Understanding Interoception: Helping Kids Tune Into Their Body Signals

Have you ever noticed your child doesn’t seem to realize when they’re hungry, tired, or need to use the bathroom? Or maybe they have strong reactions to subtle body sensations that seem “over the top”? This is often related to interoception—our sense of what’s happening inside our bodies.

What is Interoception?

Interoception is the brain’s ability to detect and interpret internal body signals, like:

  • Hunger and thirst

  • Fullness after eating

  • Needing to use the bathroom

  • Heart rate, temperature, or muscle tension

  • Emotional cues like anxiety, excitement, or calmness

It’s sometimes called the “hidden sense” because unlike sight or touch, we don’t always notice it—yet it affects daily routines, self-regulation, and emotional awareness.

Why Interoception Matters

When interoception is working well, children can:

  • Recognize and respond to hunger or thirst

  • Know when they’re tired or overstimulated

  • Understand and communicate emotions

  • Participate independently in self-care tasks

Challenges with interoception can lead to:

  • Difficulty recognizing bodily needs

  • Struggles with toileting, eating, or sleep routines

  • Emotional dysregulation or anxiety

How Occupational Therapy Can Help

OT can teach children to notice, interpret, and respond to their body signals through:

  • Mindful movement and sensory-based activities

  • Games that highlight internal cues (heartbeat, breathing, temperature)

  • Structured routines that connect body signals to actions

Tips for Parents at Home

  • Use language that names body signals (“Your tummy is hungry,” “Your heart is racing”)

  • Encourage self-check-ins throughout the day

  • Make routines predictable to help children notice patterns

Body Signal Examples:

  • Hungry, Thirsty, Full, Empty, Growling tummy

    Ex: “I am going to pause my game. My tummy is hungry, time for a snack”

  • Hot, Cold, Warm, Chilly, Sweaty, Shivery

    Ex: “My hands feel cold, I’m going to get gloves”

  • Heart Racing, Breathing Fast/Slow, Full bladder, Stomachache, Achy, Sore, Tingly, Tight, Loose, Heavy

    Ex: “My legs feel heavy after running.”

Helping children tune into their internal signals empowers them to take care of their bodies, regulate emotions, and grow more independent. Interoception is a skill we can teach and strengthen through play, awareness, and supportive routines.

Resources:

Kelly Mahler, OTD, OTR/L

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