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example, aggression, impulsivity and or self-harm. To ensure a successful making of the Calm
Down Sandwich, there are certain adaptations that can take place. The therapist should always
remain as calm as possible and talk slowly and clearly when instructing. The instructor or staff
member should not approach or touch the person without his or her request or permission
(Gluck, S., n.d.). The individuals feelings should be acknowledged and understood. Those with
bipolar disorder may need to work on a 1:1 setting as opposed to a group. If working in groups,
breaks could be provided (Adapting Activities & Materials for Young Children with Disabilities,
n.d.). Known triggers should be recognized and avoided. Patience is key, so therefore a longer
session is required.
Participants with Sensory Learning Disability: Individuals with learning disabilities
experience anger and frustration due to the difficulties in acquiring knowledge and skills.
According to the level of the disabilities, participants could partially participate in the activity, by
reducing the numbers of strategies and/or what angers them (Adapting Activities & Materials for
Young Children with Disabilities, n.d.). Simplifying directions by taking one step at a time can
lead to a successful session. Participant should repeat directions in their own words to make sure
they understood (Adapt Your Teaching for Persons Who Have Learning Disabilities, n.d.)
Pairing up individuals with staff member for assistance is required. Accepting short answers or
verbal answers, modifies the activities for those with poor writing abilities. If the activity seems
to be too much to bear, the therapist could simply just acknowledge the participants verbal
strategies towards anger.
Adaptation Resources:
Gluck, S. (n.d.). Bipolar Anger: How To Handle Your Bipolar Relative's Anger - HealthyPlace.
Retrieved September 28, 2016, from
http://www.healthyplace.com/bipolar-disorder/bipolar-support/bipolar-anger-how-to-handle-your
-bipolar-relatives-anger/
Adapting Activities & Materials for Young Children with Disabilities. (n.d.). Retrieved from
Adapting Activities & Materials for Young Children with Disabilities
Adapt Your Teaching for Persons Who Have Learning Disabilities. (n.d.). Retrieved from
http://www.lifeway.com/lwc/files/lwcF_PDF_SNM_03AdaptYourTeaching_LearningDisabilitie
s.pdf