PEDIATRIC OT GLOSSARY • REVIEWED BY A LICENSED OCCUPATIONAL THERAPIST
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REGULATION

What is Co-Regulation?

Support from a calm, responsive adult that helps a child manage emotions, attention, and body state.

Co-Regulation: a clear definition

Young children develop self-regulation through repeated experiences of co-regulation. An adult notices cues, adjusts demands, offers connection, and helps the child return to a workable state.

Why does Co-Regulation matter?

Children cannot reliably use coping strategies when demands exceed their capacity. Connection and environmental support come before correction.

What might parents or teachers notice?

  • Big reactions during transitions
  • Difficulty recovering after distress
  • Regulation changes with noise, hunger, fatigue, or demands

One observation alone does not identify a diagnosis. Consider the child's age, opportunities, culture, health, environment, and impact on everyday participation.

Practical ways to offer support

  1. Use predictable routines and simple language
  2. Name feelings without judgment
  3. Offer two safe choices and stay present

When may professional guidance help?

If these concerns are affecting your child’s daily activities—playing, dressing, eating, participating in preschool, learning, or interacting with others—consider discussing them with your pediatrician or a pediatric occupational therapist.

Developmental screenings →Learn about pediatric OT →Contact Ruslana →

Related OT terms

References and further reading

Educational information, not a diagnosis

This glossary page is for general education and cannot diagnose a child or replace an individualized evaluation. Terminology and recommendations should always be interpreted in the context of the whole child and their daily life.

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