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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


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


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 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
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