Tigger has an issue at school everyday between 12:00-1:30pm. He is in a self contained ed classroom except for pe/fine arts 11:55am-12:25pm and lunch/recess 12:45pm-1:15pm. Sometimes he starts the issue, sometimes someone else does. The teacher and I have brainstormed a list of possible reasons: 1. the stress of the reg ed environment (noise, crowd, etc) 2. hunger (although sometimes the meltdown is before lunch, sometimes after) 3. being tired 4. sensory processing issues To address #2, she added a snack break at 11am. To address #3, we added melatonin to his nighttime medications to try for better sleep. For #1, Tigger does not want to miss his reg ed time. He says he likes being 'regular kid' part of the day. For #4, he does get a sensory break during the day. The sensory area has thera-putty, weights and other sensory toys. To me, it seems that the sensory stuff isn't enough, that he needs more breaks and he needs some deep pressure sensory input. The teacher is willing but doesn't know what to do -- she's calling the Occupational Therapist (OT) and I'm asking you! I'd like to see her add some deep pressure input just before the reg ed class (pe/art), some inbetween that and lunch, and some immediately after lunch/recess. Any idea how much a squeeze machine is??