Occupational Therapy Assistant

Category - Implementing Interventions

Your client Stephanie is a 31-year-old woman with autism. She has undergone medication changes, and her tactile defensiveness has exacerbated. How do you help Stephanie to manage her tactile defensiveness?
  1. Teach Stephanie the full Wilbarger brushing protocol; and expect her to follow the full protocol independently.
  2. Introduce the Wilbarger brushing protocol to Stephanie, and ask her if she would like to try it.
  3. Introduce the Wilbarger brushing protocol to Stephanie and only complete brushing to her arms. As she becomes used to the procedure, expand it to her legs and back.
  4. Wrap Stephanie up in a weighted blanket.
Explanation
Answer: C. You help Stephanie manage her tactile defensiveness by introducing her to the Wilbarger brushing protocol. Since Stephanie may view brushing as threatening, you only complete brushing to her arms, a non-threatening part of the body. As she becomes used to the procedure, you expand brushing to her legs and back.
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