I was diagnosed a ways back for SPD but got no help or direction just told I had it. (they are now looking at a possible diagnosis of Autism/Aspergers for me) I'm beginning to realize just how much it actually affects me. I was always aware I was "sensitive" to put it simply. I easily overreact which like you said Im learning is basically a meltdown. which is embarrassing at times when you're a grown adult. I have a 4yr old son with significant SPD. And people can have a hard time understanding his meltdowns. But they accept it easier cuz he's a kid. An adult in the same state is apparently highly frowned upon in most establishments lol. The last few days Ive been looking into OT for myself. With two small children and a huge sensitivity to sound and touch it can be difficult if not sometimes impossible to make it through a day. I also have proprioceptive issues. At least now knowing what that means I know what it is. I have a problem with needing to throw or punch when Im in a meltdown. Im a self injurer not outwardly violent, so Ive never hit a person. My hand did just heal after I broke it during a meltdown punching a chair. The first punch spiral fractured it, and the second snapped the whole bone in half. Im so new to my diagnosis I didnt explain it well at the ER. I just said that I punch things when I get mad. Luckily the nurse said her and her sister also do it and its most common than one would think. But I know in the future to let them know its a sensory processing issue. Im looking into purchasing a punching bag. But Im hoping that if I can learn some OT strategies I wont have as many meltdowns and it wont get so bad when they do occur that Im breaking bones. If your not too busy and your able, would you be willing to share a link or create a list of some of the things you've found for OT strategies. Im scared Ill never get insurance or doctor approval. My therapist is working on my diagnosis for Autism and said she will help figure out the SPD part too and get me some services. She said just becuz Im an adult doesnt mean Im not entitled to the treatment I missed out on as a child due to being undiagnosed.