Regulating Together Interest Intake Form

  • Regulating Together Interest Form

  • Format: (000) 000-0000.
  • Is your child between the ages of 8 - 12?*
  • Do you live in northeast Ohio?*
  • Has your child been diagnosed with Autism or ADHD?*
  • Within the past 4 weeks, has your child physically hurt another child not in your family?*
  • Is your child able to communicate in sentences verbally?*

  • Emotional Regulation

    This workshop series will focus on emotional dysregulation.

  • Emotional dysregulation means your child has trouble managing strong feelings. They may become upset very quickly (“go from 0 to 60”), react too strongly to the situation, or stay upset for a long time. It may also be hard for them to calm down once they are upset.

    This is different from social skill challenges, which involve things like joining in, talking with others, or understanding social cues. A child with social skill difficulties may struggle in groups but can usually stay calm when things don’t go their way. Emotional dysregulation means the main challenge is controlling emotions and reactions, not just social understanding.

  • Based on this definition, do you think your child has emotional dysregulation?*
  • Can you and your child commit to attending at least 9 of the 10 total sessions?*
  • Should be Empty: