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Digital Seminar

Early Intervention for ASD: Building Rhythms in Relationships through DIR®

Stacy Sue Rosello, MA, OTR/L
1 Hour 35 Minutes
Audio and Video
Apr 22, 2021
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Digital Seminar
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Rhythms in life are present in many forms, and for children and families, these rhythms are most present within their interactions and daily life. Yet, a child with ASD may have difficulty with rhythmicity due to underlying sensory processing and motor challenges, which impacts synchrony within relationships.

Looking through a Developmental, Individual, Relationship-based® (DIR) lens, Stacy Rosello, MA, OTR/L, will teach you why rhythms are important to early intervention for autism. You’ll learn strategies and tools to help foster and match rhythms between the child and caregiver. You’ll learn how to: 

  • Recognizes the unique neurobiological profiles of the child and caregiver 
  • Help the caregiver understand the idiosyncratic characteristics and subtle nuanced signals of their infant, toddler or preschooler 
  • Match child and parent rhythms within their interactions and teach the caregiver how to respond sensitively and to adapt contingently 

By embedding rhythms into routines and rituals, the child adapts and becomes empowered, driving development. In time, these meaningful experiences create connectedness and cherished family bonds.  


- PESI Australia, in collaboration with PESI in the USA, offers quality online continuing professional development events from the leaders in the field at a standard recognized by professional associations including psychology, social work, occupational therapy, alcohol and drug professionals, counselling and psychotherapy. On completion of the training, a Professional Development Certificate is issued after the individual has answered and submitted a quiz and course evaluation. This online program is worth 1.75 hours CPD for points calculation by your association.



Stacy Sue Rosello, MA, OTR/L's Profile

Stacy Sue Rosello, MA, OTR/L Related seminars and products

Embrace the Child, Ltd.

Stacy Sue Rosello, MA, OTR/L, is an award-winning occupational therapist acknowledged for her formative work with children and families. She is a Developmental, Individual Differences, Relationship-Foundational Capacities of Development (DIR-FCD) clinician, dedicated teacher, a scholarly author, blogger, and speaker. With nationwide pediatric experience spanning over 25 years, Stacy understands the child and family across many settings and cultures. Drawing from her clinical work experience, in 2010 she established her thriving practice, Embrace the Child®, Ltd., which embodies Family-Centered, DIR-FCD and Sensory Integrative Methodologies. In 2019, she was recognized by the American Occupational Therapy Association as the recipient of the Emerging and Innovative Practice Award "Defining Excellence and Leadership in Family-Centered Practice." She has studied the DIR-FCD model for nearly 20 years and is assistant faculty for Profectum™ Academy where the parallel process unfolds in teaching and mentoring of the DIR-FCD Model.

Family and DIR are the primary focus of Stacy's co-authored publications which include: Brief Report: Test-retest Reliability on Family L.I.F.E. (Looking Into Family Experiences): An Occupation-Based Assessment in the American Journal of Occupational Therapy in a special issue on autism with DeLana Honaker, PhD, OTR, FAOTA and Catherine Candler, PhD, OTR, BCP "Putting Families First: Family Occupations and Family-Centered Therapy" in the Foundations for Pediatric Practice for the OTA with DeLana Honaker, PhD, OTR, FAOTA and Ruby Salazar, LCSW, BCD, which is the first chapter in the field of OT on Family Occupations, and "Full Circle Autism Care Includes Family Relationships and Dynamics: Practical Application" in Emerging Programs for Autism Spectrum Disorder (in press) with Ruby Salazar, LCSW, BCD. Since the start of the pandemic, looking to give hope to families, she created the Embrace the Child® blog to illustrate the beauty, simplicity, and challenges found in her OT practice and typical everyday family living.

Above all, Stacy is passionate. She had the privilege to meet Barbara Corcoran, of the acclaimed The Corcoran Group and NBC television's Shark Tank, who identified Stacy's passion as the cornerstone for success. She emits this passion as a dynamic national speaker encouraging multi-disciplinary professionals to incorporate family-centered care and the DIR-FCD model to improve the quality of life for children and their families.


Content Disclosure:

This presentation will focus exclusively on Building Rhythms in Relationships through DIR® and will not include information about other similar or related topics.


Speaker Disclosures:
Financial: Stacy Sue Rosello is the founder, president, and OT of Embrace the Child, Ltd. and has an employment relationship with Profectum™. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Stacy Sue Rosello is a member of the American Occupational Therapy Association.


  1. Theorize the reasons why achieving rhythm in a relationship for a child with ASD may be difficult.
  2. Use DIR strategies to support rhythmicity and “synchrony” in interactions to foster relationships in a child with ASD and caregiver.
  3. Create rhythmicity within relationships to build routines and rituals that foster family bonding.


  • Why Rhythms are Important to ASD  
    • Rhythms in life, relationships, family life, and routines and rituals 
  • Build Rhythms in Relationships Using DIR®: The Developmental Entry Point For Intervention 
    • Help the child move up the developmental ladder (Developmental) 
    • The unique neurobiological profiles of child and caregiver (Individual Differences) 
    • Emotional connectedness and forming rhythms between child and caregiver (Relationship-Based)  
    • Tailor sensory affective interactions to “match” rhythms in relationships  
      • Pace, position, responding to affect signals, emotional tones, and social bids 
  • Rhythms in Daily Life: From Regulation to Reflective Thinking  
    • A trajectory of developmental growth and richer emotional connectedness 
    • Strategies to drive developmental integration  
    • Foster cherished family bonds across the lifespan 

Target Audience

  • Case Managers 
  • Licensed Clinical/Mental Health Counselors 
  • Marriage & Family Therapists 
  • Nurses 
  • Occupational Therapists 
  • Occupational Therapy Assistants 
  • Physical Therapists 
  • Physical Therapist Assistants 
  • Psychologists 
  • School Administrators 
  • Social Workers 
  • Speech-Language Pathologists 
  • Teachers/School-Based Personnel 

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