“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.

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