Case Studies


Max, aged 4, was referred to Calm Alert Kids by his mother due to experiencing suspected sensory processing problems. Max had a history of being over responsive to sensation in his auditory and tactile systems. The main concern his mother identified was that she wasn’t able to cuddle him as he withdrew and became agitated by touch. She felt that both she and Max had been robbed of the mother-infant bond and this had knocked her confidence as a mother. Standardised assessment and parent interview identified that Max over-responds to sensation in his touch, visual, auditory and movement senses. Max also experiences low muscle tone and poor body awareness. After a short treatment block, including 6 x 1:1 therapy sessions, 2 parent education sessions and a home program, Max’s mother excitedly reported that she was now able to cuddle up on the sofa with Max and rub his feet. Additionally benefits are that cleaning his teeth is no longer a battle, that he sleeps better and that he transitions well from playing on his iPad to eating meals.


Olivia, aged 7, was referred to Calm Alert Kids by her primary school due to experiencing a range of problem behaviours, including difficulty sitting still, poor attention, coordination difficulties and handwriting concerns. Olivia was assessed and treated by an OT within the school environment. Standardised testing confirmed that she met the criteria for a diagnosis of developmental coordination disorder (DCD). Olivia was given an individualised therapy program aimed at improving her attention, postural control and coordination skills that she completed 3 times / week. In addition to this, Olivia joined a small handwriting group run by the OT for 8 weeks in her school. Environmental modifications and task adjustments, as recommended by the OT, were incorporated into the classroom to aid attention and increase success carrying out multi-step activities. Olivia has now been closed to OT and both her parents and teacher report a happier child, less frustration and avoidance of handwriting tasks and a greater willingness to try new things. Olivia is able to remain seated and complete desktop work within the expected timescales. Olivia’s school will continue to support her carrying out her weekly exercises in order to maintain the changes she has made.


Lily, aged 6 months, was referred to Calm Alert Kids by her private physiotherapist for intensive intervention. She has a diagnosis of cerebral palsy. Lily receives intervention from her NHS therapy team but her mother was of the opinion that Lily needed more intensive intervention at this point in her life. Lily was seen for weekly sessions for a period of 12 weeks, working on exercises to improve her head control, track objects with her eyes and explore sensory toys with both hands. Lily’s mother was helped to increase her confidence carrying and positioning Lily, stretching her muscles and playing with her. It has been an absolute privilege being part of Lily’s early journey. We look forward to regularly reviewing and working with her and her family over the coming years.


Toby, aged 7 years was referred to Calm Alert Kids by a private paediatrician due to experiencing feeding difficulties. Toby has a diagnosis of autism and is described as a fussy eater. At the point of referral Toby was only able to tolerate a very restricted diet. His mother was greatly concerned that he wasn’t receiving a balanced diet and about the impact his behaviour had on family occasions, including eating out and attending gatherings. Assessment identified that Toby has a sensory modulation difficulty with an over-responsive to sensation pattern, including his ability to cope with texture and flavour. In addition to this, Toby experiences difficulty coordinating the movements of his tongue and poor jaw strength, both of which made dealing with certain food textures difficult for him. Calm Alert Kids provided Toby with 8 x 1:1 therapy direct therapy sessions, a sensory diet to help improve his ability to process sensation better, along with oral- motor exercises to help improve his jaw strength, tongue movements and awareness around his mouth. In addition to this his mother was provided with advice about how to progress Toby’s ability to move from foods requiring very little oral- motor skill to more complex foods. Toby now demonstrates less anxiety around food and is more willing to touch, smell and taste new foods.