adults react to. But by the time that eruption happens, pressure has been building inside that magma chamber for a long time.

Closest to the surface is the nervous system itself. Nervous systems are constantly scanning for safety. This is called neuroception, and it happens below conscious awareness. The body decides if a situation is safe, dangerous, or life-threatening before the thinking part of the brain ever weighs in. So by the time a kid is in fight, flight, freeze, or fawn, their body has already made that call without them.

Below the nervous system is the sensory layer. Every kid is running their own uniquely coded sensory system that's processing input constantly: lights, sound, temperature, textures, smells, movement, and where their body is in space. Sensory needs are individual, dynamic, and shift with fatigue, stress, illness, and hormones.

The next layer is unmet needs, which includes physiological needs (sleep, hydration, hunger, blood sugar, movement, needing to use the washroom), relational needs (connection, comfort, social belonging, co-regulation, repair after rupture), and developmental needs (autonomy, predictability, competence, agency, downtime).

Children often cannot identify and name these needs in the moment, which means they rely on us to do the tracking and troubleshooting.

Below that layer is communication frustration. Every child communicates. Speech is one channel of communication among many, often not the most important one, and for a significant number of children, not their channel at all. Even for speaking children, expressive language becomes harder to access under stress, and the words for complex inner experiences may not be developed yet.

Many kids communicate clearly through behavior, movement, gesture, stimming, AAC, etc long before an "eruption" happens.

Communication frustration is what builds when a child's communication, whatever shape it takes, isn't being received and understood by the adults around them.

And stacked across all of these layers is accumulated load. Stress doesn't reset between events, it accumulates. This is easy to underestimate and easy to overlook, especially when adults are looking at the eruption and trying to figure out "what set them off." The answer to that questions is often "everything before this moment, plus this moment. "

And at the foundation, the bedrock of the whole mountain that everything else sits on: these are kids who are still developing.

The skills required to navigate daily life are vast, and they develop unevenly, on no fixed timeline. There is no synchronized clock between children, or even within the same child. Capacity to access skills also fluctuates day to day, hour to hour, based on sleep, stress, illness, and accumulated demand. And yesterday's success doesn't prove the skill is locked in. It only shows that yesterday's conditions allowed access to it.

And the deepest WHY:

Children develop self-regulation through co-regulation with safe adults. They do not learn to regulate by being left alone in their dysregulation, and they do not learn it by being punished for it.

They learn it by borrowing our regulated state, over and over and over and over (and over and over and over) until their own system builds the wiring to do it.

Every “eruption” met with calm presence is a deposit in that wiring. Every eruption met with punishment or withdrawal teaches the body that dysregulation equals disconnection, which makes the next eruption bigger because now the child is dysregulated AND scared of being alone in it.

So when we say "underneath the eruption is where the child needs us most," we mean it literally. The child's nervous system is asking for a co-regulator. That's the developmental task. That's how the wiring gets built. That's the WHY.

As the adults, we HAVE TO put this work in for the kids in our lives.

The “behavior” we see is the smallest yet loudest, most misleading part of the whole story. The real child, the real need, the real opportunity, all of it is underneath, inside the magma chamber.

And the adults who learn to look there are the ones who truly help kids grow the capacity they're being asked to demonstrate.

New blog post up! Ever wonder why your child's OT may be addressing skills like motor planning, visual spatial skills, a...
05/13/2026

New blog post up!

Ever wonder why your child's OT may be addressing skills like motor planning, visual spatial skills, and sensory processing when your concerns are related to emotional regulation and behavior? This blog post is for you!

A parent’s guide to understanding the “why” behind the work You came in worried about your child’s meltdowns. Or maybe it’s the defiance, the emotional outbursts, the …

05/08/2026

We were told classrooms build brains.
Truth is… brains are built long before the desk.

“Play builds the brain that school later uses.” – Dr. Gordon Neufeld

Mud pies. Climbing trees. Bare feet. Endless imagination.

This is the real curriculum.

This is where brains are built. Where curiosity takes root. Where regulation begins.

Not in rows.
Not on worksheets.

Children aren’t designed to sit still for hours on end.
They’re wired to climb higher, get messier, play longer. 🌿

This isn’t a bonus.
It’s not enrichment.

It’s the foundation.

05/05/2026

𝗣𝗹𝗮𝘆 𝗶𝘀 𝗻𝗼𝘁 𝗷𝘂𝘀𝘁 𝗳𝘂𝗻, 𝗶𝘁'𝘀 𝗳𝗼𝘂𝗻𝗱𝗮𝘁𝗶𝗼𝗻𝗮𝗹!
From solo play to parallel play, pretend play to sensory play, each type of play creates opportunities for meaningful growth and development.

What may appear simple on the surface is actually powerful developmental work. In DIRFloortime, play allows us to meet a child where they are and expand their developmental capacities through meaningful, shared interactions.

04/04/2026

April is Autism Acceptance Month! As part of our See Amazing in All Children initiative, we have developed new resources to help families discover, support, and share the amazing in all children. Learn more: https://m.sesame.org/autismresourcefb.

03/01/2026

Breakfast To Go

I had the honor of working with a family who recently learned that their child was Autistic. I was their first OT.

Mom had so many questions when we first met. She was overwhelmed and anxious. She asked me questions like:

Why does he flap?
Is that what they call a ‘stim’?
Why does it seem like sometimes he can’t hear me?
What is “low functioning autism” because the doctor used that term?

I answered her questions, and did my best to explain the “why” behind every behavior. I explained to her that ‘low functioning’ is NOT a diagnosis and it’s not even a label we should use. It is not helpful, and not fair to your son. We’re here to find his strengths, celebrate them and use them to build skills. We’re here to learn about how he processes sensory input, respect it, and work with that information to help him feel safe while we play and learn. We’re here to shoot for the stars and we’ll make adjustments every step along the way.

Mom watched me play with him. She saw him begin to trust me. She saw him playing. Her confidence started to grow. She understood her baby more and more with each session.

Fast forward about 2 months. Mom was coming in with a success story every week. Some were small, some were huge. All were celebrated. She listened to every word, tried every strategy and still asked a ton of questions.

I was blown away by a story she told me about their morning routine. It was a brilliant idea and I made sure mom understood just how much of a superhero she is for her son.

Her son had started school in the summer. Mom was very worried about the transition into school. She had heard stories of children refusing to go in, dropping to the ground, screaming, crying and making it very difficult for a mom to leave their child. But newly empowered mom came up with an idea that she thought would work for her AND her son.

Each morning, mom and son arrive at school about an hour before it opens. They sit in the car, in the school parking lot, and have breakfast together! Mom and son watch all the teachers walk in to start their day as they wait for his turn to walk in. They wave hi to the teachers and mom will add some dialogue:

“There’s Miss Cathy going to school!”
“Here comes Miss Jennifer! She’s ready for school!”
“There’s Mr. Brian. It’s his turn to go into school!”

They made an arrangement with the school so he can go in a few minutes early to avoid the rush of kids, but while they waited for HIS turn to walk into school, they ate breakfast.

His schedule is very busy now with school. Mom went back to work, so she’s busy, too. But everyday, like clockwork, she has breakfast with her son in the parking lot of his school. And every day, without hesitation, he walks into school when its his turn, ready to start his day. No difficulties with transitions. No meltdowns. Just a happy kid excited to be at school.

My heart is full, and when I wake up Monday morning, I’ll be smiling knowing that in a school parking lot somewhere, there’s an amazing mom having a breakfast date with her little boy.

Let's share this story to celebrate this mom and inspire others!











A long read, but worth it! In our practice we like to help you to identify and respond to your child's cues so you can b...
02/28/2026

A long read, but worth it!

In our practice we like to help you to identify and respond to your child's cues so you can be 'early' in responding to daily challenges. This makes it much easier to help support them in actually learning and practicing regulation skills

www.bloomtruetherapy.com

We're late!

I recently heard an interview with Ross Greene, who spoke about how our systems and policies are designed for us to be "late" when addressing concerning behaviors. Allow me to explain.

If a child gets put in timeout, or seclusion, we're late. We, the adults, are reacting to a behavior that already happened.

Sending a kid to the "calm down" corner? We're late. The dysregulation already happened.

Detentions, suspensions, expulsions? Late again.

"Consequences?" Late. Consequences are handed out after the fact, with the hope that we "teach them a lesson" through the punishment so they don't do it again. We know that's not working. Talk to any teacher and they'll tell you that the behaviors are worse than they've ever been.

Dr. Greene was right!

I had the opportunity recently to work in a classroom, with a paraprofessional, on being "early".

We saw a young student walking on their toes during a transition between activities. This child typically didn't do that. That extra proprioception he was seeking out was interpreted as a stress cue. He went to the rug to play and bumped into another child. Yep, he needed help. I positioned myself to support both students on the carpet playing with blocks.

What happened? Nothing. The kids played. I helped them delegate who gets what blocks. I "noticed" what each student was building and encouraged either imitation or collaboration from the other. I re-directed the one student to a different set of blocks to knock down when demolition was more appealing than construction, as he was certainly eyeing his friend's structure to knock down. They played for about 15 minutes and then moved to snack. No issues. No sadness. No fighting. I was early.

What would have happened, as has always happened in the past? The two kids go to the carpet and fight over blocks. An adult comes in and separates them (late). Then, the demolition-desiring student manages to sneak over and knock down his classmate's structure. He gets put in timeout and the victim is crying because his work was destroyed (late). A tough moment for everyone (including the teacher).

Just think about how many big behavioral events would be avoided if we were "early". But, as Dr. Greene expressed, as parents and teachers, we're usually late, albeit unintentionally. It's how our systems, and society in general, are set up.

How can we do better at being early? This is going to sound like a giant plug for occupational therapists, but on some level, I think we all can step back and 'notice' some stress cues. Noticing those stress cues can help us solve problem proactively, before big behaviors occur.

Parents can notice when their child had a tough day at school, or they're tired, or their sibling is driving them a little bit crazy. Those are opportunities to be early, to communicate to them that you 'notice' the difficulty, and set them up for success.

Teachers have to deal with classroom disruptions multiple times a day. We lose millions of classroom days every year because of disruptions in learning. If a teacher 'notices' the dysregulation, pauses teaching to address the dysregulation, and returns to teaching once they are regulated, many of those (late) 'behavior management' tools (clip charts, loss of recess) wouldn't be necessary.

In the example I gave, toe walking was a stress cue. The loss of body awareness was another. Leaving your desk to walk around the room, deeper breathing, a furrowed brow, intense fidgeting, all could be stress cues and an opportunity to be early, if we recognize them.

The other thing I noticed is that being early was much more regulating for ME than being late. When we (the adults) are late, we often come in hot 🔥. We're mad, or really frustrated. Kids feel that. WE feel that. When we're early, we are in helping mode, which feels so much better (and calmer).

I would love to hear your thoughts on this. As parents and teachers, we are late...a lot. 🙋‍♂️ I am certainly guilty of that. But, many of the big behaviors that occur are predictable and can be addressed proactively if we commit to it and have the right tools. I knew my proprioceptive-seeking, demolition-desiring friend wanted to knock down his classmate's tower. That's a huge dopamine sq**rt for him. He needed my help. He needed me to be early. When I was early, everything went smooth. When I'm not early, "stuff" happens. I can own that, and I can work to be early more often. The consequence isn't necessary, but being early so I can teach them strategies and skills to play reciprocally with their friends is really important.

This is a longer post that usual for me. If you're still reading, I hope you aren't 'late' to whatever you were planning to do next. 😉

I appreciate you being here! 🥰

02/04/2026

🧠 𝗧𝗵𝗲 𝗠𝗶𝗻𝗱𝘀𝗲𝘁 𝗼𝗳 𝗮 𝗗𝗜𝗥𝗙𝗹𝗼𝗼𝗿𝘁𝗶𝗺𝗲𝗿
What other amazing qualities would you add to this list?

𝗥𝗲𝗹𝗮𝘁𝗶𝗼𝗻𝗮𝗹 🔗💞🧡
Prioritizing connection and trust to create safe, meaningful relationships with each client and their families.

𝗔𝗱𝗮𝗽𝘁𝗮𝗯𝗹𝗲 🌀🐛🦋
Ready to pivot in an instant, letting go of any plans they had, to best support regulation and engagement.

𝗖𝘂𝗿𝗶𝗼𝘂𝘀 🤔🔍🕵️‍♀️
Approaches every
interaction with openness and wonder – always seeking to understand someone’s inner world, perspectives, motivations, and intentions.

𝗥𝗲𝗳𝗹𝗲𝗰𝘁𝗶𝘃𝗲 🧘‍♀️💭📝
Thinks deeply about interactions – using insights to best support development. This includes self-reflection on one’s own actions during an interaction.

𝗖𝗼𝗹𝗹𝗮𝗯𝗼𝗿𝗮𝘁𝗶𝘃𝗲 🤝🏻👫🧱
Partners with both parents and professionals in a shared mission to support the whole individual.

𝗦𝘁𝗿𝗲𝗻𝗴𝘁𝗵𝘀-𝗯𝗮𝘀𝗲𝗱 💪🌟🗝️
Sees the brilliance in every person – amplifying their passions, honoring their individuality, and using their strengths as a springboard for growth.

New blog post about how Occupational Therapy can support autistic children in a strengths-based way!https://bloomtruethe...
01/27/2026

New blog post about how Occupational Therapy can support autistic children in a strengths-based way!

https://bloomtruetherapy.com/2026/01/27/a-strength-based-look-at-pediatric-occupational-therapy-for-autistic-children/

Contact us at [email protected] or www.bloomtruetherapy.com to schedule your free phone consultation. We have immediate availability in our Winter Park clinic location as well as for home services (dependent on location)

Pediatric occupational therapy (OT) helps children develop the skills they need to participate in everyday activities — at home, at school, and in the community. When working with autistic children…

Love to see the representation!
01/12/2026

Love to see the representation!

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