Occupational Therapy
/
December 6, 2025

Emotional Regulation and Frustration Tolerance in Children

Learn why emotional regulation and frustration tolerance are hard for many children, what common signs to look for, and how occupational therapy supports these skills. Many children struggle with frustration, big emotions, and transitions. This guide explains why emotional regulation is difficult for some kids, what signs parents should look for, and how occupational therapy builds the foundational skills children need to cope and thrive.

author
Coral Care
Coral Care
Pediatric occupational therapist wearing a coral Coral Care t-shirt teaching a child calming belly-breathing exercises during an in-home OT session.

Coral Care content is reviewed and approved by our clinical professionals so you you know you're getting verified advice.

Find effective support for developmental delays, quickly.

Self-pay or insurance
In-person and at-home appointments
No waitlist
Find Care

Concerned about your child's development?

Our free screener offers guidance and connects you with the right providers to support your child's journey.

Take the Screener

Emotional regulation and frustration tolerance are two of the most important skills children develop. These skills help kids stay calm, adapt to change, handle challenges, solve problems, and participate successfully at home and school. But for many children, these skills do not come easily.

If your child becomes overwhelmed by small problems, melts down during homework, has difficulty shifting between activities, or gets frustrated quickly, occupational therapy may help. This guide explains why emotional regulation is so hard for some kids and how OT supports the underlying skills they need to thrive.

What Emotional Regulation Really Means

Emotional regulation is a child’s ability to:

  • Notice their feelings
  • Understand what is happening in their body
  • Use tools or strategies to stay calm
  • Recover after getting upset
  • Navigate transitions, problem solving, and frustration

Emotional regulation is not about avoiding big feelings. It is about helping children build the capacity to work through them safely and flexibly.

What Frustration Tolerance Means

Frustration tolerance is the ability to:

  • Attempt a task that feels hard
  • Stick with something even when it is challenging
  • Cope with mistakes
  • Try again after a setback
  • Stay flexible when things do not go as planned

When kids have low frustration tolerance, even small challenges can feel overwhelming.

Why Emotional Regulation Is Hard for Some Kids

Emotional regulation is deeply connected to:

  • Sensory processing
  • Cognitive flexibility
  • Executive functioning
  • Body awareness
  • Environment and routines
  • Motor planning
  • Anxiety
  • Fatigue or overstimulation

When one or more of these systems is under strain, a child’s emotional capacity drops. This is why meltdowns often happen during transitions, homework, or after school when children are physically and emotionally depleted.

Signs Your Child May Struggle With Emotional Regulation

Some common signs include:

  • Big reactions to small problems
  • Difficulty calming down independently
  • Meltdowns around transitions (leaving the house, ending play)
  • Overwhelm during homework
  • Trouble coping with mistakes
  • Rigid thinking or difficulty with change
  • Frequent “shutdowns” or withdrawal
  • A short fuse or going from 0 to 100 quickly
  • Trouble expressing feelings with words
  • Difficulty problem solving when upset

These behaviors are often symptoms of underlying regulation challenges, not deliberate misbehavior.

How Sensory Processing Impacts Emotions

Children who struggle with sensory processing often have a harder time regulating emotions.

Examples:

  • A child who is sensitive to sound may melt down in noisy spaces.
  • A child who seeks movement may become dysregulated when they sit too long.
  • A child who feels uncomfortable in certain clothes may start the day already overwhelmed.

When sensory needs go unmet, emotional capacity goes down.

How Executive Functioning Impacts Emotions

Executive functioning skills support planning, flexibility, and working memory. When these skills lag, children struggle to:

  • Transition between activities
  • Handle unexpected changes
  • Follow multi-step directions
  • Stay organized
  • Persist through challenges

Low executive functioning often looks like emotional reactivity.

Common Situations That Trigger Emotional Dysregulation

Homework and learning tasks

If a child has difficulty with motor planning, working memory, or visual processing, homework feels harder. This often leads to frustration or shutdowns.

Transitions

Moving from one activity to another requires flexibility, planning, and sensory adjustment.

Getting dressed or grooming

Clothing discomfort, sensory sensitivities, or low body awareness can lead to emotional reactions.

After school

This is a classic time for meltdowns because children have held themselves together all day. This is known as “after-school restraint collapse.”

Difficult play or social situations

Kids may struggle when peer play becomes unpredictable or socially complex.

How Occupational Therapy Helps With Emotional Regulation

OT does not force emotional control. Instead, OT builds the foundational skills that allow emotional regulation to develop naturally.

OT supports emotional regulation by helping children:

  • Understand their sensory needs
  • Build a toolbox of calming strategies
  • Strengthen frustration tolerance
  • Improve body awareness and interoception
  • Develop flexible thinking
  • Strengthen executive functioning
  • Improve motor planning for tasks that feel hard
  • Feel more confident and capable

OT works on both the internal tools (what a child can do on their own) and the external supports (routines, visuals, strategies) that help them succeed.

Examples of OT Activities That Support Regulation

  • Movement and sensory activities that calm the nervous system
  • Heavy work and deep pressure activities to support body regulation
  • Play-based problem-solving tasks
  • Turn-taking games to build flexibility
  • Visual schedules to support transitions
  • Coping strategies such as breathing tools or “break cards”
  • Strengthening fine motor and gross motor skills that reduce frustration
  • Parent coaching to adjust routines and expectations

These activities are designed to help children feel safe, grounded, and capable.

When Emotional Regulation Challenges May Need Support

Consider an OT evaluation if:

  • Meltdowns disrupt daily routines
  • Your child has trouble calming down without help
  • Homework is a daily battle
  • Transitions are consistently difficult
  • Your child shuts down or cries when they make mistakes
  • Rigid thinking impacts family life
  • Your child seems overwhelmed by normal tasks
  • You feel like your child’s reactions are “bigger” than expected
  • Teachers raise concerns about flexibility or coping

Regulation challenges often improve significantly with OT because therapy targets the root causes, not just the behavior.

How To Support Emotional Regulation at Home

Small changes make a big impact.

Try:

  • Building predictable routines
  • Providing visual schedules or checklists
  • Offering movement breaks
  • Preparing your child for transitions
  • Using calming corners or cozy spaces
  • Modeling emotion language
  • Choosing tasks with the right level of challenge
  • Practicing new skills during calm moments

OT can help you tailor these strategies to your child’s needs.

How Coral Care Supports Emotional Regulation and Frustration Tolerance

Coral Care matches families with licensed pediatric occupational therapists who specialize in emotional regulation, sensory processing, and executive functioning. Therapy takes place in your home where children often feel more comfortable and open to learning.

OT helps children build the underlying skills that support confidence, flexibility, and resilience.

Book online, call, or text: 617-463-9342

Frequently Asked Questions

No items found.

Related Blogs

Let’s support your child—together.

We’ll help you find the right provider for your child’s needs, availability, and personality. Because your child deserves care that meets them exactly where they are.

In-home sessions
Insurance accepted
No referral needed