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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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Social Thinking

June 16, 2022 By admin

Social Thinking is a framework developed by speech language pathologist, Michelle Garcia Winner, to teach individuals to use a cognitive and problem-solving approach to learn about social emotional skills. The framework considers each individual’s stage of development, language level, and problem-solving abilities to determine the appropriate tools, strategies, and activities to foster social learning. The techniques used in the Social Thinking framework are aimed at individuals aged four and older with near average to above average language and cognitive skills. The Social Thinking tools and strategies were developed for individuals with social learning difficulties regardless of diagnosis but are commonly used with individuals with autism spectrum disorder (ASD), ADHD, learning disabilities, and social communication disorder. The concepts described as well as articles, books, and other useful resources can be found on socialthinking.com.

10 Fundamental Concepts of Social Thinking

1. Thoughts and Feelings

The first concept taught to children in the Social Thinking framework is the idea that everyone an individual encounters has thoughts and feelings. Every other concept in Social Thinking is linked to this concept. This is similar to the concept of “theory of mind,” which is the ability to understand that the thoughts and feelings of others are separate and different from your own. Theory of mind develops around ages 4-5 in typically developing children. As a child learns about ‘Thoughts and Feelings,’ the Social Thinking framework also teaches about emotional regulation. One curriculum used to teach children emotional regulation skills is The Zones of Regulation.

2. Thinking with Your Eyes

The second concept involves teaching children to “think with their eyes.” This Social Thinking concept encourages children to observe their environment and the people around them to figure out what is happening in social situations. Observing people and thinking about what they observe (e.g. facial expressions and body language) leads children to consider what others might be thinking or feeling. Once a child understands what a person is thinking or feeling, they are better able to respond to the person and situation.

3. The Group Plan

The third concept involves teaching children about being part of a group and cooperating with others. One important aspect of being part of a group is figuring out the “group plan.” Children are also taught to figure out their role in the group. Children must attend to their surroundings, interpret the social situation, and problem-solve In order to determine the group’s intention and their expected role.

4. Body in the Group

The fourth concept involves learning about how being physically present in a group may be interpreted by other group members. The group makes inferences about each person’s intentions based on their physical proximity to the group. For example, when an individual is standing or sitting with a group, the group members will infer that this individual wants to be included in the conversation or activity. When an individual is standing by themselves away from the group, the group members will infer that the individual does not want to be involved in their group.

5. Whole Body Listening

The fifth concept involves teaching children how to improve their listening skills and communicate with their body language to show others that they are listening. Within the Social Learning framework, the term “whole body listening” is used with younger children but “active listening” can be used to explain the same concept to older children, teens, and adults. Some examples of how to “listen” with your body are to look at the speaker (using your eyes) and face toward the speaker (using your torso).

 

6. Expected & Unexpected Behavior

The sixth concept involves teaching children how to figure out whether behaviors are “expected” or “unexpected” based on social norms in specific contexts. This process involves the child observing the context in which a behavior is occurring (examining the situation and making inferences about the people in the situation). After determining the context, the child figures out the social norms (hidden rules) in the specific situation; the child may have already learned the hidden rules involved in a specific situation or may be able to figure them out by “thinking with their eyes” or asking an adult for help. The hidden rules of the situation will help the child determine which behaviors are “expected behaviors” vs. “unexpected behaviors.” Expected behaviors are any behaviors that allow an individual (and others) to engage attentively as planned in a specific context. Unexpected behaviors are the opposite of expected behaviors; these behaviors keep an individual (and/or others) from engaging attentively as planned in that context.

7. Smart Guess

The seventh concept involves teaching children about “smart guesses” vs. “wacky guesses.” Smart guesses are made by using what you know to make an inference about a situation. Wacky guesses are made when a person does not know enough about a situation to make a smart guess. The Social Learning concepts build on each other, so while many of the previous concepts require individuals to make “smart guesses,” learning about the earlier concepts first also teaches individuals how to make “smart guesses” using observation, problem-solving skills, and social knowledge.

8. Flexible & Stuck Thinking

The eighth concept involves teaching children about “flexible” and “stuck” thinking. Flexible thinking relies on a cognitive skill called executive functioning. Executive functioning allows an individual to control the rest of their cognitive skills including the ability to self-regulate. In order to develop strong social skills, one must use flexible thinking when interpreting and responding to social situations. When an individual uses “stuck thinking” they are less likely to take other’s thoughts and feelings into consideration and group plans are less likely to be achieved.

9. Size of the Problem

The ninth concept involves teaching children to relate the “size of the problem” to the “size of their emotional reaction.” Under the Social Thinking framework, when a problem occurs, the child should be taught that problems can be categorized into “small,” “medium,” and “big” problems. A small problem is one that can be solved by the child themselves. A medium problem requires help from an adult, while a big problem is one that adults need help from other adults to solve. The child is also taught the emotions that correspond to the size of the problem. For example, a small problem is expected to lead to less intense emotions than a medium or big problem.

10. Sharing an Imagination

The tenth concept involves teaching children to relate to others by imagining other’s thoughts, emotions, and experiences as well as sharing their own. One’s “singular imagination” involves all the thoughts, feelings, and creative concepts held in one’s internal world. Some individuals struggle to share an imagination which means that they have trouble understanding or relating to another person’s internal thoughts, emotions, and experiences. Learning how to share an imagination helps individuals engage in meaningful conversations that allow strong social connections to develop.




Highlighted Curriculum: The Zones of Regulation:

The Zones of Regulation is a curriculum adopted by the Social Thinking framework that was developed by occupational therapist Leah Kuypers. This curriculum divides all the emotions, feelings, and levels of alertness children experience into four colored categories: blue zone, green zone, yellow zone, and red zone.

Blue Zone: low alertness level and low feelings; feelings may be described as unhappy, sick, sleepy, or bored.

Green Zone: calm feelings and level of alertness; feelings may be described as happy, focused, relaxed, ready to learn.

Yellow Zone: elevated emotions and heightened alertness level; feelings may be described as frustrated, nervous, excited, or stressed.

Red Zone: very heightened alertness level and intense emotions; feelings may be described as angry, terrified, or devastated.

The Zones of Regulation curriculum teaches children to be mindful of their emotions and provides useful techniques for children to learn emotional regulation. Emotional regulation is explained in terms of staying within a certain zone or moving “between the zones.”

 

 


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What if we stopped asking, “What sensory activit What if we stopped asking, “What sensory activity should a child do at a specific time?” and started asking, “What is this child’s nervous system telling us right now?”

That is the shift.

Sensory supports can be incredibly helpful, but children do not always need the same input at the same time every day. Sleep, stress, transitions, noise, hunger, emotions, school demands, and the environment can all change what the nervous system needs in a given moment.

We should shift from following a rigid sensory schedule to observing first, then choosing regulation supports that match the child’s current needs.

Sometimes that may be heavy work or deep pressure. Sometimes it may be movement and alerting input. Sometimes the child may need less stimulation, a quieter space, or simply time to reset.

The goal is not just to “do sensory.” The goal is to support regulation, participation, body awareness, independence, and confidence.

Different moments. Different needs. The right regulation supports. 💛

#PediatricOT #SensoryProcessing #Explore #OccupationalTherapy #RegulationSupports
I thought this was so true and so funny 😂🧩 I thought this was so true and so funny 😂🧩

Scheduling OT clients around school, sports, siblings, therapies, cancellations, makeups… and then somehow fitting in your OWN kids’ lives and schedules too. 🤪

Basically one giant game of Tetris where the pieces never stop moving!

Who can relate? 😉🤪😜

#OccupationalTherapy #PediatricOT #OTLife #TherapistHumor #Explore
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As a seasoned professional, one of my goals is to get practical, easy-to-use tools into the hands of as many therapists, parents, teachers, and caregivers as possible. If something I create can make a concept easier to understand or support a child’s development, I want it shared.

Please feel free to use it, share it, save it, and pass it along. I hope it helps! 💛
#PediatricOT #PencilGrasp #FineMotorSkills #Handwriting #Explore
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We always start with high sensory input prior to feeding to help his body feel ready to learn. Today William wore his weighted vest and engaged in calming, organizing input including vibration plate + therapeutic music from Vital Links to support regulation and attention.

We also did gentle body massage and oral-motor input to the outside of his cheeks before moving into Z-Vibe work to help prepare his mouth for feeding success.

🥄 Then we moved into feeding!

We incorporated an acrylic stand mirror during feeding practice to support visual feedback and body awareness while eating. This helped William better understand mouth movements and positioning as we worked on oral control and coordination.

We are also introducing more intentional tongue and oral-motor awareness work, helping William become more comfortable handling food inside his mouth and learning how to use his tongue to move and manage food. We are working on tongue lateralization, positioning food onto the chewing surfaces, progressing from a munching pattern toward rotary chewing, and learning how to gather food together to form a manageable bolus for swallowing. 🤩

💡 OT TIP:
High sensory input before feeding or other challenging tasks can make a big difference. Movement, vibration, deep pressure, therapeutic listening, a metronome, or other calming and organizing input can help prepare the nervous system for participation.

✨ Small supports = big growth ✨

#Explore #PediatricOT #FeedingTherapy #SensoryIntegration #OTTips
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I know how much time therapists spend creating parent handouts, finding pictures, explaining tools, and putting together home programs — so I thought I would start sharing some of mine! 💛

My goal is to create resources that therapists can easily share with families and that parents can actually use at home — one less thing on your plate. 🌈

This guide focuses on the skills that support successful handwriting and everyday fine motor development, including:

🌟 Fine motor skills
🌟 Hand strengthening
🌟 Pencil grasp and pencil control
🌟 Visual motor integration
🌟 Visual perceptual skills
🌟 Bilateral coordination
🌟 Weight-bearing and proprioceptive activities
🌟 Handwriting strategies

You’ll also find some of my favorite tools and simple strategies for home, including different pencil grips, the HandyWriter, weighted writing tools, writing slant boards, adapted scissors, visual guides, spacing tools, and activities to strengthen the entire hand. ✋✏️

One of the biggest things I remind families is that handwriting is about so much more than holding a pencil!

Before we expect a child to sit down and write, we want to look at the foundations: shoulder stability, core strength, hand strength, bilateral coordination, visual attention, visual perception, motor planning, and the ability to coordinate what the eyes see with what the hands are doing.

Sometimes the best “handwriting practice” doesn’t involve a pencil at all. 💪🌈

Think:
✨ Animal walks
✨ Wheelbarrow walking
✨ Crawling
✨ Weight-bearing through open hands
✨ Playdough and resistive activities
✨ Clothespins and tongs
✨ Cutting activities
✨ Vertical surface play
✨ Visual scanning and visual perceptual games

SAVE this guide for your therapy toolbox and SHARE it with a parent, teacher, or therapist who could use a few new fine motor and handwriting ideas! 💾📤

These strategies are meant to provide general ideas and are not a substitute for an individualized occupational therapy evaluation when concerns are impacting a child’s participation or development.

#PediatricOT #FineMotorSkills #Handwriting #VisualMotor #explore
🌈 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
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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.

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

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📚 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!
📎 LINK IN BIO
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
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Working on balance helps develop:

✨ Core strength & stability
✨ Postural control
✨ Coordination
✨ Motor planning
✨ Body awareness & proprioception
✨ Vestibular processing
✨ Bilateral coordination
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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
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