In the past few jobs I’ve held, I’ve managed to get to the point people would say, “I know I can come to you with a problem and you’ll get something done.” It makes me incredibly proud when people see me as the “Get shit done” person. When I was in the schools, it was…
Author: DrKaren
Language and EF Systems Aren’t Built During Breaks. They’re Built in Protected Time Blocks.
There’s a quiet agreement many school clinicians make with themselves every year: “I’ll build my system this summer.”“Once things calm down after evaluations, I’ll map it out.”“Over winter break I’ll finally organize everything.”“Next year will be the year I get ahead.” And then summer fills with life.Breaks disappear into recovery.The school year starts fast.Referrals pile…
Five “clinical containers” to Design Your Language Therapy System
In episode 255 of De Facto Leaders, I elaborate on the concept of using vocabulary as a large “container”, so you can design sessions efficiently without sacrificing quality. I talk about why more experienced clinicians often struggle to make their interventions scalable, and why this gets in the way of carryover. I also share the…
Goals and Accommodations for Executive Functioning
Writing goals for executive functioning can be challenging because it’s very hard to quantify. Additionally, because executive functioning impacts almost every functional skill we engage in, almost every goal on any IEP or therapy plan is technically an executive functioning goal. When we’re focusing on other areas such as writing, reading, math, language, or other…
Resource List: Scaffolding syntax, semantics, language evaluations
I recently compiled a list of my top resources for syntax and semantics, and I wanted to share it on the blog. This list was designed with the following questions in mind: “What does a therapy session look like when you’re doing semantic feature analysis or studying definition syntax?” “How do you do syntax and…
Following directions goals have become controversial
One of the most disheartening things I’ve seen in clinical communities is how polarizing certain topics have become. A topic on that list would be “following directions” goals. While I’d agree that goals for following directions often end up being too compliance-focused in the way they’re implemented, I’d caution people from throwing the baby out with the…
2024: All-Time Top 5 Dr. Karen Pieces
One of my go-to, re-watchable comfort movies is High Fidelity. It’s definitely in my “all time top 5” (other High Fidelity nerds will get the reference). For those who haven’t seen it, the main character in the movie is constantly making “all time top 5” lists about various things (usually music, but sometimes career paths and other things). He…
National Literacy Month Series: The Full Line-Up
In the month of September 2024, the Be Podcast Network partnered with Reading Is Fundamental for a campaign designed to spread awareness of effective literacy practices. As part of this effort I hosted a series of guests on De Facto Leaders to speak on topics relating to language, literacy, and advocacy. Reading Is Fundamental is…
Reference list guidelines and ethically sharing online content
Since I provide a lot of online content, I often get asked if people can share my information for professional presentations, with clients, or with colleagues. In this post, I wanted to share some guidelines you can use for sharing online content, as well as some things that are specific to resources I offer. If…
What’s better than an executive functioning lesson plan?
I offer a free training on executive functioning where I talk about the common mistakes school teams make. In this training define what executive functioning is, and some big picture ideas about how to support kids effectively. The five skills I discuss in that intervention framework are: 1. Self-talk2. Time-perception3. Future Pacing4. Episodic Memory5. Encoding Today,…









