The OTvest can reduce Alzheimer's Agitation and  Anxiety with calming deep pressure therapy

The OTvest™ denim, deep pressure weighted vest is useful in reducing stress, anxiety, and agitation due to the calming effects of the deep pressure therapy applied directly to the body. The OTvest™ is a simple, non-invasive intervention that can make a significant difference in relaxation--and therefore, improving function!


Think of someone pressing gently but firmly down on your upper back and shoulders. It feels good, and has a wonderfully calming effect. When we see others that are anxious or overstimulated, we instinctively do this motion, perhaps even encouraging them to “calm down” as we do so. This soothing, deep pressure is similar to what the weighted OTvest provides the wearer through the patented weight insert hidden inside. By wearing the OTvest, the calming, deep pressure therapy can be administered throughout the day, discreetly, and inexpensively, and without the help of another individual. Persons putting the OTvest on for the first time almost always spontaneously say, "It feels good!"



“Deep touch pressure is the type of surface pressure that is exerted in most types of firm touching, hugging, stroking, petting of animals, or in swaddling [infants]. In contrast, light touch pressure is a more superficial stimulation of the skin, such as tickling; very light touch, or moving hairs on the skin. In animals, the tickle of a fly landing on the skin may cause a cow to kick, but the firm touch of the farmer's hands quiets her. Occupational therapists have observed that a very light touch alerts the nervous system, but deep pressure is relaxing and calming.” (McNett, Sarver, & Wilczewski, 2012)

Research has shown that sensory rooms using weighted blankets and weighted vests in acute mental health settings have helped patients to lower the rates of seclusion or restraints when they are agitated or aggressive. For persons with less severe mental health difficulties, but who feel anxious, agitated, or the sometimes-depilating effects of stress, the OTvest can help naturally treat anxiety, help naturally treat agitation, and help naturally treat stress by providing calming, deep pressure touch therapy. This deep pressure therapy works by stimulating the brain to produce soothing neurotransmitters, including serotonin, to make the OTvest™ feel calm, serene, and content, naturally. 

Unlike a weighted blanket, the OTvest can be worn daily, in all everyday settings, and is stylish! 


The OTvest is also appropriate for mental health settings where improving patients’ sleep, reducing restraints, seclusion, stress, anxiety, and agitation, are goals. If lack of attention is a problem, the OTvest can help by applying deep pressure touch therapy to improve focus and organization in the wearer. The OTvest is appropriate for wearing in group therapy settings, while dining, and throughout the day. One of the key benefits of utilizing an OTvest weighted vest is that it does not have to be limited to only be used in a “sensory room.” Unlike a weighted blanket, the OTvest is a self-calming intervention that can be utilized anywhere, and can be continued when the patient moves back into the community. Another benefit of the OTvest is that it can be easily cleaned and disinfected, when other weighted vests, compression vests, and weighted blankets cannot. The weight insert can be completely disinfected by simple wiping down between users, and the denim vest laundered. And unlike a weighted blanket or compression vest, it does not absorb perspiration.

“Runner’s High” is a common “natural high” felt by runners due to the increase in dopamine in the brain from cardiovascular activity. Similarly, deep pressure therapy and touch stimulation changes the chemistry in our brains, creating a calming, focusing effect. The OTvest™ causes the brain to produce an influx of norepinephrine, epinephrine, and serotonin through the use of distributed weights across the upper back and chest. This allows OTvest™ wearers to feel more in control and centered, naturally.

Using a compression vest or weighted vest such as the OTvest™, can address problems with inattention, stress, anxiety, restlessness, or agitation (TBI, PTSD, or Alzheimer’s), as well as sleep disorders such as insomnia. In these instances, medication may still be necessary when recommended by a physician, but often at a lower dose when the OTvest is used in conjunction with medication. Many physicians are recommending the use of the OTvest to supplement the treatment of conditions, such as insomnia or narcolepsy; in fact, many patients find that they can discontinue use of their medications due to the increased relaxation experienced from the OTvest.

Stress, anxiety, agitation and sleep deprivation are often seen in post traumatic stress disorder (PTSD), traumatic brain injury (TBI), Alzheimer's, and in movement disorders. Behavior deficits have been shown to occur in up to 70% of clients hospitalized with TBI (McNett, Sarver, & Wilczeski, 2012). This study also reported that the most common behaviors associated with agitation include impulsiveness, restlessness, and a decreased attention span. These behaviors are a substantial obstacle to participation in the inpatient rehabilitation process, attaining goals, and achieving functional independence (Lequerica et al, 2007). Patient goals for rehabilitation can include initiatives designed to gradually increase his attention span and reduce restless behaviors (Morro & Farley, 2016). And the introduction of a weighted vest such as the OTvest™ has been shown to improve attention span, allowing wearers to reach their goals more rapidly.

Unlike other weighted vests, weighted blankets, or compression vests on the market, the OTvest can provide deep, sustained pressure using less weight than other weighted vests. This is because the OTvest contains dense, steel plates, compared to the bulky sand or pellets found in other weighted vests. Not only this, but the placement of the weight is sitting directly upon the body -- not hanging loosely in pockets as is the case in other weighted vests. This sustained deep pressure can create a sense of well-being, increasing focus and function, promoting better sleep, and decrease anxiety, stress, and agitation. The OTvest also improves balance and awareness of the body in space. In many cases, this helps decrease the accompanying anxiety that the lack of feeling “grounded” produces. 

Why do weighted vests like the OTvest have this calming effect? Deep pressure is registered in the limbic system, hippocampus, and reticular activating system, and may stimulate the production of neurotransmitters to modulate arousal levels, similar to the effects of medications. The use of the OTvest applies this deep pressure in a holistic, non-invasive and easily applied, discreet manner, making it one of the best ways to help naturally treat anxiety, stress, agitation, and related conditions.OTvest-Agitation-Older_man_with_headphones_and_vest

Ms. VandenBerg, upon realizing that the weighted vests utilized in her research could be more effective in treating anxiety, autism, PTSD, TBI, and other conditions, created the OTvest. The OTvest is a weighted vest that utilizes a better weight placement than other weighted vests, and can relieve a variety of conditions better than other weighted vests, weighted blankets, or compression vests on the market.

Below is the entire research manuscript published in The American Journal of Occupational Therapy by Nancy VandenBerg, MS, OTR, occupational therapist, whose vast experience working in public schools with children and young adults with attention difficulties such as ADHD, TBI, sensory processing disorders, and autism, led her to create the OTvest weighted vest:

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Grandin, T. (1992). Calming effects of deep touch pressure in patients with autistic disorder, college students, and animals, Journal of Child And Adolescent Psychopharmacology, Vol. 2, no. 1.

Lequerica, A., Rapport, L., Loeher, M., Axelrod, B., Vangel, S., & Hanks, R. (2007). Agitation in acquired brain injury: Impact on acute rehabilitation therapies. Journal of Head Trauma Rehabilitation, 22, 177-183.

McNett, M., Sarver, W., & Wilczewski, P. (2012). The prevalence, treatment and outcomes of agitation among patients with brain injury admitted to acute care units. Brain Injury, 26, 1155-1162.

Morro, K., Farley, J. (2016). Brain Injury in an Inpatient Rehabilitation Facility: Occupational Therapist's Role in Interdisciplinary Approach to Behavior Management. OT Practice, June 6, 2016, 15-18.

VandenBerg, N. L. (2001). The Use of a Weighted Vest To Increase On-Task Behavior in Children With Attention Difficulties. The American Journal of Occupational Therapy, 621-628. doi:10.5014/ajot.55.6.621

Look for the yellow "OTvest™" label on the chest pocket to make sure you are getting the genuine OTvest™. Others may look like the OTvest™ from the outside, but the weight placement is important. Only the OTvest™ has the patented weighted insert with weight lying directly upon the body. This makes the difference!