IEP accommodations are supposed to help students access learning, but some supports can unintentionally make students more dependent on adult prompting. Accommodations like extended time, preferential seating, break cards, reduced assignments, and frequent comprehension checks can absolutely be appropriate for students with disabilities. The problem is what happens when adults start doing the executive functioning…
Category: Neurodiversity
The 5-Part Framework That Ends Demand Avoidance and Prompt Dependence for Your School Caseload
You can give a student a planner, checklist, graphic organizer, timer, or visual schedule and still find yourself reminding them to use it every single day. Either they forget to use it, still struggle to organize themselves, or flat out refuse to use it. That’s because having access to a planning tool and knowing how to plan are two different…
This Student Argued Through Every Study Hall to Avoid Writing. Here are Three Things We Changed
One of the most common mistakes clinicians make relating to work refusal is waiting until the moment it happens to manage it. The student refuses to start, so the adult explains what needs to happen. The student pushes back, so the adult explains why. Then the conversation shifts to consequences, rewards, or what the student will lose if they don’t get their work…
Why “Demand Avoidant” Students Don’t Need You to Build Motivation First
One of the most common questions I hear from clinicians working with students who avoid difficult tasks is: “How do I make them care?” You’ve probably worked with students like this. You offer to give them something most students would enjoy after the work is finished, and they say they don’t care. You try to make the activity…
The First Thing To Do When a Student Refuses Work at School
When a student refuses work at school, more prompting, explaining, or negotiating may actually keep the pattern going. The problem? Those responses can do the executive functioning work for the or give them another way to delay the task. I once had a student who seemed to get really upset about his grandfather dying every time I…
Why Demand Avoidance Gets Worse When You Lower School Expectations (And What To Do Instead)
Have you ever had a student spend 45 minutes avoiding an assignment that would have taken them five minutes to finish? They argue about why they shouldn’t have to do it, negotiate over how much they need to complete, ask to go to the bathroom, or decide they need a drink before they can get started. Meanwhile, you’re looking at…
I asked ChatGPT where to get the best executive functioning lesson plans. This is what it told me.
Today, I was gearing up to write rant about why I don’t provide a ton of materials for executive functioning in my training programs like the School of Clinical Leadership. Then I thought to myself, “I wonder what hot pile of garbage ChatGPT would give me if I asked it where to find EF lesson plans.” Full disclosure, I do…
The best perspective-taking lesson plan is not actually a lesson plan
Recently in some clinical discussion groups, I’ve seen therapists asking for lesson plans to build perspective taking and situational awareness. This makes me feel optimistic, because it shows that they understand that social skills issues are related to executive functioning. But “activities” for improving perspective taking will not come from a set of materials you…
No, you can’t cover all the skills kids need in your therapy sessions.
When I tell related service providers that they should be coaching and training other members of their school teams, the most common objection I get is that they don’t have time. However, most of them ALSO feel like they have too many skills to work on in therapy. They ask, “How can I possibly get…
The problem with social skills lesson plans
If you’re working on social skills with students and seeing poor generalization, the solution is not more therapy materials. I’m often asked if I offer social skills activities that can be a quick “print and go” option for school therapists to do with students in a group therapy setting. I’m fully aware that if I…



