About The Executive Function Institute

At the Executive Function Institute, we believe every child has the potential to thrive when equipped with the right tools built on their strengths. Founded by Dr. Cara Koscinski, a pediatric occupational therapist and parent of neurodiverse children, the Institute was created to make executive function skills accessible, visual, and actionable for professionals, caregivers, and learners alike.

Our mission is to transform how executive function is understood and supported by combining evidence-based strategies, visual learning, and neuroaffirming practices. We specialize in tools that help children build skills like planning, time management, working memory, organization, and self-regulation, all through a compassionate, child-centered lens.

At the heart of our work is the Executive Function Express, a train-themed model that turns abstract thinking skills into concrete, relatable visuals. This framework connects brain-body integration with sensory regulation, interoception, and cognitive growth making it easier for children to stay "on track" in the classroom, at home, and in life.

We offer books, workbooks, downloadable resources, live and online courses, and professional training designed to support educators, therapists, and families working with neurodiverse learners, including those with ADHD, autism, and learning differences.

Whether you're just starting your journey or looking to deepen your support toolbox, the Executive Function Institute is here to guide you—one track at a time.

About Cara

Cara Koscinski is the founder of the Executive Function Institute.

She's been an occupational therapist for over 28 years. Cara knew she wanted to be an OT in high school and thought of no other career. She earned her bachelor's degree in health sciences, master's degree in occupational therapy from Duquesne University in 1997 and her post-professional doctorate in 2019 from Rocky Mountain University of Health Professionals. Cara states, "I loved working with grown-ups but when my sons were diagnosed as autistic, I focused on learning ALL I could about autism, sensory processing, and pediatric topics. I even founded a pediatric OT clinic focusing on caregiver education in Pittsburgh - it’s still there today."

When the internet was still emerging and her sons were first diagnosed, Cara struggled to find relevant information to aid them. Motivated by this challenge, she authored several books aimed at assisting therapists, educators, and caregivers. Her publications have garnered numerous awards, and her inaugural book has been translated into five languages. Additionally, she established The Pocket Occupational Therapist, one of the pioneering blogs and websites dedicated to occupational therapy, offering valuable resources for therapists and caregivers.

Cara loves learning and meeting other OTPs. She is an eternal student!

"Love what you do and you’ll never work a day in your life.”

Cara's Sons

Cara is a passionate and engaging presenter who loves working with groups of clinicians and educators.

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Why Learn From Cara?

I'm a seasoned pediatric occupational therapist with a deep passion for interoception, executive function, and helping children thrive through a strengths-based approach. If you're looking for creative, evidence-informed ways to connect the brain and body, you’re in the right place! As a lifelong learner, I love blending research with real-world strategies and sharing what I’ve learned through books, courses, live trainings, and mentorship.

I’d be honored to work with you on your journey. Let’s make a difference—together.

Published Author

Cara is the author of seven published books and a contributing author in an additional professional text. Her first book, The Parent's Guide to Occupational Therapy for Autism, has been translated into five languages and continues to support families around the world. Her award-winning title, The Special Needs School Survival Guide, has received two national honors for its impact.

Seasoned Presenter

Cara has presented at hundreds of international, state, local, and private conferences- most recently at the Australia Pediatrics SIG, Hawaii SIG, WYOTA Annual Conference, Team Mario Autism Conference, & Therapies in Schools Conferences about executive function.

Keynotes and breakout sessions are available.

Certified Specialist

Certified Autism Specialist by the International Board of Credentialing & Continuing Education Standards. National Board of Certified Occupational Therapists with emphasis in pediatrics.