interoception & executive function

When clinicians hear the words executive function, it is easy to think about the skills we traditionally associate with it: planning, organization, working memory, and time management. But executive function is much bigger than keeping track of homework or remembering what comes next. It is woven throughout a child's day. Executive function can influence how a child gets started, responds when something changes, keeps track of information, organizes actions, persists when som

If you work with children, you've probably had this experience. You can see that executive function is influencing participation. A student may have difficulty getting started. Another may lose track of what they're doing halfway through a task. Someone else may have the skills to complete an activity in one setting but have much less access to those same skills when the environment, demands, or internal state changes. Recognizing that executive function is part of the pictur

When MTSS feels stuck, the issue may not be student motivation; it may be access. This body-first, access-based perspective helps school teams look beneath observable challenges to better support regulation, executive function, and meaningful participation.

Some children can access executive function skills one day and not the next. Access to thinking skills for learning depends on sensory regulation, supportive environment, and interoceptive safety. When the child's roots, trunk, and ground can support the child's needs, the child's canopy grows and fruit can bloom.

A child can know exactly what to do… and still be unable to do it in that moment. They may know how to transition. They may understand expectations. They may have completed the same task yesterday. So why does it suddenly fall apart? This is where many adults become confused. From the outside, it may look like: avoidance defiance emotional outbursts inconsistent participation refusal shutting down difficulty transitioning “not trying” But what if the issue is not willingness?

When children are referred for support, the referral often begins with a behavioral concern. A child is struggling to follow directions. Another student is leaving the area, shutting down, melting down, refusing to work, or struggling to stay on task. A caregiver or teacher may describe impulsivity, emotional outbursts, avoidance, or dysregulation. The concerns are real, important, and often disruptive to daily life. They deserve support. But the way we understand them matter

The holidays place a heavy load on executive function. Changes in routine, increased sensory input, and social demands can overwhelm a child’s nervous system long before behavior changes appear. This article explains how holiday stress impacts regulation, why stress responses signal a need for support, and how interoception helps children recognize when their nervous system needs a break.