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Cora's Story Part 4 (Featuring Expert Speech Therapist)

by Elizabeth Sautter, Laura Petix
Aug 10, 2026
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Back again for the last part of Cora’s story. Catch up on posts 1-3 here, here and here. 

Today we’re tackling Cora’s communication differences. She had limited expressive language, and was already receiving speech therapy. With the accompanying sensory sensitivities and daily meltdowns, the communication gap was the first to blame. 

3 year-olds who don’t have communication differences still struggle with communicating sensory overwhelm, because sometimes it’s a bit abstract. They’re not always explicitly cognizant that the sock seam is what bothers them. Instead, they might just say “no sock!” or “Off! Off!” without cluing you in. So for Cora, who did have communication differences, her ability to express her experience was even more hindered. So, she resorted to throwing the socks, crying, and melting down. 

I’m not a speech therapist, but I invited a friend who is.

Elizabeth Sautter has nearly three decades of experience as a licensed speech-language pathologist, and specializes in supporting neurodivergent learners across home and school settings. She has an award-winning book, Make Social and Emotional Learning Stick!, which offers nearly 200 activities that help children thrive in everyday settings. 

Here’s what Elizabeth wants us to know about the overlap of SPD, communication differences and emotional regulation: 


How and why sensory processing differences and communication challenges overlap

Parents need to know two important things: communication is so much more than words, and all behavior is communication.

Behavior is how a child tells you what their nervous system is experiencing long before they have any other way to show you. A child communicates by reaching, pointing, moving away, covering their ears, bringing you an object, making a sound, using gestures, using pictures, or using a device. Even throwing the socks is communication. 

Sensory regulation is foundational. When the nervous system is working hard to manage uncomfortable or unexpected input, it becomes much harder to access anything else, including communication in any form. I know this personally. In my own household, we each have different sensory needs. Some of us need more input to feel regulated. I need quiet to focus, to think, to connect. When I don't get it, my ability to communicate clearly goes offline too. The brain simply can't reach for words, gestures, pictures, or a device when it's busy managing input that feels like too much.

That shift from "why won't she communicate?" to "what is her body dealing with right now?" changes everything.

 

Is it possible to teach emotional regulation skills to nonspeaking kids? What are some tips?

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Cora's Story Part 3
    Here we are at Part 3 of Cora’s story. [Catch up here] for part 1, [and here] for part 2. Once mom understood the sensory piece to Cora’s behavior, we were in a better place to start talking about specific strategies. I intentionally started small, with subtle changes and shifts to her daily life without adding a full on therapeutic sensory lifestyle for two reasons:  I wanted to see how...
Cora's Story Part 2
    Welcome back to Cora's story. If you missed part 1, [catch up here] to meet her and her mom first. Today I want to zoom in on the concept I introduced last week: the skills gap. This is one of the most useful frameworks I share with parents, because it takes the question "why does she act like this?" and turns it into "what does she need help with?"  But first, let’s talk about the differe...
Meet Cora, a 3-year-old whose meltdowns looked like frustration tolerance until we looked closer.
    Cora is newly 3, and by the time her mom reached out to me, she had a full therapy team in place. Cora was already receiving Speech, ABA, and OT, but her mom still needed more tools for the moments that happen at home, between sessions, when there's no one else in the room to help.   Here's what her mom highlighted on the intake form:  Takes Cora over 20 minutes to find the “right” pair ...

The Sensory Code

Learn how to decode behavior using a nervous system lens and how to incorporate sensory strategies into your daily life by these real life case study examples.
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