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07/14/2025

Presume competence ♥️

 : An Occupational Therapist’s Perspective on Childhood ShameAs therapists, we witness daily how childhood shame becomes...
04/11/2025

: An Occupational Therapist’s Perspective on Childhood Shame

As therapists, we witness daily how childhood shame becomes embedded in the nervous system. When a child becomes overwhelmed in our office, we’re not seeing their authentic self—we’re observing their protective response to internal distress.

In my practice, I’ve found that children carry the weight of labels assigned to them: “difficult,” “sensitive,” “stubborn.” These given indentities follow them like shadows, influencing how they see themselves and how others respond to them.

Therapeutic presence means recognizing that a child’s dysregulation isn’t personal, permanent, or defining. It’s a momentary state reflecting their internal experience—often one of shame, fear, or overwhelm.

When we respond with curiosity rather than judgment, with connection rather than consequence, we create neurological pathways that teach children their worth exists independently of their behavior. And it unlocks their capacities for doing the things they want and need to do in daily life. For OTPs, we have to start with the regulation, before we can start with the doing.

How children (and adults!) act isn’t who they are.

The most transformative moments in therapy occur when a child realizes they won’t be held hostage to their past actions—that each session offers a fresh opportunity to be seen for who they truly are beneath the protective armor.

Our role as clinicians isn’t just to address the “behavior” but to help children reconnect with their authentic selves—the creative, joyful, resilient beings that shame has taught to hide.

In this sacred work, we become the responsive caregivers who demonstrate that healing begins when we separate the doing from the being.

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“As psychologist Michael Thompson notes in "Raising Cain" (2000), boys typically process emotions and build connections ...
04/09/2025

“As psychologist Michael Thompson notes in "Raising Cain" (2000), boys typically process emotions and build connections through side-by-side activity rather than face-to-face conversation.”

In our increasingly digital age, opportunities for children—especially boys—to engage in real-world exploration, measured risk-taking, and face-to-face social interaction have diminished dramatically. Our new Forest Guardians group is designed to provide real-world experiences that support growt...

04/08/2025

Childhood Adversity Weakens Brain Connectivity, But Support Protects It

A new study links early-life adversity to widespread reductions in white matter connectivity across the adolescent brain, which may hinder cognitive development.

White matter, the brain’s communication infrastructure, is critical for language, reasoning, and problem-solving.

Researchers found that lower white matter quality was especially pronounced in regions associated with mental arithmetic and language processing.

These brain changes were strongly associated with childhood exposure to risk factors such as economic hardship, interpersonal adversity, and neighborhood disadvantage.

Importantly, protective social factors—like positive parenting and strong neighborhood cohesion—appeared to buffer against some of these negative effects.

The findings underscore the importance of supportive early environments in promoting brain and cognitive development.

"When we remove normal, healthy risks from childhood," Haidt writes, "we paradoxically increase anxiety by teaching chil...
03/28/2025

"When we remove normal, healthy risks from childhood," Haidt writes, "we paradoxically increase anxiety by teaching children they are fragile and the world is dangerous." This protective approach, while well-intentioned, has left many children—particularly boys—without the experiences needed to develop resilience and confidence.

According to research published in the Journal of Pediatrics, children who engage primarily in screen-based activities show lower levels of emotional intelligence and struggle more with real-world social situations than those who regularly engage in active, physical play with others."

In our increasingly digital age, opportunities for children—especially boys—to engage in real-world exploration, measured risk-taking, and face-to-face social interaction have diminished dramatically. Our new Forest Guardians group is designed to provide real-world experiences that support growt...

Why should virtual worlds have all the fun? Give your child the chance to take meaningful risks in the real world. Calli...
03/28/2025

Why should virtual worlds have all the fun? Give your child the chance to take meaningful risks in the real world.

Calling all boys ages 9-11! Join us for Forest Guardians this spring!

Forest Guardians, we need your help!

The Forest Guardians series follows a group of young heroes who discover they are destined to protect the magical woodland from encroaching darkness. It is a managed risk-taking adventure group that brings new challenges, puzzles, and missions that develop teamwork, problem-solving, and confidence each week. The Forest Guardians will be guided by an Occupational Therapist and assistant.

Each weekly one-hour session builds on previous adventures and will challenge players to:

-- Develop social comfort in an environment with peers who have the same interests

-- Solve increasingly complex puzzles

-- Take appropriate risks in a supervised setting

Who are the Forest Guardians?

This group is for boys ages 9-11 who may be functioning in their school environment but having more difficulty in one or more of the following ways:

-- In the home/family setting

-- Occupying their time with activities other than screens

-- Emotional regulation

-- Connecting with peers

-- Taking risks in daily life, other than during their video games

Adventurers should be able to:

-- Be unattended for brief periods of time during supervised outdoor activities (no side quests)

-- Possess basic self-regulation skills in a group setting

-- Follow structured expectations and rules within a creative environment

-- Work cooperatively with peers with minimal adult intervention

-- Handle appropriate levels of independence during guided exploration

-- Be comfortable participating in activities that move between different outdoor areas

-- Manage mild frustration when facing challenges or puzzles

Link for more info in comments!

03/18/2025
12/31/2024

Happy New Year! We can dream!

09/30/2024

It's good to keep in mind that children manage the best they can. We can help them learn by seeing and understanding them, nurturing calming relationships and peaceful environments.

Thanks to for sharing Dr. Bruce Perry's important reminder.

Young people who struggle with self-esteem and self-concept can go deeper into disconnection with themselves and their c...
09/27/2024

Young people who struggle with self-esteem and self-concept can go deeper into disconnection with themselves and their caregivers when they engage in competitive games or activities against the people they love or those who love them. This can also be created when caregivers focus on "winning," sometimes accidentally or unconsciously, based on their own childhoods. One way to enjoy occupying your time with games and board games without creating more division is to play cooperative games and bring the relationship together through shared goals or direction. We've compiled a list here for you just in time for rainy days or cold weather when it isn't safe to be outside! 💕

Cooperative games have you and your kids working together toward a goal, offering fun family time without pitting you against each other. Perfect for family game night or one on one time, you’ll find something for any age!

09/24/2024

One of the most powerful aspects of my Teacher Tom's Play-Based Learning course is that it supports entire "teams" of educ...

09/24/2024

Absolutely 💯 Bored Teachers

If there’s one thing I hear daily ☝️ from parents, it’s how their kids need more PLAY.

Especially our Mums of little boys 👦🏻

Play Play Play. The most important part of school.

BackChat Speech Pathology

Address

1107 Nelson Street
Rockville, MD
20850

Opening Hours

Monday 8am - 8pm
Wednesday 8am - 8pm
Thursday 8am - 8pm
Friday 12pm - 8pm
Saturday 8am - 12pm

Telephone

+13013274434

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