Sensory processing difficulties can lead to puzzling, hard-to-treat emotional and behavioral challenges in children and adolescents. Filled with case examples, this highly informative guide helps mental health clinicians recognize and address sensory dysregulation that may co-occur with or be misdiagnosed as anxiety disorders, attention-deficit/hyperactivity disorder, and other psychological or behavioral problems. In rich detail, the authors illustrate how to modify cognitive-behavioral therapy and other evidence-based interventions to meet this population's unique needs and make treatment more effective. Reproducible clinical tools can be downloaded and printed in a convenient 8 1/2" x 11" size.
"Sensory issues underlie many childhood anxieties. A kid may refuse certain foods or fear thunder because of sensory overload rather than irrational beliefs. When mental health professionals understand the possible physiological reasons for dysregulated behavior, they can help children succeed by using the smart intervention strategies presented in this important and readable book."—Carol S. Kranowitz, MA, author of The Out-of-Sync Child
"This thought-provoking book shows that when traditional CBT or medication management fails, it may be because a child's underlying sensory differences require a different perspective. Golomb and Mouton-Odum describe how to effectively combine CBT and sensory therapies. They utilize a balance of techniques—exposure, sensory intervention, coping skills, and counter-conditioning—to help children build better tolerance for sensory stimuli. All clinicians who work with children will benefit from this fresh integration of psychological and occupational therapy frameworks. The book is filled with practical strategies and helpful vignettes that are obviously harvested from years of clinical experience."—Daniel G. Shapiro, MD, developmental and behavioral pediatrician, Rockville, Maryland
"As a psychologist in practice for more than 30 years, I appreciate how this book highlights relevant factors to consider when treating children and teens with sensory modulation challenges, especially those who do not respond to traditional exposure therapy. Golomb and Mouton-Odum present real-world case examples of youth with over- or underreactive sensory systems. They propose a model to augment exposure therapy with additional elements to increase the success of treatment, and offer helpful checklists to guide questioning, specific outlines for creative exposures, and tips for comprehensive treatment planning. The book addresses an underexplored issue that is of direct relevance to clinicians working with children."—Mary Karapetian Alvord, PhD, Director, Alvord, Baker & Associates, Silver Spring and Rockville, Maryland
"A much-needed book that fills a void in our understanding of how sensory issues may affect children's feelings and behavior, leading to challenges in treatment. This book reflects the authors’ deep clinical expertise and provides pearls of wisdom that bring clarity to complexity, along with a systematic roadmap for assessment and treatment. Easy to read, and full of helpful examples, it is a reference that therapists will pick up often."—Aureen Pinto Wagner, PhD, Director, The Anxiety Wellness Center, Cary, North Carolina
1. Sensory Regulation and Dysregulation
2. The Senses
3. Assessing Sensory Dysregulation
4. It's Complicated: Sensory Dysregulation and Other Psychiatric Disorders
5. Treating Sensory Dysregulation: A Formula for Success
6. Specific Interventions for Over- and Underresponsive Children
7. The Challenging Child in Context: Involving Parents in Treatment
8. Integrating Treatment for Sensory Dysregulation into Therapy for Specific Disorders
9. Troubleshooting in Therapy
10. Where Do We Go from Here?
About the Authors:
Ruth Goldfinger Golomb, LCPC, is a clinician at the Behavior Therapy Center of Greater Washington, in Silver Spring, Maryland, where she has worked with children and adults with anxiety and related disorders since the mid-1980s. She has led many workshops, seminars, and training programs and has written articles for journals and newsletters. A member of the Scientific Advisory Board of the Trichotillomania Learning Center, Ms. Golomb is coauthor of two books, including A Parent Guide to Hair Pulling Disorder (with Suzanne Mouton-Odum).
Suzanne Mouton-Odum, PhD, is Clinical Assistant Professor at Baylor College of Medicine and a psychologist in private practice in Houston, Texas. She has extensive training in cognitive behavioral treatment for children, adolescents, and adults with anxiety and related disorders. Dr. Mouton-Odum is a member of the Scientific Advisory Board of the Trichotillomania Learning Center and past president of both the Texas Psychological Foundation and the Houston Psychological Association. She has published numerous scientific journal articles, presents at national conferences, and is coauthor of two books for the general public.