
A podcast for parents regarding the health and wellness of their children.
Sensory processing isn’t always easy to spot, but it affects how kids experience the world in a big way. From clothing struggles to party meltdowns, what looks like “behavior” can often be a child’s nervous system asking for help. That’s why I sat down with occupational therapist Laura Petix, who specializes in sensory processing and works with families online to support kids with unique sensory needs.
We talk about what sensory processing really means, sensory processing differences, how parents can recognize differences, and why shifting from “disorder” to “differences” matters for kids’ self-esteem and support. Laura shares her own parenting experiences as a neurodivergent mom raising a neurodivergent child, and we break down myths that leave parents feeling judged or confused.
We cover:
What sensory processing is and how it shapes daily life for kids
The difference between typical toddler behavior and sensory differences
Red flags that suggest a child might need more support
The “sensory cup” analogy for understanding overstimulation and meltdowns
Why discipline doesn’t fix sensory needs, and what actually helps
Practical ways parents can validate, regulate, and advocate for their kids
To connect with Laura Petix check out all her resources at https://theotbutterfly.com/. Follow her on Instagram at @theotbutterfly.
00:00 Intro & Dr. Mona’s Story
03:15 Meet The OT Butterfly (Laura Petix)
06:45 What Sensory Processing Really Means
10:40 Typical vs. Sensory-Driven Behavior
16:00 From Disorder to Difference
20:00 Early Signs in Babies and Toddlers
23:40 Parent Stories & The Sensory Cup Analogy
31:00 Supporting Kids (and Yourself)
34:00 Myths and Misunderstandings
41:00 When to Seek Help & Encouragement for Parents
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00;00;00;04 – 00;00;25;02
Laura Petix
Sensory processing is the act of taking in any sensory information from the external environment, but also from within your body, and it sends that information up to your brain, and then your brain makes sense of it and interprets that information, decides what’s relevant. It tunes out things that are irrelevant. And then of the things that’s relevant, it’s saying, what do I need to do with this information?
00;00;25;02 – 00;00;43;19
Laura Petix
Is there an action I need to do? Do I need to run away, or do I need to protect myself? And then the brain, after it interprets that information, it sends a message out to your body and then you act on it if you need to act on it. Yeah. For someone who’s neurodivergent, they might hear all those sounds.
00;00;43;19 – 00;00;57;16
Laura Petix
The brain takes it all in when it sends it out to interpret it. The brain might have might say, all of this feels very relevant.
00;00;57;18 – 00;01;18;25
Dr. Mona
Hello, friends. It’s Doctor Mona, and I just want to say how much I love being here with you. This podcast is my favorite space. I don’t tell Instagram, Facebook, YouTube, or TikTok, but this is where I get to really slow down storytelling, be raw with you and connect with other people as well. And today’s episode is especially close to my heart.
00;01;18;27 – 00;01;40;13
Dr. Mona
When my son was a toddler, he was sensitive to water, sand, food textures. Anything tactile on his hands would make him cringe. Loud noises like the vacuum would make him scream and transitions were really hard. We thought it was typical toddler stuff. He had no signs of autism, so we watched and monitored and we thought that maybe he’d outgrow it.
00;01;40;13 – 00;02;03;10
Dr. Mona
But as he grew, the sensitivities turned into bigger meltdowns after parties or museums. Anything with a lot of visual or auditory stimuli. And it clicked. This wasn’t just bad behavior or a kid being problematic. It was his nervous system being overloaded. With the help of one of my best friends who’s an amazing occupational therapist, we learned that he has a sensory processing difference.
00;02;03;10 – 00;02;28;09
Dr. Mona
Or you may hear it as sensory processing disorder with auditory sensitivity being the strongest. Knowing this has helped us prepare him, de-escalate, and support him instead of labeling him difficult. We now take headphones with us when we know we’re going into an auditory stimulating place. Sometimes he wears it. He’s still getting used to it, but knowing that he has this has really made all the difference.
00;02;28;11 – 00;02;50;28
Dr. Mona
We can now teach him coping skills. We know that his brain is wired differently. Him and my daughter can be in the exact same situation and he will feel stimulated while my daughter does not. Because every kid is wired differently. For us, it became the excessive meltdowns and the pattern that we noticed that the meltdowns were always occurring when it was a very high stimulating experience.
00;02;50;28 – 00;03;16;00
Dr. Mona
But here’s the tough part. Sensory processing differences. Or you could hear the term disorders aren’t even in the DSM five criteria, which diagnoses a lot of psychiatric neuro developmental conditions. And there’s no ICD ten code. This means that children like mine, or maybe yours, can slip through the cracks for getting services and coverage because there’s no official recognition that this is a condition or difference.
00;03;16;02 – 00;03;38;29
Dr. Mona
That’s why I’m so excited for you to listen to this conversation with Laura Paddock. She’s one of my favorite follows. She’s always been a great follow, but now that I know that my son has a sensory processing difference, I have learned so much from her. She is an occupational therapist, neurodivergent parent, author, and expert on sensory and nervous system regulation, which honestly can benefit so many children, not just neurodiverse children.
00;03;39;05 – 00;04;03;26
Dr. Mona
She’s here to explain what sensory processing is and how to know whether your child’s behaviors are typical reactions for their age or signs of a sensory processing difference. But before we dive in, don’t forget, subscribe and download your favorite episode, including this one, to help the show grow and share our post on socials and tag PedsDocTalk at the PedsDocTalkPodcast and at the OT butterfly so more families can find this conversatioon.
00;04;04;03 – 00;04;09;29
Dr. Mona
Let’s get into it.
00;04;10;02 – 00;04;12;16
Dr. Mona
Thank you so much for joining me today, Laura.
00;04;12;19 – 00;04;15;03
Laura Petix
It is my pleasure. I’m so happy to be here. Thanks for inviting.
00;04;15;03 – 00;04;34;26
Dr. Mona
Me. Well, I’m so happy to be here because I don’t have a lot of otters who have come on the show and so I think it’s such an important area. I’ve had a few, but like it’s an important area because not a lot of parents know what OT is when it’s so important. And when I found your platform OT butterfly, I would say that it was probably within the last year, I think early 2024.
00;04;35;03 – 00;04;51;13
Dr. Mona
And whenever I find accounts that I love, I just like I just have to have you on. I have to talk to you. And I just really resonated with the way that you present information, the way that you present your own parenting journey as a neurodivergent parent to neurodivergent child. So thank you so much for joining me.
00;04;51;13 – 00;04;59;05
Dr. Mona
And for anyone who’s not familiar with who you are and maybe what occupational therapy is in a nutshell, if you can give that little spiel right now.
00;04;59;08 – 00;05;18;14
Laura Petix
Yes. Well, I have to first start off by saying, and I mentioned this before we got on, but I am I feel the same about your account. As soon as I find any kind of pediatric medical professional out there that’s providing the information that I need to know in a way that’s not provoking my existing anxiety, it’s that immediate follow.
00;05;18;16 – 00;05;49;01
Laura Petix
So yeah, and I love I love getting getting to partner with pediatricians because I think that there’s a lot more room to grow in terms of the relationships that occupational therapists and, and pediatricians can have in terms of the awareness of who which families would benefit from occupational therapy support. So in a nutshell, occupational therapy helps people of all ages, function in their daily life in a way that works best for them, for things that are meaningful to that person’s life.
00;05;49;01 – 00;06;17;02
Laura Petix
So that’s very vague for a reason, because what matters to person A might not matter to person B, right? Different lifestyles, different cultures, different things that you need to do in your day. But my, particular area of focus is in the pediatric setting. And even more niche within that is in the sensory processing sensory integration setting. So I am no longer in the clinic, but I was in the clinic, and when I was in the clinic, I was working with, kids ages like 3 to 12.
00;06;17;02 – 00;06;45;19
Laura Petix
So preschool and early elementary aged kids with a variety of diagnoses that you would see in the DSM. But I also worked with a lot of kids who didn’t have a diagnosis specifically yet. They were very, very much struggling in their daily occupations or things that occupied their time, which in in childhood, it’s play, it’s learning at school, it’s being around family and it’s and self-care tasks and eating and hygiene tasks.
00;06;45;22 – 00;07;16;24
Laura Petix
And there were certain motor skills, cognitive skills. And underlying both of those skills was their foundational sensory processing systems that needed a little bit more support in developing to be able to access those skills. So I really, really focus on helping kids understand and and feel more comfortable in their body so that they can learn, communicate, play, more successfully in their daily life.
00;07;16;24 – 00;07;43;07
Laura Petix
And since leaving the clinic, I focus all my time now online, creating courses and programs and, podcast episodes to really spread awareness about how foundational sensory processing is and how a lot of the behaviors you’re seeing. Well, I would say all of the behaviors parents are seeing are a reflection of the nervous system. But then even further than that, a lot of the behaviors might have a sensory trigger to them.
00;07;43;07 – 00;07;56;13
Laura Petix
And I like helping parents see that so that we focus less on the surface behavior and help them understand how they could support their nervous system regulation first, which will then help change and adapt the behaviors that they’re seeing.
00;07;56;16 – 00;08;25;26
Dr. Mona
And I love it because you already said it when you talked about OT in general, how it’s such an individualized approach. Right? We’re not helping for everyone doing the same thing. It’s all about what’s important to the value system of that family. So you’re taking such an individualized approach and this is so important. So what we’re going to talk about today, which is sensory processing and kids that every child is so unique, even in a if you’re going to look at the spectrum of sensory processing or whether a child has it or not, like it’s such an individualized thing and, you know, as someone who’s online giving parenting advice and, you know, health and,
00;08;25;29 – 00;08;41;22
Dr. Mona
you know, development advice, I know the nuance is there. You know, I know that it’s not a one size fits all. And so it’s always really hard to create nuanced content, right? Especially when it comes to parenting and development, because you’re like, well, I get, you know, this might be something that you want to consider, but I love that you’re there doing that work.
00;08;41;29 – 00;08;51;23
Dr. Mona
Online. I love that you found, you know, your passion online as well. To be able to spread this to so many more people than we can do in our in our, the walls of our offices. So happy that you found that.
00;08;51;26 – 00;09;08;23
Laura Petix
Yes, social media is a gift and a curse. It is so many different ways. I’m trying to use it for its positive strength, but you always get sucked into some of those not so beneficial pieces to social media. But that’s what we’re trying to have more of a global impact with our educational content, I think.
00;09;08;23 – 00;09;17;24
Dr. Mona
I think I talk about that on many episodes. Somehow it becomes into a social media like therapy session with me, with my guests, like, how are you dealing with all the misinformation or the bullying? Like, I it’s.
00;09;17;25 – 00;09;25;29
Laura Petix
I know it’s a noisy. Yeah. It’s not it’s a tangled space on there. And it’s really hard to compartmentalize really, really hard.
00;09;26;04 – 00;09;37;29
Dr. Mona
Yeah. Well, I want to get into this because, you know, this what we’re talking about today is sensory processing. You know, what is, if you can describe what that means and why it’s important for child development or for a parent to understand what that is.
00;09;38;01 – 00;10;04;10
Laura Petix
Absolutely. So sensory processing is the act of taking in any sensory information from the external environment, but also from within your body. And it sends that information up to your brain, and then your brain makes sense of it. It interprets that information, decides what’s relevant, it tunes out things that are irrelevant. And then of the things that’s relevant, it’s saying, what do I need to do with this information?
00;10;04;10 – 00;10;20;15
Laura Petix
Is there an action I need to do? Do I need to run away? Do I need to protect myself? And then the brain, after it interprets that information, it sends a message out to your body and then you you act on it. If you need to act on it. So I’ll make a very specific example for that.
00;10;20;15 – 00;10;40;29
Laura Petix
So parents here can can have a more concrete example. So let’s say I like this example. Let’s say you are at the park. You’re sitting on a bench with your friend having a coffee, and you’re watching your kids play on the playground kind of off in the distance. In that moment, you’re probably hearing kids laughing. You are hearing your friend, tell you a story about work.
00;10;41;01 – 00;11;05;21
Laura Petix
Maybe you hear someone’s cell phone going off. You hear a leaf blower. There’s a lot of different sounds coming in to your ears at one time. Your brain is noticing all of those sounds. It takes it all in, sends it up to your brain, and then it processes it in those auditory, processing centers. When the brain starts interpreting that, it starts tuning things out automatically.
00;11;05;23 – 00;11;21;03
Laura Petix
It’s like that leaf blower. We hear it, but you can ignore it. Those kids laughing and playing, we hear it, but you can ignore it. Well, you need to focus on right now is what your friends or what your friend is telling you about the story. So we’re going to find, we’re going to really, really focus in on what they’re saying.
00;11;21;05 – 00;11;40;18
Laura Petix
But then let’s say all of a sudden you hear the cry of a kid. All of a sudden your heart starts racing, your breath maybe increases just a little bit. Your nervous system. Your brain has picked up that information and now it’s switched. It’s saying now your friend’s voice is irrelevant. Localize. Find out where that scream is coming from.
00;11;40;22 – 00;12;05;14
Laura Petix
Turn your head towards it visually. Recognize. Is that your kid? Are they hurt? Are they just fighting over a toy? But that action that millisecond. Yeah. Of switching and all of a sudden saying, okay, this conversation is not important. Immediate turn. That’s your sympathetic nervous system going into action. And it’s you’re going into protective mode. You’re going into you have to do something that happens in a millisecond.
00;12;05;14 – 00;12;28;12
Laura Petix
Yeah. But that’s a that’s sensory processing just for auditory sense right now. For someone who’s neurodivergent, they might hear all those sounds. The brain takes it all in when it sends it out to interpret it. The brain might have might say, all of this feels very relevant to every single sound. And then what? Now you’re hearing your friend.
00;12;28;13 – 00;12;46;16
Laura Petix
Yeah. You’re like also listening to the conversation on the bench next to you. You’re like, listening in to what your friend, what your kids are saying or half there and then, oh man, she told me something really important. And she has a look on her face and you’re like, I feel like I missed what she said once. And it wasn’t that you weren’t paying attention.
00;12;46;16 – 00;13;06;25
Laura Petix
And it’s almost like your brain was paying too much attention to everything at once. And that’s just one very, very specific example of how the brain can interpret sensory information differently. But in a nutshell, hopefully that explained it to others how sensory processing works, at least with just the auditory sense. We have the senses.
00;13;06;28 – 00;13;36;15
Dr. Mona
Yeah. And you know, you’re giving you an example for an adult, which I think most of our listeners can probably say that I’ll be honest. Like, even if you have, you are neurodiverse or not, that it can be overwhelming in those situations. You know, like when there’s a lot of input coming in. So how I guess how could we differentiate for a child that there is maybe a sensory processing that we need to evaluate versus, is this just typical child behavior that they’re going to be distracted by the noises or the, you know, the sensations on their body?
00;13;36;15 – 00;13;41;13
Dr. Mona
How can we kind of, differentiate that?
00;13;41;15 – 00;13;47;09
Dr. Mona
Now let’s take a quick break to hear from our sponsors who support helps us keep bringing you this show.
00;13;47;12 – 00;14;17;09
Laura Petix
Oh, yeah. So what I tell parents, when you notice your child needing, more significant effort, more signif, like more time and more frequency of your Co regulation, to come back from a meltdown, more to be able to, participate in a task. And I won’t say specifically, like sit still for certain amount of minutes because we already know kids do need to move.
00;14;17;11 – 00;14;41;29
Laura Petix
Some kids will need to move more than others, but it’s more about can they participate in a conversation, play, communicate, learn at their developmental age that’s appropriate to them. But also when we think about, the behaviors. So, right. If lots of kids are active, so but there are some kids who have a, threshold that is higher for movement.
00;14;42;04 – 00;15;04;24
Laura Petix
So their brain needs more intense, more frequent, longer duration of some kinds of movement for their brain to process it effectively and for them to feel regulated. And so lots of kids are active. But some kids, even when you tell them to, you know, like stop jumping on the couch, they’ll stop jumping on the couch, but now they’re going to jump over.
00;15;04;24 – 00;15;26;26
Laura Petix
There are now they’re gonna be rolling across. It’s like whac-a-mole, right? There’s so there’s other kids who you could say, you know, jumping on the couch. It’s not safe. And they’ll start jumping on the couch and they’ll be fine. But other kids are very, very, their nervous system will be louder than than you. Then you think, like, they will find a way to have their sensory needs met.
00;15;26;26 – 00;15;53;15
Laura Petix
And so my answer to all parents in terms of how do I know if my child is having sensory processing challenges, is how much it’s affecting their daily life at home and at school. So when the redirections aren’t working, when it’s affecting their, social interaction, are they always, you know, unintentionally hurting their friends because they’re playing so rough and they don’t recognize their body force?
00;15;53;17 – 00;16;01;05
Laura Petix
You know, if they’re getting called out a lot in class. So it’s really how much it’s impacting their daily life at home and in school.
00;16;01;08 – 00;16;24;22
Dr. Mona
Oh, very, very good point. And I know you’re talking a lot about, you know, you mentioned the the motor and obviously the sensory in terms of auditory and in would a diagnosis or would a and I guess is that even the right word diagnosis, like what would be the most, the best terminology to use around this. Because I know when we were chatting about this, you know, there’s, you know, it used to be called sensory, like a lot of medical professionals say sensory processing disorder.
00;16;24;22 – 00;16;31;25
Dr. Mona
And we’re trying to move away from that language. It’s not really a disorder, but what would we what would be better terminology I think to kind of start that off.
00;16;31;25 – 00;16;54;05
Laura Petix
Yeah, this is a really great topic, especially in both of our professions, kind of coming together to talk about this because there is the medical setting, the medical view of the DSM, of the diagnosis of disorders and that kind of medical based terms and like language that we use that that is not ideal in terms of the neurodiversity movement.
00;16;54;05 – 00;17;16;11
Laura Petix
However, we recognize that to get insurance provided, to get interventions, these are the kinds of language that we use. But yeah, as parents and as professionals who work with, neurodiverse families, we want to try to move away from language around disorder and talk about it more as differences. So, I would still call it speedy, but I say sensory processing differences.
00;17;16;14 – 00;17;25;05
Laura Petix
Yes. So that’s what I call it. And, you know, to set the record straight, sensory processing disorder is not in the DSM. Like.
00;17;25;07 – 00;17;29;08
Dr. Mona
Right. That’s what I was hoping I would allude to because there’s no like, checklist of like, okay.
00;17;29;08 – 00;17;30;05
Laura Petix
So check we’re.
00;17;30;05 – 00;17;31;28
Dr. Mona
Doing this. Yeah. There.
00;17;31;28 – 00;17;59;22
Laura Petix
But that doesn’t mean that it doesn’t exist right. In isolation of other diagnosable things. Right. So there are brain studies from UCSF I think that’s that’s the institution that I keep seeing in the research articles. UCSF so they are they are starting to do a lot of brain imaging on kids who are like, quote, just sensory processing disorder kids, where they are, on their questionnaires, their parent questionnaires.
00;17;59;22 – 00;18;29;19
Laura Petix
They are reflecting significant challenges in sensory processing in their daily life. Yet they are not, diagnosed, as autistic or ADHD or any other DSM. And they have differences in their brain structure. So we are seeing it look different. But what parents need to know is that whether or not there’s a code or a diagnosis for it, you can have a child who has significant who is significantly impacted in their daily life by the way that their brain processes sensory information.
00;18;29;21 – 00;19;08;25
Laura Petix
And it’s not in comparison necessarily to a neurotypical brain, but it’s more in comparison to how society is created in a way that it’s it’s easier for people with neurotypical brains to exist. So I always say that neurodivergent is an identity, right? So there it could include autism. ADHD, anxiety and sensory processing is such a foundational piece that it’s part people with autism, people with ADHD, people with anxiety, people with, fetal alcohol spectrum disorder, they all experience sensory processing challenges.
00;19;08;25 – 00;19;37;00
Laura Petix
And so you will see that. And so it doesn’t necessarily matter what diagnosis your child has, you can still support their sensory needs using sensory strategies and regulation. Even neurotypical people. We all have sensory needs. We all have a nervous system. We all function using all eight senses. And so we can all use sensory strategies. Just some folks may need a little bit more support, doing so because the world that we live in is not meant to support that kind of brain.
00;19;37;03 – 00;20;03;29
Dr. Mona
Yeah. And, you know, one of the things I often get asked about in my followers is about the early on, like the toddler, maybe the nine nine month old and above is that the child is more sensitive to maybe certain, materials on clothing, sounds or, you know, textures. Is that part of sensory processing and when does it become, it this could just be like typical toddler behavior or it’s more like a sensory processing difference.
00;20;03;29 – 00;20;07;26
Dr. Mona
Is it kind of what you mentioned about if it’s if it’s impacting their daily lives.
00;20;07;29 – 00;20;34;10
Laura Petix
Yeah. So really young kids like and it’s hindsight is always 2020. Yeah. Even myself as. So I have one daughter and I told you I worked in a clinic for ages three and up, so under three, I definitely saw behaviors that made me think this is definitely sensory. However, that was uncharted territory for me where I was like, I don’t know if this is normal and actually is a toddler, but now in hindsight, putting it all together, I was right the whole time, right?
00;20;34;13 – 00;20;43;19
Laura Petix
Yeah. So for us, my daughter is sensory sensitive. The clothing issues is our number one issue to this day, but that didn’t even come out until she was like four.
00;20;43;21 – 00;20;44;02
Dr. Mona
00;20;44;02 – 00;21;01;16
Laura Petix
So just early on it was just she was really inconsolable in a lot of different things. The world really just was too much. And because they’re kind of limited in their ability to express and they’re not going to say that light is too bright. Can you please turn it off? They’re not going to say, I hate the way that my wet hair feels on my neck.
00;21;01;22 – 00;21;21;10
Laura Petix
Can you please dry? They’re not saying that. They’re just reacting to their nervous system with their nervous system and their fight or flight. And it’s just these, like, big meltdowns in controllable behavior. And then it’s up to the parents to piece together the clues and the patterns and say, oh, you know what? Every night after bathtime one and brushing their hair, they’re freaking out.
00;21;21;11 – 00;21;46;04
Laura Petix
Like, so something about baths. It’s hard for them. So you start seeing patterns of behavior, usually tied to certain activities or daily life things. That’s usually what we’ll see earlier, earlier on. And yes, we usually see more of the sensory sensitive ones. Those seem to be more obvious because that’s the really, really big meltdowns, really crying, really emotionally reactive.
00;21;46;06 – 00;22;08;24
Laura Petix
Unless it’s very obvious. Then there’s there’s some other kids with the sensory seekers who will like, you know, drape like peanut butter all over their face and their potty and they’re like, that is an extreme sensory seeker. But you can see in hindsight, you could see these kids grow up and you’re like, that totally makes sense. But in the moment you’re like, are they just a curious toddler who’s exploring the world?
00;22;08;26 – 00;22;28;28
Laura Petix
So it’s really, really hard in that moment to identify it right as it’s happening. That’s why we get a lot more referrals after that. And there’s a lot of, you know, when, when I hear parents bring this up to pediatricians who don’t know the full spectrum of sensory processing, it’s a lot of wait and see at the beginning.
00;22;28;28 – 00;22;55;15
Laura Petix
Yeah. Which it’s, you know, it’s valid because it’s really hard unless you’re in it. So my tip to parents is always to be as objective as possible with your pediatrician. Not just saying my kids having meltdowns every day, or my kid is really active and won’t sit still and you have, like a two year old, I would say, you know, it’s taking us 45 minutes in the morning to get out the house, and I haven’t we haven’t been on time to school because of this.
00;22;55;15 – 00;23;14;21
Laura Petix
I’ve had to call out of work because the nanny says she can’t handle their meltdowns. My daughter has bruises on her hands from biting her like it’s not just a two year old tantrum. So because objective as possible to really, really help illustrate how impacted your child is.
00;23;14;23 – 00;23;22;29
Dr. Mona
Now let’s take a quick break to hear from our sponsors who support helps us keep bringing you this show.
00;23;23;02 – 00;23;42;12
Dr. Mona
And I love this conversation because it’s so unique, and it’s really hard for a parent to know what is typical for a tantrum also, right? I mean, we think about like, you know, we talk about tantrums and you’ll say like, okay, if it lasts more than 25 minutes or at last more than 40 minutes. But then also, is it is it a persistent, pervasive thing that’s happening with the with the regulation?
00;23;42;12 – 00;24;06;21
Dr. Mona
And I don’t mind using my own example. It’s harder also if you only have one child. So for example, I see you know I had when I had Ryan, I have I now have two children. Right. And Ryan you know we saw him be very sensitive to water like he would be. So it took us a lot of exposure to water to be able for him to be comfortable, like in the baths with the ocean and then also with new experience is and we were also pandemic children.
00;24;06;22 – 00;24;29;06
Dr. Mona
He was a pandemic kid. So we were like, is this a pandemic situation that he’s never been around people, is it? We don’t know. And and I hope a lot of my followers or our listeners who are pandemic parents can probably relate to this, that you don’t know. You’re like, I don’t you know, this is something that I, I’m the first I’m a first time parent to a kid who’s more sensitive to environment and to water and this and noises and he just hasn’t been in.
00;24;29;06 – 00;24;51;25
Dr. Mona
So we exposed him. And then as he got older, your example of your daughter, you know, now he’s the tantrums were typical in my experience. But now at almost five we find that his his trigger for tantrums is overstimulating moments. Meaning a lot of people together, a lot of noise. And I actually now have to prepare him and say, hey sweetie, we’re going to a party.
00;24;51;25 – 00;25;17;07
Dr. Mona
I know that it may be a little bit overwhelming, and we actually, I taught him what overwhelming means because he’s almost five and I’m like, if you’re feeling overwhelmed and you feel like it’s a lot, you got to find me and we can go somewhere quiet, right? And I, I think this is an example of knowing what triggers your child, whether they have a label of sensory processing or not, because I know that he’s going to meltdown and lo and behold, he meltdown after that party he was and and no one understands it but me and my husband, right.
00;25;17;07 – 00;25;33;25
Dr. Mona
Because I’m like, no, like I tell my husband, like, you got to be careful because we’re going with a lot of children. There’s going to be a lot of stimulation. And my daughter, who’s 17 months, never is like that. Like, and she’s only. And so I look at Ryan when he was 17 months and I look back and he was very sensitive to stimulation.
00;25;33;25 – 00;25;55;11
Dr. Mona
At 17 months my daughter just chills. She’s like, they’re like hanging out. Like, okay, you want to throw noise at me? You want to throw this? And it goes to show you in the same family how different the children can be and how sometimes you don’t realize it until you have a second, or you see another child, or like you and like you said, maybe talking about it to a clinician or someone who really understands, like what is the concern here?
00;25;55;11 – 00;26;11;20
Dr. Mona
Is it that you are not able to do the activities like go to parties? Are you not able to get out of the house or is it something that you can move through and you have the resources? Because I think my son probably has some sensory processing differences, but we’ve never seen anyone about it because I’ve been able to manage it with him.
00;26;11;26 – 00;26;17;06
Dr. Mona
His teacher has been managing it, but many parents may not have that luxury because they may not know it’s a thing.
00;26;17;09 – 00;26;37;09
Laura Petix
Absolutely everything that you said is such a common experience when parents are trying to decide what’s worth bringing it to the doctor, what’s not, it’s like, well, we, you know, we still go to those family functions and he’s fine there. But then after, that’s also a sign of sensory processing differences, where it just takes such a cognitive load out of your yeah.
00;26;37;15 – 00;26;56;11
Laura Petix
Their brain that they there’s none left for emotional regulation and any language and any play and any of that. So even if your child is not covering their ears at the family party, but you notice it takes significantly, takes significant more effort to put them to bed than it or the next day. There’s these like this hangover as I talk like.
00;26;56;12 – 00;26;56;24
Dr. Mona
Sensory.
00;26;56;25 – 00;27;16;03
Laura Petix
Hammers right now, as a as an adult. Now that I recognize that I’m neurodivergent, it makes so much sense. And so, yeah, I can go to these loud, I can go to Disneyland, I can go to these family events, but you don’t see what I prep my body like that whole day. Like, if I have a party to go to at seven at night, I’m not doing anything.
00;27;16;03 – 00;27;34;17
Laura Petix
Yeah, the whole day, I am like, saving room in my sensory cup because I know how much that’s going to be, so I’m great there. And then after I can’t even talk to my husband on the way home, the music’s got to be us. Like, I will like, have headphones or chewing. Got like something, right? But then people who don’t know me know me before or after the party.
00;27;34;17 – 00;27;58;20
Laura Petix
Like what you’re narrative like, come on, you know, you were fine at the party. You didn’t need the headphones, you know, and that’s the same for kids. So it’s not always so obvious in the moment. But dysregulation is cumulative. So you can they can mask but they could also have great time. And then just just by leaving the party at completely overflows their cup.
00;27;58;20 – 00;28;02;12
Laura Petix
And then that’s what you’re dealing with at another at a later time. Yeah.
00;28;02;12 – 00;28;19;12
Dr. Mona
And and I think it’s so important we have these conversations because I remember when my son was three and we went to California to visit family and we overscheduled him, meaning we overscheduled all of ourselves. Right? We went to something in the morning, had a nap time, but then went somewhere in the afternoon. And then I realized that he was melting down and he was three.
00;28;19;12 – 00;28;35;25
Dr. Mona
So kids meltdown at three, right? Yeah. And then it turned to my husband and I said, this is too much for him. Like, I don’t think he’s able to handle this much social activity that we probably need to to to, stream it down a little bit and maybe do one thing a day or every other day or have more downtime.
00;28;35;25 – 00;28;52;18
Dr. Mona
And the reason I bring this up is that I got a lot of judgment from my own parents. My own father was like, you can’t handle your son. I’m like one. He’s three. Two. I think he’s just different. Like, I can go to a lot of things. Like, I know myself, my husband, though, he’s like my son, like he gets a little overwhelmed.
00;28;52;18 – 00;29;07;17
Dr. Mona
It’s it’s like the sensory cup that you’re describing. I do believe that my son got that from my husband. But yes, for me, I am able to go to multiple things. But I also need a little brief, you know, debrief, like maybe on, like a 20 minute drive, but then I’m back to myself. Right. But my son can’t do that.
00;29;07;19 – 00;29;26;14
Dr. Mona
My husband can’t do that. And I think it’s such an important conversation because I don’t want parents to feel judged that they’re doing something wrong when they are. They know their child. They know it’s so important for us to know what is that trigger for your child’s meltdowns and part of it could be sensory processing. Whether you have a quote unquote label or not, you don’t need it.
00;29;26;14 – 00;29;40;00
Dr. Mona
Like I said, for my own son, I just know that he needs that downtime. And, you know, one thing I found when it like and so I now I tell my husband, like, I’ll handle it right. Meaning when we come home, I know how to handle my son after these big events, because my son will tell me now.
00;29;40;00 – 00;29;55;21
Dr. Mona
And I love that we’ve taught him this. I he’s like I said, sweetie, why are we upset? Because he’ll be so overwhelmed and he’ll just hug me and I’ll, like, press his arms, like with very deep pressure because that helps, right? And then I’ll say it’s very overwhelming when our brain is thinking a lot. Right? And he’s like, yeah, mommy, my brain is.
00;29;55;21 – 00;30;11;15
Dr. Mona
He now says that he’s like, mommy, my my brain is going too fast. And I’m like, I know. Yes, I feel the same way. He’s like, you’re here now. We just take a quiet moment and we regulate. And it’s so important because sometimes if you don’t know that, then how will you know how to de-escalate? Like, you know, you need to know, you know.
00;30;11;18 – 00;30;14;19
Laura Petix
That’s it. And the fact that you include him in those conversations.
00;30;14;23 – 00;30;15;03
Dr. Mona
Is.
00;30;15;04 – 00;30;16;10
Laura Petix
Is so important.
00;30;16;12 – 00;30;17;28
Dr. Mona
For them. Yeah.
00;30;18;00 – 00;30;37;00
Laura Petix
I think for parents, when you start realizing your child, whatever you have, you know, you don’t need a professional right now to tell you your child has sensory needs. If you’re listening to this podcast and a lot of this is resonating for you, it’s safe to say that your child might need some extra support in regulating their sensory their nervous system.
00;30;37;04 – 00;30;57;08
Laura Petix
So if you think your child is overwhelmed from family, partner, or you know their triggers very well, whether it’s clothes or whatever, know that, accept that, know that that’s a piece to it and then teach them about it. Because imagine because for what I tell parents is, like, you ever read someone’s post, like a moms post?
00;30;57;08 – 00;31;13;06
Laura Petix
And they share a very vulnerable starting like, oh my gosh, I thought I was the only one who felt that way. And that immediate sense of validation when you’re like that, oh my God, someone else feels that way. And look at all the thousands of comments. Okay, like I know that it’s not just me. I like give that sensation to our kids.
00;31;13;06 – 00;31;31;14
Laura Petix
Like, whoa, my mom just explained it to me. Like, my sensory cup is so full that there was no room for me to be able to play and sit still at the dinner table tonight. I know that that’s how my brain and body work, so there’s nothing wrong with me. So it’s not like, how come I can’t do this?
00;31;31;14 – 00;31;54;04
Laura Petix
But they can do that. It’s like what? My brain works this way and my brain gets my brain has a small sensory cup and it gets overflowed. And so I need breaks more in my day. So just any kind of, education that you can start instilling in your kid as soon as you start having a clearer understanding of their behavior and I think that it starts, I think a lot of parents can at least start with your own regulation.
00;31;54;04 – 00;32;15;26
Laura Petix
Just live. Sportscasting like that was probably the best thing for me, which was so different than how my parents did. I come from a Filipino family and so they, you know, protect our they want their kids to always be happy and like never and never experience like sadness or anything like that. Very permissive parenting. And my mom would always tell me, like, you know, don’t let her see you.
00;32;15;26 – 00;32;38;07
Laura Petix
Sad to let her see you like anxious like, where are you telling her you’re going? If you if you need to go away for the weekend, are you going to tell you’re going to work? And I’m like, no, I’m telling my daughter. My mommy’s sensory cup is so, like overflowing. And I need a I need some quiet and space now and or and like, just teaching my daughter that I have my own needs and I could take care of them and the language to do it.
00;32;38;07 – 00;33;02;00
Laura Petix
Now, my daughter will write letters to me and and things that you know, she’s like, I’m feeling overwhelmed. I don’t want to be talked to you right now. Leave me alone like the leave me alone thing is happening. She’s only seven and I’m like, absolutely yes. Have your space. Like I got it. And so we just are constantly her and I are both talking about our sensory experiences throughout the day, and then we don’t take it personally.
00;33;02;02 – 00;33;18;04
Laura Petix
When I accidentally snap or she is now, I don’t need to punish her for, quote, being rude because later she can come back or I can be like, hey, were you feeling a little overwhelmed from school? School, I know yet in assembly at school? That’s probably why. Right? And I know you didn’t eat lunch because it was just.
00;33;18;04 – 00;33;39;28
Laura Petix
Yeah, that makes sense. Okay. All right. And that’s it. Yeah. So it starts. You’re you’re able to see your child’s behavior in a completely different perspective when you can remember their sensory cup, and their nervous system. And that’s where it’s driving from. And then you you’re approach to them and your parenting and your relationship, can transform in really beautiful ways.
00;33;40;00 – 00;34;01;12
Dr. Mona
I love this, and I want to, you know, I want to ask you more about some myths and misconceptions about sensory processing, because I know we’ve kind of already talked about a little bit. And, one thing, you know, one thing I think in this modern parenting era, which I experience with my mom, with my family, is that sometimes people from the outside think that they’re we’re giving an excuse like me that, oh, this is not like you don’t.
00;34;01;12 – 00;34;17;09
Dr. Mona
And I hate this word that you don’t have control over your child when. Yeah, that you can discipline their way out of sensory, you know, processing differences. And so that to me is one of the biggest one that can be very hurtful. Yes. When you know, I again I know my son is is like that. You know, I know that he is gets overwhelmed.
00;34;17;09 – 00;34;33;06
Dr. Mona
And so the fact that I can advocate for him and he knows that there’s someone on his side, including me and my husband is so beneficial. But what would be like other myths or misconceptions about sensory processing or things that you would love? People who may not have a child or themselves have sensory processing you wish that they would know?
00;34;33;08 – 00;34;55;27
Laura Petix
Yeah. That was that’s definitely a big one. And when I was getting prepared to answer, I was also it’s just that whole you they need but they need more discipline. Like you can like, you know, you can train them to behave a certain way, kind of related to that. But in a way to tie it together for parents is I get the question a lot of like, you know, my kid’s not listening at bedtime and running around, is this sensory or is it behavior?
00;34;55;27 – 00;35;23;15
Laura Petix
It’s that motion. And I like to reframe that for a parent and say, so it’s all behavior. Yeah. Scratching my elbow is a behavior like laughing is a it’s all behavior. Behavior gets such a bad rap. But behavior is just something observable that the body is that someone can see. Right. So it’s all behavior. What I think parents are asking is, is my child doing this on purpose to piss me off or to like, get attention or to or is there a sensory need?
00;35;23;23 – 00;35;44;02
Laura Petix
And so for me, I help parents say like, okay, let’s not every behavior has a sensory need. But if you have a child with sensory processing differences, a lot of their behavior is colored by the way that they process sensory information, because that’s just how we function with the world. But what you’re asking is, is this behavior is the, you know, running around before bath time.
00;35;44;02 – 00;36;06;00
Laura Petix
Is that a sensory need or is it something else? And the something else can be communication can be lack of connection, social, emotional, cognitive, executive functioning like lots of different things. But or is it a need for movement? Right. So I like to help parents understand that, that it’s all behavior. And, some behaviors have a sensory trigger, some don’t.
00;36;06;05 – 00;36;27;00
Laura Petix
And then the other piece that I would say is often a misconception is, which we alluded to earlier, is that like, just because they’re fine, like at school or they don’t, you know, or like they were great at the family party, it does not mean that they are having a hard time internally or that it doesn’t take their nervous system a lot more effort to maintain the sense of regulation.
00;36;27;03 – 00;36;33;21
Laura Petix
Just because you can see them like find out like outside of that, that would be a huge piece for me.
00;36;33;23 – 00;37;00;23
Dr. Mona
I love both of those. I mean, that is that is the key here. And I think it kind of ties up everything really well in terms of, you know, no understanding that you can’t always judge or assume things based on how someone’s acting or not acting. I think in both aspects. Right. Like, I mean, at the parties and stuff and, you know, recently, I mean, at the time of this reporting, we had gone to a party and I and I, I almost, I almost anticipate these things because I know, I know my son so well and I’m actually yeah, I think one of the I think one of the final messages for
00;37;00;23 – 00;37;16;20
Dr. Mona
me would be knowing your child so well is probably one of the best gifts that you can give yourself as a parent, that he is so different than my daughter. I know my daughter at this point doesn’t need any of that. Maybe she will in the future, but it’s like knowing that he’s different. Not overly like getting anxious about the moment, but just being.
00;37;16;20 – 00;37;32;04
Dr. Mona
Yeah, preparing. Like the conversation that we had, just me and him. Yes. Like on the side. And at the end of the day putting putting a lot of confidence back into him like, hey, you did a really good job today. Like I know that was a really different experience and I know you had a really big feeling when you had to leave and you didn’t want to leave.
00;37;32;07 – 00;37;59;10
Dr. Mona
And you did great. Versus the yelling, the shaming and all that. And you said it perfectly. Like it really builds up this child to feel empowered. Like I look at maybe your daughter, too, you know, two years from now, our son will do the same thing and say, I need a moment. You know, like I and, you know, part of me and I think one of the biggest misconceptions and hard thing as a parenting educator online is what I had alluded to at the beginning is that, you know, we talk about needing to regulate a lot with our children, like, you know, sitting with them and validating and all that.
00;37;59;10 – 00;38;12;21
Dr. Mona
And I actually just I’ve said this a long time that some kids don’t want that. Some people don’t want that. Some people don’t want you to talk when they’re feeling overwhelmed. Like, you know, you can ask your child, hey, I think you’re having big feelings. I’m here if you need me. But if you need a moment, take the moment.
00;38;12;25 – 00;38;30;07
Dr. Mona
I’m here. If you want a hug, I’m here. But you don’t need to, like, sit there and stare at them and, like, validate. No, I’m kids. It’s overwhelming for them. Like Ryan. Yep. Does not want me to talk while he’s upset. And I’m like, okay, I’m here. And then I and I’m like, do you need a hug? And then he just melts into my arms and that’s what he needed.
00;38;30;07 – 00;38;32;22
Dr. Mona
And sometimes he’s like, just stop talking. And I’m like, good.
00;38;32;28 – 00;38;50;26
Laura Petix
Okay, so one of my favorite tips I will leave just on that for anyone who even struggle with that, because yes, more auditory input is really more stressful to the nervous system. Yeah. When my daughter was still having really, really big meltdowns like that, I knew she either needed space or she wanted a hug or, you know, there’s probably two things.
00;38;50;29 – 00;39;12;05
Laura Petix
But instead of saying, do you want a hug or do you want space? And having them say a verbal response, which they’ll say, like, like, no. Or they just won’t even reply? I hold up both of my hands and I say, do you want hug or do you want a space? And she knew that she could punch, slap hit like I was giving her permission, but she was selecting an answer non-verbally.
00;39;12;07 – 00;39;32;09
Laura Petix
Getting some sensory input, and she was more likely to tell me what she actually needed in that moment. And then I was able to, to implement it, which is something that I what when it comes down to when she’s having a hard time making a choice, I remove the expectation that she’s going to tell me with her words, but I will still allow her to tell me what she needs in some other way.
00;39;32;09 – 00;39;41;20
Laura Petix
So the easiest way to hand multiple choice do you want this or this a point to which one you want? And yeah, my daughter can talk, but like I’m not going to tell her to use her words.
00;39;41;22 – 00;39;42;21
Dr. Mona
When they’re dysregulated.
00;39;42;25 – 00;39;46;07
Laura Petix
When her brain is not even accessed, that part of her brain is not accessible.
00;39;46;13 – 00;40;03;11
Dr. Mona
Yeah, yeah. No, the two arm thing is what I do too. And it’s, it’s actually it actually is very visually helpful and I yes. The biggest thing that I always like when, when they melt or they, when they come down from that dysregulation, whether it was a hug or like they just needed to get the physical out. Like it feels so good for everybody.
00;40;03;11 – 00;40;19;16
Dr. Mona
Like I love seeing it. I love seeing him come down from that high of like I’m so dysregulated. But now I can just exhale and like they when exhausted, when he hugs me and he melts into my arms and it’s like, yeah, it just gets loose. I’m like, you just his body gets like in a good way. And I’m like, oh sweetie, you need.
00;40;19;16 – 00;40;19;28
Dr. Mona
Because that.
00;40;19;28 – 00;40;20;24
Laura Petix
Regulation.
00;40;20;24 – 00;40;21;22
Dr. Mona
Needed was so good.
00;40;21;23 – 00;40;32;08
Laura Petix
You needed to regulate their body more than their emotions. Right. Which like, you can’t really talk out of emotions. Yes. Even as adults, but especially not kids trying to tell them to not worry about certain things. I will get.
00;40;32;08 – 00;40;32;24
Dr. Mona
To go down in a.
00;40;32;29 – 00;40;59;24
Laura Petix
Row or we’ll get you a new one. We instead of like distracting or changing the emotion or even validating the actual feeling. Regulate the emotion. Validate the sensation. Your your fists are really tight right now. Yeah. Did that feel good to shake that out? Your body feels really warm right now. Do we need some air like regulating the body, the sensations, the sensory experiences, rather than talking at a cognitive level towards the emotions?
00;40;59;24 – 00;41;02;28
Laura Petix
I think is a really, really great precursor for. All right.
00;41;02;28 – 00;41;17;27
Dr. Mona
So as a wrap up, I know you already mentioned a little bit, but when would you say. Because I know I’m obviously talking about sometimes you may not see a professional, but in your opinion, when would you say that it’s a good idea to see someone who can help you navigate this with your child if you’re concerned?
00;41;17;29 – 00;41;39;03
Laura Petix
Yeah. So instead of giving like a kind of checklist, I kind of mentioned this earlier, it’s when you find that you yourself as a caregiver, as a parent, you cannot keep up with your child’s needs. Like there’s something else where you just like, I’m trying my very best. I’ve tried every single thing, but they’re still like every day is a constant battle around coding bedtime.
00;41;39;05 – 00;42;04;01
Laura Petix
You know, at school, I’m getting notes of this. Or maybe it’s not even struggling at school, but it’s just like, I really don’t know what else to do if that’s what you find yourself constantly saying, go seek support. Yeah, here’s a great place to start for that. And like I said, family A might have and family B might have the same exact behaviors, but family B might have a lifestyle that’s more conducive to that.
00;42;04;01 – 00;42;22;06
Laura Petix
And or maybe the parents, are more, you know, within the field. And so they can support their child. They don’t necessarily need professional support, or maybe they homeschool, or maybe they live on a farm and they can provide their child with the sensory input they need and family a lives in, you know, like a high rise in New York City with a lot of loud sounds and noise.
00;42;22;07 – 00;42;38;08
Laura Petix
And you child goes to a traditional school and so their child is more impacted than child B, even though they might have very similar sensory profile. So it really depends on the environment as well as how impacted the child is. In their own body.
00;42;38;10 – 00;42;54;15
Dr. Mona
God blessed because I can attribute that that my son, when he’s feeling overwhelmed. We have a park that we live very close to. Like literally like our backyard. Almost. Okay. And he is he is so happy in nature. Like, it’s it’s and I think a lot of kids and excuse me, a lot of people will say that nature makes them happy.
00;42;54;15 – 00;42;59;16
Dr. Mona
But the tumbling the the picking up. Yeah. The scratching of things that you can’t lose in.
00;42;59;16 – 00;43;09;05
Laura Petix
Nature, the sensory, sensory experience you get from nature is, you can’t recreate that. So, yeah, that’s that’s great for a lot of kids.
00;43;09;07 – 00;43;27;02
Dr. Mona
I love talking to you. I love the obviously the motivational aspect and the empowerment that you do, which obviously I expected given what your platform is. But on my show, I like to ask my guests for a final, uplifting message. You know, taking all this kind of hard hitting topics that we talk about. And what would you want someone to leave this episode feeling?
00;43;27;05 – 00;43;49;13
Laura Petix
Parents that are here listening to this episode, I want you to know if you’re already listening to this episode, you’re probably already doing more than enough for your child, so don’t leave this episode feeling like you got to go do a bunch of strategies. I would really, really sit and know that you’re probably doing enough, and I would really start just thinking more about your own sensory experiences and starting with yourself.
00;43;49;13 – 00;44;11;08
Laura Petix
If you feel overwhelmed trying to untangle what’s happening with your child, start with yourself and see how that kind of can start piecing it together. Because you can probably relate to a lot of things that your child does. And if if it doesn’t even extend to that, just understanding your own nervous system and regulation and your own triggers and relating them to little sensory experiences can go a long way.
00;44;11;08 – 00;44;16;17
Laura Petix
But know that you are already doing enough. You’re doing a lot, and you are a fantastic parent.
00;44;16;19 – 00;44;28;18
Dr. Mona
But that’s one of my favorite parts of my podcast is asking that question. Thank you. Yes, I love it. I mean, it’s such a great message. Thank you for joining joining us. And where can people go to stay connected? Your social media handles everything. Yeah.
00;44;28;21 – 00;44;47;03
Laura Petix
Yes. Social media. I am on Instagram at the yacht butterfly. That’s where I hang out most often and I’m always in my DMs. But I have a podcast that’s currently on hiatus. But if anyone wants to go binge more information on sensory processing, it’s called the Sensory Wise Solutions podcast for parents. And that’s on all podcast players.
00;44;47;03 – 00;44;50;12
Laura Petix
You can also find it on my website at Dot butterfly.com.
00;44;50;14 – 00;45;01;19
Dr. Mona
Love it. I will be linking all of this to show notes and on our YouTube as well, because again, I want you to stay in touch with Laura and all of her amazing information. And thanks again for coming on the show today.
00;45;01;21 – 00;45;03;09
Laura Petix
Absolutely. Thank you so much for having me.
00;45;03;16 – 00;45;19;20
Dr. Mona
Yeah, and for everyone tuning in on our YouTube channel. Thank you so much. Make sure if you like this episode, comment on the video, subscribe to our channel so you can stay up to date on all of our future guests that will be coming on the show, as well as my Saturday episodes, and we’ll see you all next time.
00;45;19;22 – 00;45;37;04
Dr. Mona
Thank you so much for spending this time with me and Laura today. These conversations mean so much. Not just because they bring awareness, but because they remind us that we’re not alone in the ups and downs of parenting. This podcast really is my favorite place to connect with you in a deeper way, and I’m grateful you choose to be here.
00;45;37;13 – 00;45;57;03
Dr. Mona
if this episode resonated, I’d love for you to subscribe and download your favorite episode. That support helps the show grow and reach more families. And if something in today’s conversation stood out, share it on your stories and tag PedsDocTalk the PedsDocTalk podcast, and The OT Butterfly. It’s such a powerful way to spread this message to parents who might need it.
00;45;57;05 – 00;46;02;29
Dr. Mona
I’ll see you back here next week. And until then, thank you for listening and for letting me share this space with you each and every week.
Please note that our transcript may not exactly match the final audio, as minor edits or adjustments could be made during production.
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All information presented on this blog, my Instagram, and my podcast is for educational purposes and should not be taken as personal medical advice. These platforms are to educate and should not replace the medical judgment of a licensed healthcare provider who is evaluating a patient.
It is the responsibility of the guardian to seek appropriate medical attention when they are concerned about their child.
All opinions are my own and do not reflect the opinions of my employer or hospitals I may be affiliated with.