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Regulation and Executive Function


Twice-Exceptional Children: Understanding Their Unique Pattern of Strengths and Support Needs
A child explains a complex scientific idea but cannot begin a simple worksheet. Another reads years above grade level but becomes overwhelmed when plans change. A student solves advanced problems mentally, yet routinely loses assignments, forgets directions, or shuts down during written work. The patterns can seem contradictory, but they are not. Some children have significant strengths or advanced abilities while also having a disability, developmental difference, or area in
Cara Koscinski
Sep 167 min read


Executive Function Is Hiding in Plain Sight
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
Cara Koscinski
Aug 315 min read


Knowing Executive Function Is Involved Is Only the Beginning
If you work with children, you have probably seen this pattern. A child understands the assignment but cannot get started. Another begins successfully but loses track of what they are doing halfway through. A student completes a task in one setting but has much less access to those same skills when the environment, expectations, or internal state changes. You may already recognize that executive function is part of the picture. That recognition matters, but it usually leads t
Cara Koscinski
Aug 216 min read


Executive Function Is Dynamic: Why State Matters for Both Access and Learning
A child’s ability to use executive function skills can change from moment to moment. So can their ability to learn new ones. When we talk about executive function, we often describe skills such as initiation, working memory, planning, organization, flexibility, inhibition, time management, persistence, and metacognition. This can make executive function sound straightforward: identify the weak skill, teach a strategy, practice it, and expect improvement. But executive functio
Cara Koscinski
Aug 75 min read


Why School-Based OTs, PTs, and SLPs Need to Understand MTSS
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.
Cara Koscinski
May 126 min read


Why Skills Don’t Always Show Up: Understanding Access in Children
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.
Cara Koscinski
May 33 min read


Why Time Is Abstract for Kids With Executive Function Challenges?
Time is abstract for many children with executive function challenges. “Five minutes” has no shape, sound, or internal signal—and when time disappears suddenly, stress responses often follow. This post explains why time feels invisible to kids at home and school and shares practical, train-themed strategies from the Executive Function Express model to make time concrete, predictable, and supportive of smoother transitions.
Cara Koscinski
Jan 47 min read
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