DIR Session Notes
Child:_______________ Adult:________________ Date:___________
Development: Where is my child’s functional emotional level?
Self regulation -_________________________________________+
Shared attention -_________________________________________+
Engagement -_________________________________________+
Intentional 2 way
Communication -_________________________________________________
+
Problem Solving -_________________________________________+
Emotional Ideas -_________________________________________
+
Building Bridges -_________________________________________
+
Individual Differences:
How is my child processing sensory information?
Sense Seeks/Avoids Interfering, Calming,organizing Mixed
disorganizing Supports learning reaction
Auditory
Visual
Touch
Movement
Vestibular
Smell
Taste
Motor
Planning
Relationship:
What did caregiver or teacher do to achieve an optimal co-regulated state?
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
How did the child
Communicate?______________________________________________
_________________________________________________________
What activities did the child seek or
avoid?____________________________________________________
_________________________________________________________
How many circles were open and closed in an average
interaction?________________________________________________
_________________________________________________________
Describe the child’s range of
emotion?__________________________________________________
_________________________________________________________
What were the child’s greatest
challenges?________________________________________________
_________________________________________________________
What were your greatest
challenges?________________________________________________
_________________________________________________________
How will you set up the environment next week to support the
child?_____________________________________________________
_________________________________________________________
What do you want to remember for next
week?____________________________________________________
_________________________________________________________
Created by Marilee Burgeson 3/04 DIR training