Here’s a fun idea from Kristy Snedden for working with children who are oppositional, dysregulate easily, etc.
Use colorful index cards. On each index card, write one goal the child is working on. Allow the child to “choose” two cards. Various choice methods can be used; kids I see put the cards in a Bilibo spinner seat and spin … usually one or two cards pop out.
Kids seem to get to work faster and be much more amenable to treatment goals when they are allowed this choice.
If a child cannot complete this exercise, having him or her “spin” for a bit in the chair usually regulates them enough so they can then work with this exercise.