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Neuro-affirming strategies for feeding, communication,
toileting struggles, meltdowns & missed body cues


For years, support for children with ADHD, autism, and emotional-behavioral differences has centered on shaping behavior, reinforcing what’s seen as “appropriate” and trying to reduce what’s not. But when behavior is the only lens, we miss the deeper “why” behind it.

What if a child’s outburst was hunger or sensory overload? What if a “meltdown” was really a nervous system in fight-or-flight? What if refusal wasn’t defiance at all, but a body struggling to recognize or express its own internal signals?

This training moves beyond behavior-only models to help you work with children, not on them. You’ll discover how to integrate comfort, preferences, and communication supports so you can co-regulate, widen their window of tolerance, and guide them into a state where learning, participation, and connection naturally grow, without the constant battles that leave everyone exhausted.

You’ll gain practical, neurodiversity-affirming strategies to:

  • Spot red flags quickly when behavior-based tools aren’t working and uncover what’s really driving dysregulation
  • Incorporate strengths, preferences, and communication supports into treatment plans for better buy-in and participation
  • Co-regulate with kids and self-regulate as a clinician to model calm and set sessions up for success
  • Use emotional check-ins, theory of mind activities, and language-building supports to help kids understand and express what they feel
  • Address post-COVID dysregulation with sensory, emotional, and communication-based strategies
  • Partner with kids and families to turn challenges into opportunities for connection and growth

Through case studies, interactive skill-building activities, and ready-to-use activities, you’ll leave with a complete toolkit to start every session strong — and finally see progress where behavior-only approaches have fallen short.

I’ve packed this course with the tools I wish I’d had early in my career — so you can skip years of trial and error and help your clients thrive in school, therapy, and daily life.

— Cara Koscinski, OTD, MOT, OTR/L, CAS

P.S. Your registration includes a downloadable PDF toolkit loaded with worksheets, handouts, and activities you can start using right away.

Bridge the Gap Between Internal Sensations and Daily Function
with Practical, Therapist-Ready Tools


Highly interactive
Archive recording access for 90 days
Self-paced learning
Unlimited access to materials


Earn up to 7.5 CE Hours for only $249.99 $149.99!

Attendees Will Walk Away Ready To…

  • Spot interoceptive red flags in minutes — from toileting struggles and feeding refusals to shutdowns, and emotional outbursts
  • Confidently screen, document, and write functional, measurable goals that justify skilled intervention
  • Teach clients to recognize hunger, thirst, pain, fatigue, and emotions using simple, evidence-based body awareness activities
  • Integrate interoception work seamlessly into gait training, dysphagia/feeding therapy, toileting programs, communication goals, and ADL sessions
  • Coach caregivers, teachers, and staff with clear language, handouts, and strategies to support carryover at home, school, and in community settings
  • Create individualized regulation plans and sensory diets that work for both under- and over-responsive clients across the lifespan
  • Apply research-backed strategies to reduce meltdowns, improve participation, enhance safety, and optimize functional outcomes

Interoception in Practice:
The Missing Link for Function, Behavior & Self-Regulation

March 24, 2026 • 8:00 AM - 5:00 PM MT

8:00–9:15 AM MT
The Brain-Body Connection: Where Interoception Lives

  • Map the insula and brain hierarchy to connect body signals to function
  • Explore theory of mind — why kids must know their own feelings before connecting with others’
  • See how posture, tone, and autonomic balance shape interoceptive input
  • Identify barriers like trauma, sensory over/under-responsivity, and chronic stress
  • Case Study: Pediatric toileting case — illustrate how missed interoceptive cues affect daily life


9:15–10:30 AM MT
Quick & Practical Assessment: Finding Interoception Gaps

  • Shift from a behavior lens to an interoception lens to uncover body signals and underlying needs
  • Learn quick positional, sensory, and “organ friends” questions to screen in minutes
  • Spot red flags in feeding, dressing, toileting, pain reporting, and emotional awareness
  • Practice guided body awareness scans you can use with any client, in any setting
  • Case Study: Teen with ADHD and frequent injuries — connect missed cues to safety concerns


10:45 AM–12:00 PM MT
Functional Implications: When the Brain Misinterprets Signals

  • Break down how clients miss or misinterpret hunger, thirst, pain, fatigue, and temperature
  • Link poor interoception to anxiety, meltdowns, shutdowns, and big emotions
  • Teach clients to recognize anger, fear, sadness, and calm using body signals
  • Reframe your role as building accurate brain-body mapping to restore participation
  • Case Study: Adult post-TBI with poor hunger/thirst recognition leading to medical complications


12:45–2:00 PM MT
Experiential Lab: Therapeutic Breathing & Nervous System Reset

  • Explore breathing as a bridge to interoception and self-regulation
  • Practice co-regulation strategies to get kids learning-ready while keeping yourself grounded
  • Safely use hot and cold contrast strategies to build interoceptive awareness of temperature
  • Practice belly, rectangle, elevator, and sensory breathing for all ages
  • Safely try hyperventilation reset and use pulse oximeters for biofeedback
  • Play with pinwheels, bubbles, and tactile cues to make breathing exercises engaging
  • Case Study: Child with anxiety — demonstrate how daily breathing practice reduced emotional meltdowns


2:15–3:15 PM MT
Breaking the Cycle: Tools for Catastrophic Thinking & Pain

  • Understand how the brain amplifies pain and distress signals
  • Guide patients through graded exposure and reframing to lower threat
  • Use pain chips, visual scales, and structured exercises to make progress tangible
  • Case Study: Client with chronic pain and fear avoidance — show functional progress with interoception-focused therapy


3:15–4:30 PM MT
Applying Interoception to Everyday Function

  • Design multisensory activities to strengthen body awareness
  • Pair emotional vocabulary with matching physical sensations for better self-regulation
  • Build toileting programs that teach internal cues, timing, and wiping skills
  • Create sensory diets for home, school, or facilities to support regulation all day
  • Case Study: Dual case vignette – a child with toileting accidents paired with an adult post-stroke who struggles to sense swallow safety and recognize signs of aspiration


4:30–5:00 PM MT
Clinical Toolkits & Implementation Strategies

  • Get sample goals, CPT code suggestions, and progress tracking templates
  • Take home scripts and caregiver handouts to boost buy-in
  • Plan how to integrate interoception work into your caseload on Monday morning
  • Case Study: Side-by-side before/after example showing how improved interoception increased ADL independence


Helpful items to have on hand to enhance your learning experience:

  • Bring a small variety of foods (spicy, sweet, sour, crunchy, and umami) to explore taste, texture, and interoceptive responses during the lab
  • Washcloth
  • Rubber band
  • Pulse oximeter
  • Glass of water
  • Applesauce
  • Straw



  1. Identify three functional red flags of interoceptive dysfunction (e.g., toileting, feeding, injury awareness) through case examples and screening questions.
  2. Differentiate between under-responsive and over-responsive interoceptive profiles and select two appropriate intervention strategies for each.
  3. Choose three body awareness or therapeutic breathing activities that improve emotional regulation and participation in ADLs.
  4. Develop a treatment plan that integrates interoception goals into daily therapy sessions, including toileting programs, feeding interventions, and self-care tasks.
  5. Utilize caregiver coaching strategies and educational scripts to increase follow-through at home or school and support functional carryover.
  6. Use sample goal-writing language to document skilled therapy that ties interoception work to measurable outcomes such as improved safety, reduced meltdowns, or increased independence.
  7. Choose co-regulation and self-regulation strategies that enhance a child’s readiness for participation in therapy, classroom routines, and community activities.
  8. Integrate emotional check-ins, theory of mind activities, and language-building strategies to support functional communication and social participation across settings.
Meet Your Expert


Dr. Cara Koscinski
Dr. Cara Koscinski is an occupational therapist with over 25 years of experience. She is a Certified Autism Specialist and the founder of The Executive Function Institute, where she translates years of research into practical tools to support children, families, and professionals. Cara developed the Executive Function Express Program, a transformative model built on a child’s unique strengths to support executive function. The approach combines sensory regulation, movement, body awareness, and interoception as the foundation for planning, organization, time management, and metacognition.

An engaging speaker, she presents nationally on executive function, interoception, behavior, and self-regulation. Cara has authored seven books for caregivers and therapists, taught graduate OT courses, and continues to mentor doctoral students. She also founded The OTP Hivemind Mentoring Circle, creating a space for mentorship, collaboration, and growth among clinicians. Cara leads the largest pediatric OT Facebook group with more than 52,000 members worldwide. As the mother of an autistic adult son, she brings both professional expertise and personal insight to her work.

Click here for information about Cara Koscinski
Bridge the Gap Between Internal Sensations and Daily Function
with Practical, Therapist-Ready Tools


Highly interactive
Archive recording access for 90 days
Self-paced learning
Unlimited access to materials


Earn up to 7.5 CE Hours for only $249.99 $149.99!
Additional Information

Target Audience:

 
  • Athletic Trainers
  • Chiropractors
  • Exercise Physiologists
  • Nurse Practitioners
  • Nurses
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Physical Therapists
  • Physical Therapy Assistants
  • Physician Assistants
  • Physicians
  • Speech-language Pathologists
  • Other Rehabilitation and Healthcare Professionals

Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.


Webcast Schedule

Please note: There will be a 60-minute lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info.


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