I usually wear a soft bracelet I can take on and off as well as twist. I bought the T some soft smooth rocks and some other calming objects she keeps at her office for whoever wishes to use them. She keeps the soft rocks out. If I find myself tugging at my hair, I will put one in each hand or she hands me an object out of the box. There is a TY Beanie Hedgehog zipper pull which is small, but has a lot of different textures. It keeps me grounded.