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occupational therapy · Awareness

Self-Regulation in Kids: Why It's Hard and How to Help

Laken Ellis, MOT, OTR/L

Written by Laken Ellis, MOT, OTR/L

Pediatric Occupational Therapist

Updated 2026-06-20

Every parent has watched a small thing — the wrong color cup, a sock seam — set off a storm that seems wildly out of proportion. Helping a child handle those moments is about self-regulation, and it's a skill that has to be taught, not one kids are simply born with.

What is self-regulation?

Self-regulation is the ability to manage emotions, energy, and attention to meet the demands of a situation — calming down when upset, ramping up to focus, waiting, and handling frustration. It develops slowly across childhood and leans on both brain maturity and practice.

Why some children struggle

For some kids, regulation is genuinely harder — because of sensory differences, developmental factors, or simply still-developing skills. It's easy to read these moments as “misbehavior,” but more often a child isn't refusing to cope; they don't yet have the tools to. That reframe changes how we help.

Strategies that help

  • Co-regulate first: a calm adult helps a dysregulated child settle before any teaching happens.
  • Name feelings: putting words to emotions builds the ability to manage them.
  • Movement and sensory breaks: heavy work, jumping, or quiet time to reset.
  • Predictable routines and warnings before transitions.
  • Calm-down tools and spaces the child helps choose, practiced before they're needed.

Persistent, intense regulation struggles can have an underlying sensory or developmental component that an occupational therapist can assess.

If big feelings are overwhelming daily life, an OT can help you understand why.

How occupational therapy helps

OTs assess what's driving the dysregulation and build practical, individualized strategies — often including sensory supports — that you can use at home and school. OT requires a referral from your child's primary care provider (faxed to 901-589-9001).

Frequently asked

At what age should a child be able to self-regulate?
Self-regulation develops gradually well into the school years and beyond — young children need a lot of adult support. Big feelings are normal; it's the intensity, frequency, and how much they disrupt daily life that signal a child may need extra help.
Is my child struggling to regulate, or are they just misbehaving?
It's usually not a clean either/or, but here's how to tell them apart. Misbehavior tends to be goal-driven — the child wants something, and the behavior stops once they get it (or clearly won't). A regulation problem looks different: the child is overwhelmed — often when tired, overstimulated, or stressed — and hasn't yet built the skills to cope, so they can't simply choose to stop. When it's regulation, treating it as a skill to build works far better than treating it as behavior to punish.
Do I need a referral for OT?
Yes — occupational therapy requires a referral from your child's primary care provider, faxed to 901-589-9001.

Sources

These links point to external organizations for general education and are not a substitute for an evaluation by a qualified professional.

Laken Ellis, MOT, OTR/L

About the author

Laken Ellis, MOT, OTR/L

Laken is a licensed pediatric occupational therapist at Midsouth Therapy Group, helping children build the everyday motor, sensory, and self-care skills that support independence.

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Big feelings taking over your days?

Our pediatric occupational therapists can assess what's behind the dysregulation and give your family tools that help.