Ruth Waldrop Occupational Therapist

Ruth Waldrop Occupational Therapist Occupational Therapy helping infants and children, ages 0-21, and supporting their families

06/02/2026

WORDS MATTER…we found this today in our inbox with a request for help to explain to teachers why this is not a great tool for the classroom - and it made us stop and really pause and wonder about how to change perceptions more widely. Sensory preferences and patterns, and meeting sensory unmet needs should NOT EVER be used in this way as a behavioural re-inforcer.

A “reinforcement preference survey” in PBS might be intended to help adults understand what motivates a child or adult. We can see how, in busy classrooms and stretched systems, tools like this can feel practical. But we think we need to ask deeper question?

Are we trying to find what helps a child participate? Or are we trying to find what makes them comply?

Because those are not the same thing.

For many children, especially children with sensory integration and processing differences, trauma histories, anxiety, autism, ADHD, communication differences or demand avoidance patterns, what looks like “not motivated” may actually be something else entirely.

It may be overwhelm.
It may be sensory overload.
It may be fatigue.
It may be uncertainty.
It may be difficulty with praxis.
It may be fear of getting it wrong.
It may be communication load.
It may be loss of autonomy.
It may be that the child does not yet feel safe in the relationship, environment or activity.

Rewards are not neutral for every child.

Praise can feel exposing.
Food rewards can become complicated.
Public attention can feel unsafe.
Stickers may mean nothing.
Choice can help, but only when it is real, respectful and not another demand in disguise.
Movement breaks may support some children, while others first need reduced sensory load, relational safety or time to recover.
Rewards may be the start of compliance with power figures or ‘just’ any adult in vulnerable people.

So instead of asking, “What reward works?”, perhaps we need to ask this instead…

What helps this child feel safe?
What helps their body feel organised?
What helps them understand what is happening?
What makes this environment easier to access?
What relationships help them feel seen and understood?
What activities feel meaningful?
What choices protect autonomy?
What is the child already telling us through their behaviour, movement, words, silence, play, withdrawal or distress?

This is why we keep coming back to Sensory Ladders®, Spiders™ and Grids™.

They help us move beyond reward charts and begin to understand sensory self-states, patterns, environments, activity demands and relational responses as part of the PEAR TREE™️ Lens.

Children do not need us to become better at managing them.

They need us to become better at understanding them.

The goal is not compliance.

The goal is safety, participation, autonomy, connection and meaningful success.

Growing Through Mistakes 🙏Artwork by Araceli Jaramillo Graciela Jaramillo 💕by Ruth Eileen Waldrop MAOT, OTR/L
06/02/2026

Growing Through Mistakes 🙏

Artwork by Araceli Jaramillo Graciela Jaramillo 💕

by Ruth Eileen Waldrop MAOT, OTR/L

05/23/2026

Thank you to all of the speech therapists who collaborate with OT to support self-determination through simple signs and accessible communication strategies. I had the privilege of working with an incredible SLP this year who created a beautiful culture of multimodal communication in preschool.

Multimodal communication means recognizing that there are many pathways to language and self-expression, through signs, visuals, spoken language, AAC, gestures, and more. Providing multiple ways to communicate supports language development because it reduces barriers, increases opportunities for participation, and empowers children to express needs, make choices, connect with others, and build confidence as communicators.

One of the most meaningful outcomes is seeing children realize they can be understood and that their voice matters, regardless of the communication method they use. 🩷


05/22/2026

Activities for hyperactivity

05/22/2026

Defiance can feel exhausting. The arguing, the refusal, the pushback — it can look like a child who just won’t listen.

But what if that behaviour isn’t about defiance at all?

What if underneath it is a child who feels worried, overwhelmed, or unsafe — and doesn’t yet have the words or skills to show it differently?

Many children don’t express anxiety through tears or withdrawal. They express it through control, resistance, and big reactions. What looks like defiance is often a nervous system in protection mode.

When we begin to see the vulnerability beneath the behaviour, our response shifts. And that’s where real change begins.

If this resonates, my Misunderstood Defiance: The Vulnerable Child Toolkit walks you through what’s really going on and how to respond in a way that supports regulation, not just behaviour.
Link in comments below ⬇️ or via Linktree Shop in Bio.

05/22/2026

Humming is one of the fastest natural ways to stimulate the vagus nerve because it targets the nerve where it is most physically accessible: the throat cavity. The vagus nerve is the longest cranial nerve in the body, acting as the primary highway for the parasympathetic nervous system (“rest-and-digest”). Humming triggers an immediate physical and chemical shift that quickly pulls the body out of a stressed, sympathetic (“fight-or-flight”) state.

To elaborate, humming bypasses the need for long meditation sessions by directly targeting the vagus nerve through physical anatomy. The vagus nerve branches heavily into the larynx (voice box) and pharynx (throat) via the recurrent laryngeal and pharyngeal nerves. When you hum, the vocal cords create physical vibrations that act like a direct, mechanical massage on these nerve fibers.

Also, the physical vibration stimulates specialized touch and pressure receptors (mechanoreceptors) in the throat. These sensors instantly fire electrical signals up the vagus nerve directly into the brainstem. Humming also naturally forces you to exhale much slower than you inhale. A lengthened exhale triggers respiratory sinus arrhythmia, a biological phenomenon where the heart rate slows down during an exhale, signaling immediate safety to the brain.

Furthermore, humming causes a vibration in the nasal passages that increases the production of nitric oxide (NO) by up to 15 times compared to normal breathing. Nitric oxide is a vasodilator, meaning it relaxes blood vessels and lowers blood pressure INSTANTLY.

Once the vibrations from humming activate the vagus nerve, it acts like a “brake pedal” for stress, regulating your body through a multi-step neurological cascade: signals to the brainstem, releases acetylcholine, down-regulates the amygdala, enhances Heart Rate Variability and restores visceral function!

How incredible and all just by humming! If humming isn’t “your thing” check out the comments section for more breathing techniques 😮‍💨✌️

SEE PMID: 37193427, 39996843, 39881804 & 37457500

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1025 W. 24th Street Ste 8
Yuma, AZ
85364

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Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
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