Welcome to Sensory Ladders for Self Regulation

where sensory integration, dialectical behaviour therapy and trauma-informed care collide


Since 2001, Sensory Ladders have been used to support adults, teens and children with sensory integration difficulties manage to create the right space, to do the right thing, to be in the right place and at the right time. (Person,  Environment, Task/Occupation  for optimal Performance)

Clinical Application

Sensory Ladders can be made for anyone of any age and any ability. For use at home, school and in hospital. Supporting people developing shared understanding. Supporting understanding. Helping parents, carers and teachers provide the right support at any one moment in time


Uniquely individualised and personalised. Sensory Ladders are about building a shared narrative and understanding. They promote awareness of self-states and how to use sensory strategies for self-regulation. Promoting successful engagement and participation in everyday life.

Find a quiet place, use a humble pen.

Paul Simon


About Us

Kath Smith OT developed the first Sensory Action Plans while working with adults in a learning disability inpatient setting in 1998. In 2001 the first Sensory Ladder, a derivative was included in a care-plan, building on ideas from the Alert Program, a paediatric programme. Sensory Ladders were developed to support the practice of Ayres’ Sensory Integration beyond paediatrics. This practice was in its infancy at this time. Now they are taught and used across the lifespan.

© Smith 2001 – 2021

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