Skip to main content
Not Found
Digital Seminar

Reactive, Aggressive, and Withdrawn Kids: A Complete Guide to Transforming Extreme Dysregulation and Challenging Behaviors


Speaker:
Tere Bowen-Irish, OTR/L
Duration:
6 Hours 23 Minutes
Language:
Presented in EN, subtitles in EN and FR, handouts in EN and FR
Format:
Audio and Video
Copyright:
Nov 20, 2025
Product Code:
POS150406
Media Type:
Digital Seminar

Choose a price item
Choose additional price

Description

  • Decode extreme behaviors as nervous system distress – not defiance
  • Integrate polyvagal, sensory, and trauma-informed tools
  • Build Relational safety for even the most reactive kids

Walk away with practical, ready-to-use strategies for meltdowns, shutdowns, elopement, and aggression.

 

You’ve tried everything – but some kids still lash out, shut down, bolt, throw chairs, scream, or hit.

These aren’t just “challenging behaviors” – they’re survival responses from nervous systems stuck in distress.

What if the issue isn’t a lack of tools, but a fragmented approach that overlooks the deeper causes?

Today’s kids face complex dysregulation rooted in trauma, sensory challenges, executive functioning delays, anxiety, and neurodivergence.

And traditional methods often fall short, leaving these kids misunderstood, labeled and underserved.

This transformative training with Tere Brown-Irish, OTR/L – creator of the Drive Thru Menu Suite of Exercises – introduces a polyvagal- and sensory-informed framework to address behavior at its root: through connection, regulation, and a whole-child approach.

Designed for occupational therapists, mental health clinicians, educators, and other child-serving professionals, this course offers a practical, compassionate path forward for even the most reactive, aggressive, or withdrawn children.

You’ll discover:

  • How to decode extreme behaviors and design a path forward
  • Coregulation and sensorimotor-based strategies to restore connection
  • New tools for responding to elopement, shutdowns, aggression, and self-injury
  • Polyvagal-informed techniques that support nervous system resilience
  • Personalized “Go-To Menus” for prevention and recovery routines
  • Coaching methods to foster consistent, compassionate environments

This course won’t just expand your toolbox – it will help you organize it into a powerful, integrated system to support the kids who need it most.

Credit

Program Information

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



Canada Credit - *

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your licensing board's rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

 


Canada Credit - ---

Earn up to 6.25 CE hours. Please see below, for more details, as credit amounts vary by jurisdiction and profession. 


Canada Credit - Canadian Counsellors and Psychotherapists

PESI, Inc. is approved by the Canadian Counselling and Psychotherapy Association to offer continuing education for counsellors and psychotherapists. PESI, Inc. maintains responsibility for the program. This self-study activity is approved for 6.0 credit hours.


Canada Credit - Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Canada Credit - Social Workers - National ASWB ACE

PESI, Inc., #1062, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: January 27, 2026 - January 27, 2029. Social workers completing this course receive 6.25 Clinical continuing education credits.

Course Level: Intermediate Format: Recorded asynchronous distance. Full attendance is required; no partial credits will be offered for partial attendance.

 

Canadian Social Workers: Canadian provinces may accept activities offered by providers approved by the ASWB ACE program for ongoing professional development.


Canada Credit - Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.


US National Boards - Nurses, Nurse Practitioners, and Clinical Nurse Specialists – ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 6.25 contact hours. Expires: 10/28/2028.


US National Boards - Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Approved provider # 3322. This Distance-Learning Independent activity is offered at .625  CEUs Intermediate , OT Service Delivery; Foundational Knowledge. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

 

Full attendance at this live activity qualifies for 6.25 contact hours.

 



Handouts

Speaker

Tere Bowen-Irish, OTR/L's Profile

Tere Bowen-Irish, OTR/L Related seminars and products


Tere Bowen-Irish, OTR/L, has over 45 years of experience as an occupational therapist, specializing in psychiatry and pediatrics across hospital, school-based, and private practice settings. Through her practice, All the Possibilities, she provides consultation, evaluation, treatment, and education to support the functional and emotional well-being of children of all abilities. Tere has delivered continuing education nationally for over two decades, sharing practical, strengths-based strategies with therapists, educators, health professionals, and parents. She is also a certified YogaKids instructor and Mindful Schools Educator. Her publications include the Drive thru Menu Suite of Exercises, Yoga and Me, Come Be a Tree, and My Mindful Music (coauthored with Maryann Harman). Currently, she offers therapy and mindfulness instruction – often with the help of two canine companions – at a therapeutic school serving students unable to attend public school.

 

Speaker Disclosures:
Financial: Tere Bowen-Irish is the owner of All the Possibilities, LLC., and has an employment relationship with Seacoast Learning Collaborative. She receives royalties as a published author. Tere Bowen-Irish receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Tere Bowen-Irish is a member of AOTA.


Additional Info

Program Information

Questions?

Visit our FAQ page at https://www.pesicanada.ca/faq or contact us at https://www.pesicanada.ca/contact-us.


Access for Self-Study (Non-Interactive)

Access never expires for this product.

For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com. 


Objectives

  1. Identify the neurological and sensory-based origins of extreme dysregulation in children and adolescents.
  2. Identify behavioral outbursts as communication of unmet developmental, emotional, or safety needs.
  3. Choose polyvagal- and sensory-informed strategies to support nervous system regulation and resilience.
  4. Develop individualized prevention and intervention plans using structured tracking and observation tools.
  5. Identify in-the-moment responses to acute behaviors such as elopement, aggression, shutdowns, and self-injury.
  6. Utilize relational safety, co-regulation, and recovery rituals to rebuild trust and promote long-term emotional growth.

Outline

Getting the Root of Behavior

Communication, Not Defiance

  • Unmet developmental, sensory, cognitive, and social-emotional needs
  • Environmental contributors: schedule, demands, transitions, overstimulation
  • Emerging diagnoses (ASD, ADHD, PDA & more)
  • Gaps in functional skills
  • Behavioral patterns across settings: home, school, community
  • Relational dynamics: peers, adults, authority
  • Sensory processing challenges and common environmental triggers
  • Structured behavior tracking and data collection tools

The Role of the Brain & Nervous System

Trauma, Stress and the Developing Brain

  • The impact of chronic dysregulation on learning, participation, and relationships
  • Brain pruning in the early teen years: Behavioral implications
  • Nervous system states explained through Polyvagal Theory
  • Differentiating shutdown, fight/flight, and functional freeze responses
  • Recognize how your own nervous system impacts responses to dysregulation
  • Supporting executive functioning skills: inhibition, flexibility, planning, and self-monitoring
  • Limitations of the research and potential risks

Preventative Interventions

Setting the Stage for Success

  • Neurodiversity-affirming, sensory-safe environments
  • Daily mindfulness practice to build self-awareness
  • 20+ movement strategies for use throughout the day:
    • Heavy work to support emotional regulation
    • Vestibular input to facilitate focus
    • Bilateral coordination tasks to facilitate cognitive flexibility
  • Visuals, timers, and cues for transitions and predictability
  • Go-to menus of coping tools and regulation strategies
  • Point-of-performance coaching to build skills in real time
  • Choice, autonomy, and refusal as communication
  • Play, humor, and connection
  • Use-anywhere tools for emotional literacy
  • Consistency across home, school, and therapy settings

Acute Interventions

Responding in the Moment

  • Meltdown vs. shutdown vs. escalation
  • Crisis response team: Trusted adults, not just available staff
  • Cues and precursors to acute behavior
  • Verbal de-escalation scripts and visual cues
  • Structrued exits, alternative escape routes, and break plans
  • Elopement, self-harm, or aggression: Safety and regulation as the goal
  • Connection during refusal or withdrawal
  • “Bounce-Back” systems post-incident to rebuild trust and resilience
  • Neuroaffirming incident documentation: No blame-based language

The Human Element in Intervention

  • Embedding relational safety as a core strategy
  • Co-regulation opportunities
  • Consideration of an embodied approach
  • Student voice and nervous system signals
  • Emotional recovery and re-engagement
  • Predictable rituals for repair and reconnection
  • Intentional relationship-building

Target Audience

  • Occupational Therapists
  • Social Workers
  • Counsellors
  • Educators and School Administrators
  • School Nurses
  • Psychologists
  • Speech-Language Pathologists
  • Physical Therapists

Reviews

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to info@pesicanada.com.

Please wait ...

Back to Top