Advanced Pediatric Therapies

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Executive Function: What does it mean?

The skills that make up executive functioning are strong indicators of future life success.

The skills that make up executive functioning are strong indicators of future life success.

Executive Functioning is the latest buzzword that parents have been hearing lately.  EF is made up of many smaller skills that make up the bigger picture.  In the illustration above, from a recent Parents magazine article, you can see how these skills are imperative to being able to get along with other kids, follow through with an idea, become familiar with rules and expectations, self monitor behavior and stay focused on the task at hand.  Phew!  Takes a lot of energy.  Some kids have difficulty with these skills for a variety of reasons including having a diagnosis of autism or ADHD or even dyslexia.  Children (and adults) who don’t have a formal diagnosis can still struggle with EF, and it’s the therapist’s and parent’s work to help bridge the gap.

When your child is in preschool, their brains are developing executive functioning simply by playing with other kids.  For young kids, EF is learned and integrated when kids are able to “use their words” or utilize language when dealing with a problem.  If they have a problem which they can’t solve, they get adult help.  Or they figure out that the game the other kids are playing looks just as fun as the one that was just snatched up by an unwelcoming group.  When a child acts out under these conditions or alternately retreats, then they made need some assistance developing EF skills.

“Executive Functioning is the brain wrestling with it’s emotions.” –  Walter Gilliam, PhD.  Yale University

When a child is mastering executive functioning, they are simultaneously learning to deal with emotions which can make for an explosive mix.  Because studies suggest that self regulation can be a better indicator of future success than SAT’s, it’s worthwhile to invest time in some proactive strategies.  The following ideas are some which have been taken from a variety of sources, but check with your healthcare provider if you have questions.

Choose a school that emphasizes executive function in their curriculum

Look for words like “child centered” and “play based” when selecting a school.  For older kids, look for teachers that see themselves less as dictators and more as facilitators of the process.  Good schools know that emotions and behavior are part of learning just as numbers and facts are.

Tell stories

Kids who listen to stories, make up their own or even listen to an audiobook aren’t relying on visual material.  They have to rely on their memory and how they feel about the story to hold it in mind and keep engaged.

Be a good role model

Ask questions when you don’t understand, talk out loud when attempting to solve a problem.  Go to yoga when you are stressed, then come home and say how the silence helped you figure something out.

Point out an accomplishment

Let your child know when you see them controlling their impulses.  Your preschooler is about to throw the remote when she is told she can’t watch her favorite show.  But instead, she puts it down and starts playing something else.  Tell her she made a good choice.

Patience is a virtue…

When your child learns to wait, something often tough to do in our culture, they are also stopping themselves from doing something else that could be negative.  Like, stomping their feet, yelling or running away.  Modeling patience is helpful too.  Remember that the next time you are stuck in traffic…

Discipline and perseverence

We can learn these skills by doing them.  Over and over and over again.  Just like that episode of Sesame Street that they watched a thousand times.  Younger kids love repetition.  Older kids need a bit more novelty, but repetition is needed nonetheless.

Executive Function isn’t really anything new, although it’s experiencing a resurgence in the media right now.  Ask your OT if there’s anything particular to your child that you can do at home.

photo from Parents Magazine

 

 

 

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Self Control/Self Regulation: What does it all mean?

In the clinic, we often refer to self regulation or self control as an important skill for kids to develop.  Why?  In our media-saturated culture, our kids often have trouble switching gears.  They focused on that little noise when the heat kicks on or so entranced in a game that they can’t even hear you calling them.  We want our kids to be independent, but in order to do that, they have to be able to put distractors aside so that they can focus on something more important, like playing with a sibling or doing their homework.  Not so easy.  But there are some ways kids can practice self control.  Try some of these ideas in your home and see what works for your child.

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1. )  Follow a recipe or start a new game.  Each requires step by step instruction.  It has to be a game your child really wants to play or something they really want to eat.

2.)  They must learn to wait for you.  Don’t drop whatever you’re doing because your child is jumping up and down to get your attention.  The world won’t stop for them so they need some practice waiting.  This may be harder for you than it is for them, but worthwhile.

3.)  Use a timer!  We use one all the time in the clinic.  A visual timer (red denotes the time until the activity is finished) is useful for kids who can’t read numbers.  They know how much time is left and can see it pass.

4.)  Remind them you can help if they need it.  Try not to ask, just inform that you are there if needed.  Questions are often stressful when a child is trying to do something difficult.  Take turns.  Or start and let them finish.

5.)  Start a project that will take an extended amount of time to complete.  Plant a garden.  Work on a Lego Challenge.  Sign up for a race together and train for it.  This teaches patience, and that steady effort and consistency is required.

6.)  Look in the mirror.  You are your child’s greatest teacher.  If you fly off the handle easily or are quick to give up when challenged, consider how your behavior looks to your child.

7.)  Give them some ideas if they are all out.  Tell them you can give them some ideas if they are open to it.  (Post coming up on “coping strategies”)  Suggest getting a drink of water or going out to climb their favorite tree.

8.)  Don’t expect more than their age can deliver.  If a tired toddler is dragged into a supermarket, you really only have yourself to blame!  Set reasonable expectations and your child will be more likely to meet them.

9.)  Give them some down time.  This can’t be overstated.  Research suggests that children who are over-scheduled are more likely to have meltdowns than those who are given more free time during the day.

10.)  Know when to do nothing.  When your child is demonstrating some self control, let them.  The only thing you need to do is give them positive reinforcement for doing so.

Thanks to yourtherapysource.blogspot.com for ideas for this post.

 

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