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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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A Guide to Understanding Social Stories

January 13, 2024 By admin

What is a social story?

Social stories are a concept created by Carol Gray originally to improve the social skills of individuals with Autism Spectrum Disorder (ASD). The purpose of them is to redirect negative thinking patterns into a more positive direction. The concept has since been expanded for use with a variety of different populations, primarily within pediatrics. Social stories are a social learning tool used to prepare the child for a new or complex situation. They break down a task into smaller, more understandable components. Social stories are not meant to be given as a means to change behavior or as a punishment, but rather to provide predictability in an unknown situation. This cognitive behavioral strategy  promotes self awareness and management in the way they allow for a child to understand how their thoughts can impact their emotions and behaviors. Social stories are short stories that can be read together or individually, and can even be acted out and discussed. They can be about various topics, such as playing at recess, riding the school bus, and going to doctor’s appointments.

 

What are the benefits of social stories?

Social stories provide predictability to an otherwise novel and anxiety provoking situation by analyzing the steps of a task and separating them into smaller, simpler steps. Those with ASD or individuals who have trouble navigating social situations may have problems generalizing their skills based on singular experiences, and can benefit from using a social story to provide needed support to establish confidence and competence with the task. Social stories promote a more flexible thought process and help to establish connection between thoughts, feelings, and emotions. 

How does one create a social story?

Social stories can be found online about a variety of topics, but you can also create your own based on the particular child’s needs. First, the expectations and steps must be clearly defined in terms appropriate for the child. Each of these steps is usually accompanied by an illustration of the proper performance of the task. Once completed, the child will rehearse the story until they feel comfortable and confident with it. Carol Gray has a series of ten criteria a social story should have that can be seen on the webpage below. These stories also consist of four types of sentences:

  • Descriptive: helps to set up the scene and adds context
  • Perspective: describes the emotions/reactions of others in the situation
  • Affirmative: a positive statement regarding the desired outcome, based on shared values
  • Directive: gives explicit instruction as to how to behave in that situation

 

What do social stories look like?

Below is an example of the written portion of a social story written for a five year old boy who is working on better play habits with his brother:

When I get angry, sometimes I throw my toys at my brother.

This makes my brother very sad.

When I feel like I am angry, it is okay to walk away.

I can take five deep breaths.

I can ask for help when I am angry.

I can play with my toys in a quiet room.

My brother and mom are happy when I am calm.

Here is a sample social story of a young child preparing to welcome a new baby into the family:

I’m going to be a big brother/sister

My family and I are very happy. 

My Mommy and Daddy took good care of me when I was a baby. 

They played with me and fed me and changed my diaper. 

I’m older now and Mommy and Daddy need my help with the baby!

Mommy and Daddy are going to spend time with the new baby and that’s okay. 

That might make me feel sad sometimes. 

It’s okay because Mommy and Daddy will still make time to play with me. 

Being a big sibling is going to be so much fun!

This is a social story for a younger child about following the rules of the bus:

I ride the school bus to get to school in the morning 

Being on the school bus is fun because I get to see all my friends. 

The bus driver is happy when I follow the rules of the bus. 

I sit with my feet on the floor facing forward. 

I use my indoor voice. 

I keep my hands to myself. 

When my bus arrives at school, I will calmly walk out of the bus with my backpack. 

I always follow the rules of the bus because it keeps me safe. 

 

For more information about Carol Gray Social Stories, click here

For access to free social stories, click here

 


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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
Cutest William — a day in his OT session! 🤩 Cutest William — a day in his OT session! 🤩

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

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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
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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
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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. 💛

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#PediatricOT #SocialEmotionalSkills #TeacherTools #TherapyTools #Explore
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This guide covers:
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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!

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#PrimitiveReflexes #PediatricOT #OccupationalTherapy #HomeProgram #explore
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#Balance #Explore #OccupationalTherapy #PediatricOT #MovePlayGrow
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One inexpensive tool. So many possibilities.

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