“Arousal” here means the level of alertness or activation in the nervous system, not sexual arousal.
High-arousal situations are times when a child’s body and brain are very “switched on.” This can look like:
- Very loud, busy, or crowded environments (parties, malls, playgrounds)
- Transitions between activities (stopping play to go for bath or bed)
- Unexpected changes in routine
- Strong emotions such as excitement, anger, fear, or frustration
- Sensory overload from noise, lights, touch, or movement
In high-arousal states, some children may:
- Run, jump, or move very fast
- Shout, cry, or become aggressive
- Find it hard to listen or follow instructions
- Seem “wired” and unable to settle
Deep pressure and heavy-work activities are sometimes used to help the nervous system move from a high-arousal state toward a calmer, more organized state. However, they must be used carefully and only if the child finds them calming.

[…] Support during transitions or high-arousal situations […]