Madie DeGennaro, who is graduating from Presbyterian College’s Occupational Therapy Doctoral program this spring, presented her capstone research at a recent meeting of the South Carolina Occupational Therapy Association.

For Madie DeGennaro, understanding how children develop self-regulation is more than academic—it’s a mission.

As she prepares to graduate from Presbyterian College’s Occupational Therapy Doctoral Program this spring, DeGennaro is completing a capstone project focused on the role of attunement, interoception, and social interaction in a child’s ability to self-regulate.

Her research examines how children, particularly those with autism or a history of trauma, can develop self-regulation skills through the guidance of caregivers. The study highlights three key components: attunement—the connection between a child and their caregiver, interoception—recognizing internal bodily sensations like hunger or a racing heart, and social interaction—primarily developed through play.

“Attunement is that initial connection when a baby cries and the caregiver understands what the cry means,” DeGennaro explained. “Interoception helps children recognize their emotions and physical sensations, while social interaction, especially through play, strengthens their ability to regulate themselves.”

Her passion for pediatric occupational therapy developed unexpectedly. Initially, DeGennaro intended to work with adults in hospital settings or veterans’ care. However, a pediatric OT class changed everything. She became fascinated with childhood development, particularly the milestones that shape a child’s growth and well-being.

“I love the puzzle aspect of it—observing a child in their environment and figuring out how to help them develop in a space where they feel safe, loved, and cared for,” she said.

At her capstone site, DeGennaro observes therapists working with children and also leads a nine-week educational curriculum for caregivers. Each session includes a 30-minute lecture followed by a discussion question, such as: How do you know if your child is regulated? or How do you know if you are regulated?

Her mentor at Advanced Therapy Solutions, occupational therapist Dillen Hartley, plays a key role in helping translate theory into practice.

“He is fantastic—very knowledgeable,” she said. “He helps apply what I’ve lectured on to real-life situations with the children we work with.”

From PC undergrad to a future in OT

DeGennaro’s ties to Presbyterian College run deep. She completed her undergraduate studies at PC, earning a biology degree while playing two years of softball. Originally from a military family, she moved frequently before her family settled in Ohio. Yet, PC became a place of stability and belonging.

“I love the close-knit feel,” she said. “The professors, both in OT school and in undergrad, have been incredibly supportive. The relationships and connections I’ve built here are special.”

Her OT class is small—only 18 or 19 students—which has fostered a strong sense of camaraderie. The group collaborates, sharing research articles, class notes, and conference insights to help each other succeed.

“We’ve really become like a family,” she said. “We show up for each other in every way possible. If one of us finds a research article that could help another’s capstone, we send it over. If someone can’t make a conference, we take notes and share them.”

Looking ahead, DeGennaro envisions herself working in pediatric occupational therapy, though she remains open to exploring other areas of the field. She also sees a future in academia, potentially as an adjunct professor.

“After gaining some experience in practice, I think it would be amazing to teach,” she said. “I love presenting, sharing knowledge, and having conversations about OT. Maybe one day, I’ll come back and teach here at PC.”

A passion for service

Beyond her academic and professional aspirations, DeGennaro has long been committed to service. She grew up volunteering with her father, a veteran involved in multiple service organizations, including Folds of Honor. Her experiences in PC’s OT program have reinforced this passion.

“We did a lot of community outreach,” she said. “We worked with the Laurens County Disabilities and Special Needs Board, set up a market where clients could sell handmade items, and participated in clinics to offer support and assistance.”

Her belief in the power of service aligns with PC’s core values.

“There’s something so special about giving back,” she said. “Especially in a community where it’s needed and appreciated.”

Advice for future OT students

DeGennaro hopes to inspire future students by encouraging them to follow their passions.

“Being passionate about what you do makes a huge difference,” she said. “In undergrad, I did well, but I wasn’t passionate about my classes. When I found OT, everything changed. I was invested in every aspect of my education, and that made me more successful.”

She also reassures students that it’s okay to take time finding the right path.

“I didn’t decide on OT until my junior year of undergrad,” she said. “I explored different directions, and in the end, OT was one of the best decisions I’ve ever made.”

With graduation around the corner, DeGennaro is excited about the future. Whether working directly with children, mentoring caregivers, or stepping into the classroom as an educator, she is committed to making a lasting impact.

“I feel like I’m in my element here,” she said. “And that’s a great sign.”