Athene That sounds tough. Have you heard of Dr Rind http://www.drrind.com/therapies/metabolic-temperature-graph Unsure if it's possible for you with a 4 yr old, but it might be interesting? For me that's definitely a sensory thing crossing over with a cognitve processing. I'm generally unable to converse fullstop but if you think about it conversation, people's movemants and body language at the same time is a highly complex process. In my case I sometimes find using cutlery tricky too (fine motor co-ordination) and then there's eating and separating the taste and other eating sensations from evrything lese that's going on around. All that together is a very 'busy' situation. Jewel I read that sensory integration was desirable but say a child did manage to contain it do you think that would add to their load of neuro disonance and suppressed stress they carried with them? Asking becuase my experience as an adult is that contained or supressed things have some cost and sometimes pop out elsewhere. Although there are lots of positives about being an adult in this situation and being able to make my own choices, I also admire, sometimes even envy the honesty that younger children have about their neuro distress. Seems in some ways this honesty and lower tolerance to whatever causes them distress lowers the burden of strain or stress and allows them more neuro peace and over all more ease. Mark Can you recommend one in particular. (I bought one mail order but it contained SLS- sodium laureth sulphate a known irritant, and another dubious ingredient.) Thanks. I keep meaning to try just sodium bicarb but haven't got there yet!