This Isn't a Test. It's a Conversation Disguised as Play.

By Liz Wooten, LPC

About the Author: Liz Wooten, LPC, is the founder of Enlitens and a rebellious academic dedicated to dismantling the broken mental health system. As an AuDHD therapist with years of front-line crisis experience, she brings a deep, lived understanding to her work. Read Liz’s Full Story Here

You are right to demand hard, quantifiable data from an assessment. A vague, subjective report is useless. So let’s talk about the science of how we collect the most neurologically accurate data possible: by creating a state of profound, physiological safety.

Leo, a fictional composite of many kids we’ve met, is 8. He enters the office clinging to his mom’s leg. His shoulders are high, his eyes are darting around the room. His nervous system is screaming “threat.” A traditional assessment might start with, “Hi Leo, have a seat. I have some questions for you.” This would be a catastrophic failure.

Instead, the clinician sits on the floor, a few feet away, and starts quietly lining up dinosaur toys. She doesn’t speak to Leo. She doesn’t look at him. She is just a calm, predictable presence in the room. After three minutes of silence, Leo inches over and moves the Triceratops a few inches. The clinician, without looking up, moves the Stegosaurus to stand next to it. The assessment has begun.

Ventral Vagal State:

Coined by Dr. Stephen Porges in Polyvagal Theory, this is the state of the nervous system associated with safety, connection, and social engagement. It is the biological prerequisite for authentic communication, learning, and play. You cannot access a child’s true abilities if they are not in this state.

What you just read wasn’t “just playing.” It was a series of precise, clinical maneuvers designed to regulate a dysregulated nervous system to allow for the collection of clean data. Let’s break down the science.

  • The Science of “Sitting on the Floor”: Leo entered in a sympathetic state (fight-or-flight). By getting on his level and maintaining a calm presence, the clinician sent powerful neuroceptive cues of safety directly to his brainstem. This is not about “being friendly”; it is a clinical technique to disarm the body’s threat response before the cognitive brain can even engage.

  • The Science of “Parallel Play”: Forcing a nervous child into direct social engagement (eye contact, questions) is a threat. Initiating “parallel play”—engaging in a similar activity nearby without demand—is a scientifically validated way to build safety. It allows the child’s nervous system to acclimate to our presence without the high cognitive load of a social performance.

  • The Science of “Following the Lead”: When Leo moved the dinosaur, he sent a “bid” for interaction. By accepting it and joining his game, the clinician confirmed to his nervous system that he was in control. This is the moment the Ventral Vagal state comes online. His prefrontal cortex is no longer being hijacked by his amygdala. Only now can we begin to observe his true patterns of social reciprocity, his problem-solving skills, his imaginative capacity, and his sensory needs. The data we collect from this point forward is clean.

Formal, standardized testing environments can inflate anxiety and significantly depress the performance of neurodivergent and anxious children, with some studies showing a performance drop of up to 30% compared to their abilities in a safe, familiar environment. A test of an anxious child is often just a measure of their anxiety.

 A traditional assessment that puts a dysregulated child at a table with a stopwatch and a list of demands is not collecting data about their abilities. It is collecting data about their trauma response. It is measuring their masking skills. It is scientifically invalid, and it is a betrayal of the trust that parent and child have placed in the process.

Stop settling for dirty data. Demand a process that honors the biological reality of your child’s nervous system. The most rigorous, most scientific assessment is the one that prioritizes safety above all else, because safety is the prerequisite for authenticity. When you are ready for a truly data-driven, neurologically-sound process, learn more about our neuro-affirming assessments. It’s time to stop testing your child and start understanding them.

 

Go Deeper Down the Rabbit Hole

A Lever, Not a Label.

The next step: A manifesto on how a good assessment report becomes a tool for advocacy, not a limiting label.

The Single Most Powerful Tool.

A guide to co-regulation and why your calm nervous system is the key to your child’s safety and growth.

When Trauma Looks "Normal."

A deep dive into C-PTSD and why a chronically stressful environment requires a “body-first” approach.

*The information here is meant to guide and inform, not replace the care of a qualified healthcare professional. If you have questions or concerns about a medical or mental-health condition, please reach out to a trusted provider. The examples shared are based on general personas—no personal health details are used. At Enlitens, your privacy is a top priority, and we fully comply with HIPAA regulations to keep your information safe and confidential.

This is a Conversation,
Not a Debate.

This is not a space for debate or unsolicited advice. It is a space for sharing stories. We read every submission, and we will periodically feature the most resonant and validating stories here with the author’s explicit permission. Submit your’s below!

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First, do nothing.

Take one second. That’s all I’m asking.

Do not try to “calm down.” Do not try to “fix it.” Do not listen to the voice screaming that you need to do something right now.

Just be here, with me, for one single breath.

My name is Liz. I’ve spent years working overnight in the ER, sitting with people on what was often the worst night of their entire lives. I have sat in the eye of the hurricane, and I can tell you with absolute certainty that the chaos you feel right now is not the truth.

It is a storm in your nervous system. And a storm is just a weather pattern. It is not you. It is not permanent. And you do not have to navigate it alone.

Right now, your brain’s alarm system is screaming. The logical part of your brain has been taken offline. That is a normal, brilliant, biological survival response. But you and I are going to bring it back online, together.

We are going to do one, simple, physical thing. This is not a bulls*hit mindfulness exercise. This is a direct, manual override for your nervous system.

Place your hand on your chest.

Can you feel that? The rise and fall. The rhythm. That is the anchor. That is the proof that you are here, in this moment, and you are alive.

Keep your hand there.

Now, we are going to make one choice. The storm is telling you there are a million overwhelming things you have to do. That is a lie. There are only three choices right now, and you only need to pick one.

If you or someone else is in immediate, physical danger and you need help on site, right now:

This is the button you push when you need the paramedics or the police to show up. This is the “bring the fire truck” button.

If you are having thoughts of suicide and you need to talk or text with a human, right now:

This is the national, 24/7 lifeline. It is free, it is confidential, and it is staffed by trained counselors who are ready to listen without judgment. This is the “I need a lifeline” button.

If you are in St. Louis, you are not in crisis but you are in deep distress and need to talk to someone local:

Behavioral Health Response (BHR) is our community’s lifeline. They provide free, confidential telephone counseling and can connect you with local resources. This is the “I need a local guide” button.