Category: Apraxia

  • No, not another diagnosis. Adding Dyslexia to Apraxia

    [wysija_form id=”1″]I had an epiphany the other day.  It came after reading an article someone sent me discussing how American schools are failing kids with dyslexia.   It was an excellent article and accurate in every way.  I started my career in Denver Public Schools in 2004, and at the time, an approach called “whole language” was being used to teach reading.  Just four years before this time, in 2000, my mentor (and now Ashlynn’s SLP) was telling me about the 2000 National Reading Panel Results that showed there were 5 components of reading that children needed to read, and whole language was missing many of them, particularly the two that had to do with phonological awareness and decoding.

    During my career in Denver, a special education coach named Robert Frantum Allen, came out and was training our intervention and special education staff to look at struggling readers and identify the component of reading in which they were having the most difficulty.  I remember the ones that were the most prevalent were in the areas of phonological awareness and decoding.  Many teachers weren’t even testing phonological awareness, and since the schools were using a whole language approach, it wasn’t getting taught either.

    I was in a Title 1 school, which in some ways is good because we get more funding to get more intervention teachers.  We had a great response to intervention system set up, with teachers hired to do 6 week intervention and track data on struggling readers.  The interventions included LLI (leveled literacy instruction) and Reading Recovery.  These were great programs for our ELL (English Language Learner) students, but for our kiddos who would eventually fall into special education, they weren’t helping at all.  I remember Robert stressing to us that these interventions would not remediate our kids with a reading disability (dyslexia) because they did not identify and then focus on the root cause of the issue, which in many cases was phonological awareness.  He believed 100% in an approach called Orton Gillingham or approaches based off this reading program.  In the school I was at, I had two Kindergarten kids come in with apraxia, and they THRIVED on an OG approach called Fundations.  OG has a TON of research and is in many cases considered the gold standard for reading intervention approaches.

    At the time, I didn’t have the research to back up Mr. Frantum Allen’s claims, but I had my professional experience which consistently showed our kids with a reading disability did not make growth in these reading intervention approaches; but the kids receiving an OG approach to reading did.

    I have never forgotten all the training and professional experience, but a little thing called apraxia kinda took over my life.  That is, until I read that article I mentioned above.  Everything I learned in DPS came flooding back, especially when I read the line that said one teacher said she didn’t learn how to teach kids how to read until she was trained in Orton Gillingham.  It went onto say many are now advocating for a “balanced approach” to reading as opposed to a whole language approach, but basically we are just doing a bunch of things that don’t work with some things that work really well.

    In that moment, my dear readers, I had the same gut feeling I had when that SLP told me back when Ashlynn was 2:11 “Laura this is apraxia.”

    In that moment, that article told me, “Laura, this is dyslexia.”

    I started to cry at the end of that article.  Damnit.  I missed it again.  I missed another OBVIOUS dx in my OWN daughter.  Why does this keep happening??  What good was all my training and experience when I’m not applying it to my OWN baby??

    Maybe it’s not dyslexia Laura.

    Oh no.  It is. It IS. How do I know this?  Ashlynn participated in a balanced literacy intervention over the summer.  She did make progress in some areas, but she just took the test at school and her scores were….the exact same.  It changed by 1 point.  Didn’t I say I SAW THIS EXACT THING in DPS when I worked there?  My kids with reading disabilities didn’t make progress with those approaches. I started thinking about how she still can’t rhyme (despite me working on it constantly), still has trouble identifying how many syllables are in a word (despite clapping them out since preK), has a poor working memory….I mean everything I KNOW she is struggling with correlates with dyslexia.  Look at my graphic at the way top.  Dyspraxia and Dyslexia and all those neurological disorders overlap.  But here we are, my daughter is in 2nd grade, and I’m just NOW seeing the writing on the wall. I think for so long I wanted to explain her problems were based on apraxia.  I was totally missing the forest for trees again.

    You know what else sucks?  Kids who have poor reading skills by 3rd grade usually remain behind until 9th.  I remember that chilling statistic because when you work in an inner city, the fear is that by 9th grade if a kid is still struggling academically, they will drop out.  Someone will have to put me in a grave first before Ashlynn drops out, but I remember being worried about the 4th and 5th grade kids I had on my caseload at the time.

    Oh and this is not to mention we have older adults now who have grown up to talk about apraxia such as Gage GoLightly who says she had dyslexia too, or Daniel Radcliff who had dyspraxia and dyslexia.  I know these disorders all have crazy comorbid prevalencies.

    So, long story short, is, I have Ashlynn on the 6-8 month wait list for the learning center at Children’s Hospital.  Yes the school could test her, but schools don’t dx dyslexia. I know this.  I work in one.

    I hired a tutor who will come 2x a week trained in OG.  I should have done this two years ago, just like I should have had Ashlynn in the right speech therapy a year before I did too.  If I can take any solace in any of this, it’s that someone reading my blog will learn from my mistakes.  It wasn’t too late for Ashlynn’s speech, and hopefully it’s not too late for her reading either.

     

  • In the Zone: A look at Camp Speech Zone in NY

    In the Zone: A look at Camp Speech Zone in NY

    Adventures mother and son in the city that never “seeps”  

    By definition, “being in the zone” means that you are so happy or excited because you are doing something easily and with skill. It’s really about having your thoughts flow easily and creatively with regard to art, music, design or invention. It’s the achievement of a blissful and fulfilling state of mind. Some refer to this as “in the groove.”   

    Having grown up down the shore in the Atlantic City, NJ area, my personal experience with being in the groove had everything to do with summertime. For some reason, my happiness was directly equated to the sun on my back and the ocean’s waves meeting my skin. I was in the zone on the boardwalk, on the beach and just relaxing on the front porch. I felt centered, content and at peace June through August (and still do!).   

    I truly wanted this Zen-like feeling for my over therapized 7-year-old son, Brody. I wanted him to have a summer full of fun experiences, new friendships and exposure to things he’s never seen before. That’s why when I planned out his summer camp schedule, I included a week of Camp Speech Zone in New York City. Now, I know what you’re thinking…Jami, that’s still therapy…yes but the camp took place each day from 9:00am – 1:00pm. Which meant three things: 1) Mommy could explore the city. Meet up with old friends and chillax during the time that Brody was at camp (73/Broadway…um hello Bloomingdales outlet) 2) Brody could make new discoveries during the afternoon and evening hours with me 3) there would be continuity of services even though we were technically “away.”. This was a surefire win-win situation. While our Big Apple adventures only lasted a week, it seemed like just the right amount of time to embrace that change of scenery. I was also curious if Brody would respond to new faces and new demands in a brand-new setting.  

    Last April, I discovered Camp Speech Zone on the Casna website when researching potential camps for children with Childhood Speech Apraxia. I quickly set up a GoFundMe account to be able to afford this expedition. I was also fortunate enough to stay at my cousin’s apartment on the upper west side while they were vacationing in Maine. The universe was sending me messages! I raised the money, signed Brody up and we set out on our adventure. And yes, those consonant blends are challenging for Brody so it is now known as the city that never seeps (LOL). One thing’s for sure, I began to notice more vocabulary seeping into his repertoire throughout our time there – true story.  

    Speech Zone is dedicated to providing personalized services in order to best serve children with various needs. They provide a fun and super supportive environment while giving your child the necessary skills for success. The exceptional quality of their facility, services and knowledgeable and caring staff truly sets them apart. Their speech-language pathologists and occupational therapists work meticulously together to ensure that your child is reaching their full potential. They also collaborate with other specialists and related service providers to promote generalization of skills in other settings. 

    Programming featured themed weeks including Sports Week, Ocean Animals, and all things outdoors. Brody arrived at the beginning of Transportation Week which he really enjoyed. The camp also features outings to Central Park Zoo, Museum of Natural History, Riverside Park and more!  Brody was exposed to a New York City Style Super Market experience which he also really loved. The camp provided plenty of access to language-rich environments. While the focus was on speech-language and occupational therapy, the focus was also on fun. The staff was committed to making all the children (and nervous parents) feel comfortable. And it was really great to see some familiar parental faces in the waiting room from having been to the CAS Conference in Chicago a couple years back.   

     

    When our week concluded, I asked Speech Zone’s Melissa Weiss, MS Ed, CCC-SLP, TSSL. to answer a few questions so that other moms and dads could learn more about this extraordinary camp. Big thanks to her for taking the time to respond in the name of informing other warrior parents!   

    What is unique about Camp Speech Zone that other camps do not offer?

    The camp is run by two certified speech language pathologists and a certified occupational therapist. In addition, we have dedicated interns with us all summer who are studying speech and occupational therapy at both undergraduate and graduate levels. Prior to registering for camp, we screen each child and meet with their families to ensure that CSZ is the right fit for their child and their needs. Our camp has included children with a variety of diagnoses such as: Apraxia of Speech, speech sound disorders, Autism, receptive and expressive language delays, Cerebral Palsy and other developmental delays. The children benefit from having a small camp group with peers that are close in age and have similar communication needs. Both teachers and parents have reported that they have noticed a positive change in children’s confidence and abilities. It is a supportive environment allowing children to work on their goals throughout the day without feeling isolated from their peers. The clinicians incorporate both speech and occupational therapy goals throughout the entire camp day. It is a great opportunity for the clinicians to see the child across all contexts and work on goals accordingly.   

    Why should parents who have kids with Apraxia consider it?

    The clinicians at Speech Zone are trained in PROMPT. The Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) is a touch-based method for reshaping individual and connected sounds as well as sound sequences. This approach is effective in working with children diagnosed with Apraxia of Speech as it embodies neuro-motor principles. In addition, Camp Speech Zone discusses a variety of child friendly themes. Children diagnosed with Apraxia benefit from mass practice of target words, thematic vocabulary is targeted throughout the week at camp. 

    What sort of activities do the kids do each day?
    We start each day with a morning meeting to practice calendar and weather vocabulary. Daily activities may include: art projects, shared storybook reading, following directions, sensory activities (i.e., obstacle courses or tactile play), yoga, food prep for snack time and neighborhood outings (i.e., grocery store) which all reflect our weekly theme. We take a daily trip to the playground to provide opportunities for independent social skills as well as a movement break. During lunch and snack time, clinicians assist children that have feeding difficulties including food aversions and oral motor sequencing challenges.   

    What are the weekly themes throughout the summer?
    The themes vary based on the age and communication skills of the group. Past themes have included: introduction to summer, sports, community helpers, transportation, colors, science, animals, and space.  

    Why do you love working here?
    Speech Zone is a great place to work. We work with such wonderful families and children that make coming to work a pleasure. The staff has aligned beliefs in work ethic and therapeutic approaches, making it easy to collaborate and learn from each other. It is rewarding to see the progress each child makes throughout the summer.  

    What other services are offered at speech zone?
    Speech Zone offers individual speech and language therapy sessions as well as individual occupational therapy sessions. Occasionally group sessions are held at Speech Zone depending on the child’s goals. We see children through board of education services, select insurance companies and private pay.  

    What makes the camp so special?
    CSZ is absolutely a labor of love. We originated as a camp program to provide a therapeutic and educationally based environment for children who had a lapse in their school programs during the summer. Families had expressed a need for a structured setting for their children. The children that attend Camp Speech Zone benefit from knowledgeable and professional staff as opposed to larger camp groups with inexperienced counselors who may not be familiar with their specific needs and abilities. Our staff is well equipped to design activities targeting a range of goals and modify activities accordingly. Since starting camp five years ago, we have grown to a full summer program which targets a variety of speech and language needs as well as developmental delays. 

     

    As I mentioned, my strategy for spending a week in NYC wasn’t purely to have Brody attend this amazing camp. Our afternoons were spent exploring this iconic city and being immersed in urban culture. We visited Hippo Playground/Riverside Park, Central Park (including the penguins at the CP Zoo), and Serendipity 3. We took a double-decker bus ride (and went live on Facebook) and visited the Intrepid Sea, Air and Space Museum. We indulged in experiences at Times’s Square’s Disney Store, The Lego Store and the Nintendo Store. The Nintendo Store (Brody can say the word “Mario” very clearly!) went out of their way to create a special experience for Brody. All of them were over-the-top incredible. We ate new foods and visited new people in fancy apartments and where ever we went I repeatedly heard: “Wow! Look! Mommy I like that!” – and these verbal outputs were merely the cherry on top of our big city sundae. If you’d like more information on fun stuff to explore with kids in NYC, a good resource is mommypoppins.com. By far the best thing we did with Brody was to take him on a car ride around Times Square. We did this at night with the top down on a rented convertible and it was absolutely priceless. I highly recommend it! No kid can keep quiet with the intensity of the lights and cool things to see for the first time!

    For more information on Camp Speech Zone, visit speechzonenyc.com or call them directly at 212-799-1750. You can also email them at speechzonenyc@gmail.com and follow them on Facebook  

    If you are considering sending your child to Camp Speech Zone next summer and have questions for me, please feel free to reach out to me via email at jamislotnick@me.com. And remember, there’s a big world out there. Exposure to new experiences are by and large highly motivating. Get out there and explore a new city. It doesn’t have to be New York!  
    Jami Slotnick  

    facebook.com/jami.slotnick
     

     

    Author’s Note: I have not been compensated or sponsored in any way by Camp Speech Zone or any of the NYC destinations mentioned in this article. 

  • She’s starting to feel different.

    She’s starting to feel different.

    Ashlynn just started her second grade year.  At the end of first she basically made a full year’s worth of growth going from beginning Kinder reader to end of Kinder reader, but still couldn’t pass the last level. I put her in tutoring again, just like I had done the summer after her Kinder year; but this time it was 3x a week for 30-45 minutes.  I saw so much growth and confidence.

    Thanks to her awesome teachers, Ashlynn has had solid reading instruction that includes explicit phonics instruction paired with an evidence based sight word program called Edmark.  Ashlynn has sooo many amazing skills.  She has sight words, she has all of her letter sounds, she can blend words.  For all intents and purposes, she should be passing this last Kinder level.  For some reason though, when we go to put it together, it just isn’t coming together.

    Ashynn found a “hooked on phonics” box I had forgotten about in her closet.  It’s a mostly phonetics based approach home program that includes computer disks and leveled books. She has carried

    these books, a stack of probably 12, EVERYWHERE.

    Today alone we read one waiting at the dentist, she read one in speech therapy since she refused to leave them in the car, and she picked one as her bedtime story.  When we were done reading, she sat at the edge of her doorway and read more to her stuffed animals.  It was very late and I told her she had to go to bed.  I heard her say pleadingly,

    “But Mommy.  I HAVE to learn how to read.”

    That KILLS me.  It literally breaks my heart into tiny pieces.  Why does it have to be so hard??  If I had worked that hard as a child I can’t even imagine where I’d be.  Maybe I would be an author like I’ve always wanted making millions.

    She’s so much more aware this year.  I can tell.  One of her friends from last year was retained and the other was grade skipped.  She’s happy everyday she comes home.  She still wakes up excited to go to school; but it’s been hard to make friends for her this year.  Her T.A’s are AWESOME.  They are always trying to facilitate friendships and get her playing with kids…….

    It’s just….

    Ashlynn has always known she has apraxia, but this year, I think she understands what it means to feel different.

     

     

     

     

     

     

  • Motivating Games for Speech Therapy Tested by Kids!

    Motivating Games for Speech Therapy Tested by Kids!

    As fun as I try to make speech therapy, as an SLP, I’m aware I sometimes need to inspire motivation!  Sometimes, we need to switch things up, or try new games and activities!  I recently asked my facebook community what their kiddos top motivating games are to play in speech therapy while working on targets. I had many of them, but some I don’t use much and others I haven’t heard of!  I hope you enjoy the suggestions as much as I did.  P.S.  Parents always ask what make good presents for SLP’s.  Games and therapy materials are ALWAYS appreciated and are a gift that keeps on giving!

    Don’t Break the Ice was the most popular game reported on my facebook page poll!

    I currently don’t have this game, but when I did I’ve worked on final /p/ saying “tap” or final /t/ saying “hit” or final /s/ saying “ice.”  So many more ideas you can do.

    Pop the Pirate

    Pop the Pig!

    Pop the Panda!

    I was wandering around Toys R Us one day and found this game.  So many good possibilities!  VC words: eat, in.  CVC words: push, down.  CVCV words: Panda, bamboo

    Honeybee Tree

    My kids request this one a lot.  I’ve worked on everything from targeting the word “in” and “out” when we put the leaves in and take them out, or just working on /l/ and saying “leaf” everytime we put a stick in.  As a bonus to work on prosody, we sing “Baby Bumblebee” too.

    Crocodile dentist

    A game kids will either love or hate.  You push down the teeth one at a time until the crocodile chomps you.  Work on targets: teeth, down, push OR just have the child say a target word before he pushes down a tooth.  We can work on prosody too with this game using our “scared voice” as we push the teeth down and then are LOUD voice when we get chomped.

    Jenga:

    A classic.  You can have the child say a target word before pulling out each piece.

    Monkeying Around!

    I had a girl who would literally say and do anything as long as she could play this game.

    Don’t Spill the Beans.

    I had one kid working on final /n/ and we first worked on “on” everytime we but a bean on, and then moved to “bean on” maintaining articulatory accuracy for both final /n/, until we worked ourselves right up to “put the bean on.”

    Guess Who

    This game is great for working on syntax within question forms among other things!

    Zingo has a bunch of words our kids are working on and is a favorite in therapy and at home!  How do you use Zingo?

    Catch the Fox!

     

    Thrift store wish list!

    There are some games that are GOLD but aren’t sold anymore.  If you see one, pick it up!

    Cariboo!! So versatile and so popular among SLP’s, there are even programs that make customized layouts to set over the board to practice target words and sounds.

    Puppy Racers.  Rec from a reader but doesn’t look like it’s made anymore.

     

    Have any more suggestions?  Add it in the comments below.

  • You know you need awareness when you know more than the “experts.”

    You know you need awareness when you know more than the “experts.”

    About a year ago I switched insurance from my husband’s to mine, in order to leave no stone left unturned.  I know that kids with apraxia can have some sort of positive indicator on a brain MRI, or genetic marker.  I had yet to do any of that testing, and so I decided this was the year to do it.

    My husband questioned why.  Is there a reason to know? Will it change anything?  Well, in some very small cases, people have discovered things that have been helped, but most likely the results would not yield anything.  My husband again questioned why.  Would it change the treatment plan?  Therapy plan?  Long term prognosis?

    “Probably not,” was my reply, but honestly, I just had to make sure.  I have to look in her eyes every morning and every night as she struggles through every daily living task and educational task. I have to pray most days to check my patience because many things she does is not her fault.  So yeah, I also have to be able to look at myself  reflected in her adult eyes someday and tell her with complete honesty,

    “Ashlynn, I did everything I knew in my power to do, to help you.”

    I have to be able to say that.  Yes it cost thousands of dollars and I’m on a payment plan for those medical bills now, but it’s worth it.  Everything came back negative and it’s STILL worth it.

    I’m not here to cry and moan though.  If you have a child with apraxia you are just as much in the hole as me.  No martyrdom here.  What I DO want to talk about though, is neurology.

    I went to the Children’s Hospital of Denver.  Well respected, popular hospital.  I took her to neurology and the first appointment went exactly as expected.  Exam and then orders for an MRI and genetic testing.  Pretty standard with Ashlynn’s presentation.  We only found out our neurologist was a resident when the supervising doc came in for a review.  Nice.  I guess it’s no big deal, but it would have been nice to know our appointment was with a resident. Maybe that’s not common, I don’t know.

    The second visit was a follow up visit.  I already knew the MRI and genetic testing didn’t yield anything remarkable.  I was there to see what their dx would be.  Our resident neurologist did her exam and then a different supervisor came in. She did a few things with Ashlynn, and then, as though I wasn’t even in the room she proceeded to tell the resident that “she doesn’t have apraxia” among other things.

    I think I sat in my chair in the twilight zone for a minute.  My head shifted back and forth between the two as I struggled to process what had actually been said.  Did that woman just say Ashlynn doesn’t have APRAXIA???

    “Um…wait.  Yeah, I’m sorry.  Did you just say she doesn’t have apraxia or oral apraxia?  Ask her to close her eyes on command.  She can’t.  Ask her to spit out some water…she can’t. Ask her to smile on demand, she can’t.  Oh, and if you don’t hear her speech apraxia, I am more than able to take you through a motor speech exam quickly.”

    The supervisor did many of the non-speech things I recommended.  She saw, as I said, Ashlynn couldn’t do them.  She then looked at her resident, again as though I wasn’t in the room and commented, “Oh, is this the SLP?”

    “Yes, I’m an SLP that specializes in her disorder,” I responded for the resident.  “Would you like me to take you through a motor speech exam?” I reiterated.

    She told me that wasn’t necessary and changed the subject to the next course of action.

    People.  WTF?

    You ALL know just as well as I know that if I WASN’T an SLP, that neurologist would have told the parent ASHLYNN doesn’t have apraxia.

    Ashlynn has been in therapy since before 3 and has a mom as an SLP!  She is now almost 8!  My God, I would HOPE she has improved.  WTH is wrong with people??  This is a DOCTOR for CHILDREN’S HOSPITAL NEUROLOGY.

    Sigh

    This is why I say and will ALWAYS say, you the parent are the expert on your child.  It sucks right now because parents seem to know more about apraxia and dyspraxia than experts.

    I have a client who has a son with apraxia and dyspraxia.  Apraxia was officially dx by me, so she asked where she should got to get the dyspraxia dx.  I recommended a neurologist.  She found herself at Children’s Hospital too.  Different neurologist.  She point blank asked if her son had dyspraxia and his answer was,

    Do I look like a therapist?

    My dear readers, therapists don’t diagnose dyspraxia or developmental coordination disorder!!!  It’s a DOCTOR who does this.

    I absolutely hate that we as parents know more than the professionals, but you guys, we do.  I say that AS a professional too. That is why awareness is so important to me, but right now we have to be the experts on our children!

    Don’t stop.  Don’t accept any “expert” opinion just because they are an “expert.”   Don’t be afraid to ask questions.  Dig for answers.  Listen to your gut, because you DO know your child better than anyone.

    Advocate.

    Don’t blindly accept “expert” opinion.  Value your own.  You are a parent and that makes your an expert on your child.

    Remember that.

  • What is executive functioning and why do you need to know?

    What is executive functioning and why do you need to know?

    Does your child struggle with impulse control? Do they run out or touch things they know they shouldn’t but seem unable to help themselves despite consequences?  Do they struggle to get dressed?  Does it take you 30 minutes longer to get out the door in the morning than you think it should?  Do they frequently lose things like important papers from teachers? Is their desk, backpack, and folders completely disorganized and in disarray?  Do they have difficulties with attention?  Do they have emotional outbursts that seem atypical from other children?

    If any of these sound familiar to you, your child may be struggling with a deficit in executive functioning skills.  Executive functioning skills are regulated by the pre-frontal cortex in the brain. Many kids with developmental delays and disabilities such as: apraxia, dyspraxia, autism,  ADHD, sensory processing disorder, and others are at risk for deficits with executive function skills.  These skills include the following:

    • Impulse Control
    • Emotional Control
    • Flexible thinking
    • Working memory
    • Self monitoring
    • Planning and prioritizing
    • Task initiation
    • Organization

    My daughter has apraxia and developmental coordination disorder, but I think difficulties with executive functioning skills have the most impact on us and our life as a family.  Any task that involves planning, sequencing, organizing and then execution brings her a massive amount of anxiety and manifests itself as her looking defiant and oppositional.  Even a task like “brush your teeth” which she can and has done numerous times independently still stresses her out at times depending on how tired she is, or any other factors.  The same is true for getting dressed in the morning or at night, cleaning her room (not gonna happen), or doing her homework from start to finish without direction from us.

    How do I know it’s a deficit as opposed to her truly being defiant?  I just said she has done most of these things independently at some point. I know though, because when she becomes physically distressed at the thought of performing a task, when I offer to help her she immediately calms down and is willing to do anything that is requested of her; including cleaning her room.  An OT at Adam’s Camp this summer gave me this analogy.

    Have you ever changed oil on a car?  No?  Great.  It’s exactly like setting your in front of a car and telling you to change the oil.  You have no directions and you have no manual (think visuals), and you have no one there to direct you?  How would you act?

    This was such an “aha” moment for me.  Let’s look at our list above.  In this scenario, I’m going to struggle with: task initiation, planning and programming and organization at the very least.  If I can’t do it and feel I am messing up, it’s probably going to escalate into my emotional control which will potentially affect my flexible thinking and so on.

    All of these processes are independent, but they can also be tied together.

    So what do we do?  Can executive functioning skills be taught?

    The good news is YES.  There is so much more great research too coming out now, and I’ve seen educational institutions grabbing onto this idea and implementing strategies into their classrooms.  If you are a parent, accommodations to help executive functioning skills can be easily placed in the IEP under the accommodations sections; or if you want more targeted instruction, can be written as it’s own goal. Psychologist’s can administer a test to look at executive functioning skills. One such test we use at my school is called the BRIEF (Behavior Rating Inventory of Executive Functioning). Don’t be afraid to ask for testing if you think your child struggles with this.

    That’s great for school, but what can frustrated parents like you and me do at home? I wrote Part 2 to this series in which I outline strategies to do at home for various skills. (click here).

    In the meantime though, Sarah Ward is quickly becoming nationally recognized as a top expert in this area.  She gives talks nationwide and if you can see her I have one word of advice: GO.  She’s fantastic, fresh and has current ideas that incorporate technology and apps that I have never seen presented before.  Most talks on executive functioning that I go to now will almost always include a suggestion they got from Sarah Ward.  Her website is Cognitive Connections.

    You can also find books on the topic that have good reviews with practical suggestions for parents:


    These books are geared more for parents and what you can do at home.  I also found some kid books that I think are helpful when we are talking to our kids about their difficulties.