Aly Bothman, MS, OTR/L

The Escalation Cycle

The escalation cycle is a tool that can help us understand how our emotions work during times of big upsets. As caregivers, it can help us think about different strategies that are best to use during these different phases of an escalation. The image below shows the Escalation Cycle with examples of behavioral “warning signs” for each phase of the cycle, as well as reactions that are most helpful during each phase.

Key Takeaways:

When we are very upset, our brains are not thinking clearly and are not able to problem-solve effectively. Trying to “talk it out” or reason with a child (or anyone!) who is at the peak of an escalation is typically counter productive and only adding fuel to the fire.

Think about where your child (and yourself!) is at on the escalation cycle during an emotional escalation. Choose your reaction to their behavior carefully based on what phase of the cycle they are in. For example, if I notice my child is starting to show some small signs of frustration/escalation, I might intervene by taking a few deep breaths, offering two calming activity choices, or redirecting them to take a break and get some exercise outside.

Oftentimes the best and most efficient route to returning to the baseline phase is to simply take a break. Think about reducing the demands being placed on your child (stop asking questions, offering solutions, scolding, reduce noise/stimulation in the environment, etc.) so their nervous system can start winding down and they can access their rational thinking and problem-solving parts of their brain again. Wait to talk about what happened until you are sure they are back at baseline and in a calm and relaxed state - that will be the best time to debrief and brainstorm different choices we can try the next time the same trigger occurs.

Calming Activity Ideas

Here are a few ideas of calming activities and skills you can try with your child and see if they help support regulation. Every child and person is different, so something that’s calming to one child might not be to another. Remember, we want to teach these skills while your child is at baseline and their brains and bodies are available for learning (this is often what we are doing during OT at the clinic!).

  • Deep Breathing: Use bubbles, a pinwheel, a whistle, a harmonica, etc. to learn to take deep breaths during play. Remember to breathe in through your nose, and slowly out through your mouth.

  • Squeeze the Lemons: Tighten and relax your fists to squeeze the juice out of an imaginary lemon. Squeeze and count to 5, then slowly relax and shake the juice off your hands. Repeat several times.

  • Dots & Squeezes: Make a ‘dot’ in the left palm with the opposite thumb and massage. Next, firmly squeeze the left wrist with the right hand. Continue to move your hand up your arm doing a series of squeezes. Repeat on the other side.

  • Exercise!: Hop on a bike or scooter, run a lap around the yard, kick a ball, climb on a play structure, or do some “animal walks” (bear crawl, crab walk, frog jump, etc.). During winter months, try making an indoor obstacle course using couch cushions and pillows. For less energized exercise, try some simple stretching or a few yoga poses. Exercise is one of the greatest ways to regulate our bodies.

  • Music: Talk with your child about how music makes their body feel while listening together. Some music is very alerting and gives us energy, and other music can help us calm and unwind.

  • Sensory Tools: Using sensory based play activities and toys like play dough/putty, kinetic sand, a fidget popper, a visual oil drip/liquid motion timer, bouncing or rolling on a yoga ball, and swinging on a swing.

Author: Aly Bothman, MS, OTR/L

Strategies for Choosing & Organizing Toys

Babies and toddlers learn so much from exploring their environment! If their play spaces are too overstimulating, it can make learning a lot more challenging for them. Just like having a cluttered office space or pantry can feel frustrating and make it difficult to keep your attention on a focused task, having too many toys in a play space can be chaotic and make it difficult for tots and young children to develop important play skills

Benefits of Using an Organization System:

  • Supports development of attention & focus skills by reducing distractions in the environment

  • Reduces overstimulation and contributes to better regulation 

  • Increases opportunities to build frustration tolerance and problem solving skills - when given less options, children play with the same toy for longer and in more diverse ways

  • Improves structure and routine in the home

  • Helps kids develop independent play skills and creativity


How to Organize Toys:

  1. Declutter

  • Think about keeping the “good toys” (see definition below) and consider removing excess over stimulating toys (battery powered) that aren’t special favorites

  • Put extra toys away in storage, you will need them for step 3!

  1. Set Up & Organize

  • Toys are best organized in ways that support your child’s ability to see and access them. Low shelves and labeled bins are great ways to support independent play (as well as your child’s participation in clean up)!

  1. Rotate

  • Keep the novelty alive! At the start of each month (or when you notice your child is bored of the current toys), swap out some toys for the ones in the storage area. This will keep your child engaged and keep the play space decluttered.

 

What are “good toys”?

  • Are appropriate for the child’s age and developmental level and stimulate learning

  • Keep the child’s interest

  • Are safe and durable, and have longevity (in other words they are toys that will stand the test of time and can be used by the child in a variety of ways for years, think Legos)

  • Everyday household objects make great toys - think stacking cups, tupperware containers, cardboard tubes, and empty boxes 

Try to have a variety of toys available that fall in the following categories:

  • Active toys (ride-on toys, outdoor or sports equipment)

  • Manipulative toys (construction toys, puzzles, dressing toys, beads, blocks, bath toys, and sand/water toys)

  • Make-believe (dolls, stuffed toys, puppets, role play, transportation toys)

  • Creative toys (musical toys, arts and crafts materials, digital music)

  • Learning toys (games, specific-skill toys such as color sorters and letter identification, books)

Make sure to ask your therapist if you have questions or are seeking specific recommendations to fit your family’s needs.

Author: Aly Bothman, MS, OTR/L

More Resources: 

References:

Case-Smith, J., & O'Brien, J. C. (2014). Occupational therapy for children and adolescents - e-book. Elsevier Health Sciences.


Dauch, C., Imwalle, M., Ocasio, B., & Metz, A. E. (2018). The influence of the number of toys in the environment on toddlers’ play. Infant Behavior and Development, 50, 78-87.

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