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Building Blocks Pediatric Occupational Therapy Services

Fairfield Connecticut Occupational Therapist

203-341-0178
943 Post Rd E Suite A
Westport, CT 06880
bbpedot@yahoo.com
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Executive Function

August 1, 2022 By admin

What is executive function?

Executive function is a combination of high-level mental skills that manage one’s ability to utilize cognitive abilities in order to carry out goals. Each individual’s executive functioning abilities can affect their success within the home, school, work, and social situations.

What are the basic areas of executive function?

1. Working memory

    • The ability to hold a small amount of information in the mind while using that information to execute a cognitive task
    • Cognitive tasks that involve working memory include:
      • Following a multi-step set of verbal instructions
      • Mental math or doing math “in your head”
      • Processing verbal information and responding in conversation
      • Reading comprehension

2. Cognitive flexibility

    • The ability to cognitively respond to changes in task or environment
    • Cognitive flexibility allows individuals to think about one idea or problem in multiple ways, think about multiple ideas at once, and switch between thinking about separate concepts
    • Mental processes that involve cognitive flexibility include:
      • Metacognition: the ability to think about and reflect on one’s own thinking
      • Emotional regulation
      • Empathizing with others
      • “Brainstorming” a problem

3. Inhibitory control

    • The ability to control automatic or impulsive responses
    • Tasks that require inhibitory control include:
      • Ignoring irrelevant sounds and other stimuli while focusing on an exam
      • Thinking before you speak or stopping oneself from “blurting out” thoughts
      • Refraining from eating unhealthy foods while on a diet
      • Stopping oneself from checking social media or text messages while working on a project

What are the 8 main executive functioning skills?

As discussed above, executive functioning can be divided into three basic areas: working memory, cognitive flexibility, and inhibitory control. However, there are eight main executive functioning skills that fall under the three basic areas.

1. Impulse Control

  • The ability to think and control one’s behavior before responding

2. Emotional Control

  • The ability to manage and regulate emotions as well as emotional responses

3. Flexible Thinking

  • The ability to mentally respond to changes in task or environment

4. Working Memory

  • The ability to remember a small amount of information while executing a cognitive task

5. Self-Monitoring

  • The ability to evaluate one’s own performance

6. Planning and Prioritizing

  • The ability to organize the steps necessary to achieve a goal

7. Task Initiation

  • The ability to begin a task without getting “stuck”

8. Organization

  • The ability to monitor and coordinate physical objects or mental processes

Executive Functioning Difficulties:

The following are signs that one may be struggling with executive functioning:

  • Difficulty initiating tasks or initiating multiple tasks without completing them
  • Trouble “prioritizing” tasks or figuring out which tasks are most important to complete
  • Forgetting information shortly after hearing or reading it
  • Getting distracted easily
  • Difficulty following multi-step directions
  • Trouble controlling impulses
  • Inflexibility with changes in routines or rules
  • Difficulty switching tasks while maintaining focus
  • Trouble with multi-tasking
  • Difficulty managing emotions and a tendency to “ruminate” on emotions
  • Losing or misplacing belongings
  • Difficulty arriving on time or estimating the length of time to complete a task
  • Difficulty organizing one’s thoughts

What causes executive functioning difficulties?

Trouble with executive functioning can have multiple causes and is associated with various diagnoses.

1. Brain Development

  • Slower development in certain areas of the brain is associated with executive functioning challenges
  • The prefrontal cortex, located in the frontal lobe of the brain, is the primary area of the brain associated with executive functioning skills. However, slower or less efficient neural pathways to other areas of the brain may cause executive functioning challenges as well.

2. Genetics

  • Difficulties with executive functioning tend to run in families

3. ADHD

  • Attention-Deficit/Hyperactivity Disorder (ADHD) is a diagnosis associated with executive functioning challenges

4. Learning disabilities

  • Difficulties with executive functioning can cause challenges with reading and math
  • Individuals with learning disabilities such as dyslexia and dyscalculia often also exhibit challenges with executive functioning

4. ASD

  • Individuals with autism spectrum disorder (ASD) often exhibit challenges with executive functioning due to differences in brain development

5. Mental Illnesses

  • Mental illnesses such as depression and PTSD are associated with executive functioning challenges

6. TBI and Stroke

  • Traumatic brain injuries (TBIs) and strokes may cause damage to the areas of the brain that control executive functioning and lead to challenges

7. Alzheimer’s Disease

  • Alzheimer’s Disease leads to degeneration and damage in multiple areas of the brain including areas associated with executive functioning skills

 

 


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🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHER 🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHERS & THERAPISTS 🌈

Occupational therapy is personal to me. I truly love what I do, I love the children and families I work with, and I want to help as many people as I can. ❤️

After 25 years as an occupational therapist, I’ve learned there isn’t one strategy that works for every child or every moment. That’s why I created this Social-Emotional Handout & Toolbox for parents, teachers, therapists, caregivers, and anyone supporting children.

It’s filled with quick, practical tools you can reach for in the moment—recognizing body signals, emotional regulation, anxiety and worry, frustration and anger, transitions, flexible thinking, friendships, sensory strategies, movement, calming tools, and repairing after a hard moment.

My hope is that you save it, share it, and use it when a child needs a little extra support. Sometimes having the right tool at the right time can make all the difference. 💛

Please reach out anytime with questions, for additional resources, or if you’d like me to become part of your child’s team. Helping children, families, teachers, and fellow therapists is truly why I love what I do. 🌈

#PediatricOT #SocialEmotionalSkills #TeacherTools #TherapyTools #Explore
PRIMITIVE REFLEXES: NOW WITH VISUALS! ✨ My orig PRIMITIVE REFLEXES: NOW WITH VISUALS! ✨

My original Primitive Reflexes Parent Guide received so much attention and such wonderful feedback! 💛 One of the biggest requests was: “Can you show us pictures of the exercises?”

So here you go! 🌈

I created visual examples to go along with the home strategies so parents can more easily see what each movement should look like and feel more confident practicing them at home.

Primitive reflexes can play an important role in the foundations for movement, posture, coordination, balance, body awareness, attention, regulation, handwriting, motor planning, and everyday functional skills.

This guide covers:
🌟 Moro
🌟 ATNR
🌟 STNR
🌟 TLR
🌟 Spinal Galant
🌟 Palmar Grasp

You’ll also find simple home activities like cross-crawl, cat-cow, bird-dog, log rolls, starfish movements, animal walks, hand-strengthening activities, deep pressure, and breathing—now with pictures to provide a clear visual! 📸

The goal isn’t perfection. Keep the movements slow, playful, comfortable, and consistent. Even a short daily movement routine can be a great way to support foundational skills through play. 💪🌈

📚 For more information: Primitive Reflexes: Retained Reflexes and Integration Techniques by Justine Bedocs, OTR/L, available on Amazon.

💾 SAVE this guide to use at home and 📤 SHARE it with a parent, teacher, or therapist who may find the visuals helpful!

Primitive reflexes are only one piece of a child’s development. Individual concerns should always be evaluated by a qualified professional.

#PrimitiveReflexes #PediatricOT #OccupationalTherapy #HomeProgram #explore
🧡 WHY BALANCE ACTIVITIES MATTER! Balance is SO 🧡 WHY BALANCE ACTIVITIES MATTER!

Balance is SO much more than just standing without falling! Balance activities help build the underlying skills kids need to move, learn, play, and feel confident in their bodies. 🌈

Working on balance helps develop:

✨ Core strength & stability
✨ Postural control
✨ Coordination
✨ Motor planning
✨ Body awareness & proprioception
✨ Vestibular processing
✨ Bilateral coordination
✨ Protective reactions
✨ Focus & attention
✨ Confidence with movement

And when balance improves, we often see improvements in everyday skills too—running, jumping, climbing, navigating playgrounds, sitting upright for learning, participating in sports, dressing, and moving safely through the environment.

Balance boards are one of my favorite OT tools because there are SO many ways to use them—rocking, wobbling, squatting, reaching, playing games, or even using them during tummy time!

💙 Better balance → stronger bodies → more confident kids!

#Balance #Explore #OccupationalTherapy #PediatricOT #MovePlayGrow
🧡 THE PEANUT BALL — SUCH A GREAT BANG FOR YOU 🧡 THE PEANUT BALL — SUCH A GREAT BANG FOR YOUR BUCK!

I truly love a peanut ball for home therapy. For around $20, there are so many ways to use it while working on important underlying skills through play.

Sit, bounce, stretch, do pizza squishes, work on puzzles, strengthen the core, build balance, improve body awareness, motor planning and so much more.

It’s simple, affordable, fun, and one of those therapy tools that can grow with your child. 🌈

One inexpensive tool. So many possibilities.

Always supervise and choose activities that are appropriate for your child.

#PediatricOT #OccupationalTherapy #PeanutBall #ParentTips #Explore
12 weeks of growth, learning, laughter, and memori 12 weeks of growth, learning, laughter, and memories I’ll carry with me forever 🤍

I’m so grateful for my Level II fieldwork at Building Blocks Pediatric Occupational Therapy Services and for everything this experience has taught me about pediatric OT and the therapist I hope to become.

A huge thank you to Justine for an amazing 12 weeks. Thank you for your guidance, encouragement, and for showing me what it means to truly love and care for every child you work with. I’m so lucky I got to learn from you! 🤍

And to all of the families who trusted me with your children, thank you for allowing me to be a small part of their growth and progress. I’ll always be grateful for the memories and connections I made. 🫶🏼

I shared a little more about my journey and fieldwork experience on the blog! Link in bio ✨

#PediatricOT #OccupationalTherapy #OTStudent #ᴇxᴘʟᴏʀᴇᴘᴀɢᴇ 
@lexiberroa @justinecarol77 @building_blocks_stories
✨ PRIMITIVE REFLEXES: A SIMPLE GUIDE FOR PARENTS ✨ PRIMITIVE REFLEXES: A SIMPLE GUIDE FOR PARENTS ✨

Primitive reflexes are automatic movements babies are born with that support early development. As children grow, these reflexes should naturally fade as more controlled movement takes over. 🧠🌈

If they remain active, you may notice challenges with:

⭐ Balance & coordination
⭐ Posture & core strength
⭐ Crossing midline
⭐ Handwriting & fine motor skills
⭐ Body awareness
⭐ Attention & self-regulation

Common reflexes include Moro, ATNR, STNR, TLR, Spinal Galant, and Palmar Grasp.

🏠 AT-HOME SUPPORT IDEAS

Try simple daily movement play:

🌟 Cross-crawl
🌟 Cat-cow
🌟 Bear & crab walks
🌟 Starfish or snow angels
🌟 Bird-dog
🌟 Log rolls
🌟 Theraputty or clothespins
🌟 Deep pressure hugs & breathing

Just 10–12 minutes a day can support foundational development through movement and play.

The goal is to build strong foundations for play, learning, and independence 💪🌈

📚 Learn more in Primitive Reflexes: Retained Reflexes and Integration Techniques by Justine Bedocs, OTR/L (Amazon)

💾 Save & 📤 share with someone who may find this helpful

Primitive reflexes are only one part of development. Concerns should be evaluated by a qualified professional.

#PrimitiveReflexes #PediatricOT #OccupationalTherapy #ParentTips
📚💙 “What Is OT? And What Will I Do There?”

Today I had the sweetest little reading buddy, Stella, help me share my children’s book about occupational therapy! 🥰 And she gave it TWO thumbs up! 👍👍

The main character is my son, Drew, who takes kids along with him to OT and shows them that therapy can be a place to play, learn, practice, grow, and build confidence.

Through Drew’s story, children learn about some of the many things we work on in OT:

✨ Fine & gross motor skills
✨ Visual-motor skills
✨ Dressing & daily living skills
✨ Feeding skills
✨ Sensory processing
✨ Body awareness & motor planning
✨ Executive functioning
✨ Interoception — understanding what our bodies are telling us
✨ Social-emotional skills
✨ Self-regulation & independence

My favorite message of all:

💙 OT is all about helping children become their best, most independent selves.

At OT, children learn:
I am strong. I am capable. And I am ready to do amazing things. 🌟

And according to Stella… it’s definitely a two-thumbs-up read! 👍👍📖

#OccupationalTherapy #PediatricOT #BuildingBlocksPediatricOT #explore
What exactly is a sensory diet? 🤔 If you’ve What exactly is a sensory diet? 🤔

If you’ve ever heard the term but weren’t quite sure what it meant, this post is for you! A sensory diet is so much more than a list of activities, it’s a personalized approach to helping children feel regulated, confident, and ready to participate in everyday life.

This carousel covers the basics, but there’s so much more to learn!

✨ Head to our blog to read the full guide, where we cover:
• What a sensory diet is
• Who can benefit
• Signs your child may benefit from one
• What a sensory diet looks like in everyday life
• And examples of activities for all 8 sensory systems

🔗 Visit the link in our bio to read the full blog!

💙 Save this post for later and share it with someone who might find it helpful.

#OccupationalTherapy #PediatricOT #SensoryProcessing #ᴇxᴘʟᴏʀᴇᴘᴀɢᴇ #ParentEducation
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