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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


Organized ≠ Neat: Rethinking Organization as an Executive Function Skill
Discover how a child’s existing organization strengths can provide valuable clinical information and help therapists create more effective executive function supports.
Cara Koscinski
Aug 254 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


Before the School Year Begins: Looking Beyond Behavior to Support Executive Function Access
As a new school year begins, children bring more than backpacks into the classroom—they bring unique nervous systems, strengths, and support needs. Learn how a body-first approach can transform the way you understand executive function, participation, and regulation, and download your free Back-to-School Clinical Toolkit™ filled with practical resources you can use right away.
Cara Koscinski
Jul 204 min read


Executive Function Assessment: Why Traditional Approaches Miss the Bigger Picture
The EFX™ Access Profiler™ is a new participation-focused executive function assessment and clinical reasoning system designed to help professionals better understand executive function access across real-world contexts, supports, regulation states, and participation demands. Beta testing opportunities are opening soon.
Cara Koscinski
Jun 35 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


What Is Inhibition and Why It Matters for Executive Function in Children
Inhibition is a key executive function that helps children pause, think, and choose appropriate responses over impulsive ones. In this article, we explore how developing this vital skill supports emotional control, learning, and behavior regulation across settings.
Cara Koscinski
Nov 14, 20254 min read
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