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NESCA Notes 2018

Summer Learning

By | NESCA Notes 2018

By: Amity Kulis, Psy.D.
Pediatric Neuropsychologist, NESCA

As the warm days are here and summer vacation is either upon us or close by, our minds are shifting away from education: homework, studying for tests, and general stress. However, it is important to keep in mind that while summer vacation should be fun, it also provides an opportunity to build on learning.

Summer learning loss or summer slide is a real phenomenon for most children, even those without learning disabilities. Now, I am not advocating that every child needs to be in summer school to prevent this loss, but I am suggesting that we should be mindful and think about ways to promote learning over the summer. The areas of most concern include regression in reading and math skills, physical fitness, and social skills. These challenges are easy to overcome with some thoughtful planning of activities.

Reading: Studies suggest that just four to five books over the summer help to prevent summer learning loss in reading. Now not every child is going to be excited to read, even if they get to pick out their own books over the summer. However, we can find ways to make it more interesting.

  • Perhaps everyone in the family reads the same book and there are opportunities to read together or talk about the book at night. By reading out loud this would allow for even the youngest family member to be included.
  • Maybe a child is encouraged to pick a book about an upcoming family vacation. For example, a tour guide or the history of the area and they can relate that information when they are actually on vacation.
  • Graphic novels and other books that integrate words and pictures can be more exciting for some children.
  • Visit local museums. Without your children even realizing it they will be reading as they explore the exhibits at the Science Museum or the Aquarium. Boston and New England have many wonderful museums and summer is a great time to explore them with the added benefit of your children being exposed to printed text at each exhibit. It can be expensive to visit all the museums but most public libraries offer free or discounted prices to many museums.

Math: Many studies point to the most concern for regression in math skills. It seems easier to find ways to address reading skills over the summer and more difficult to find fun ways to continue to support math development. The good news is there are fun ways to incorporate math into everyday life.

  • While most of us are trying to limit technology and screen time in our children’s lives, the reality is that most children want it. Make screen time more educational by downloading games that involve math activities that are appropriate for your child’s educational skills.
  • Get cooking! Over the summer have your child help you in preparing a meal or a favorite treat. There is so much math involved in cooking. For young children it can simply be counting out the number of carrots needed for the soup and for older children you can learn about fractions or doubling or even tripling the recipe. You’ll be helping to make math more functional and applicable to real life, plus you’ll have fun and a tasty treat afterwards.
  • Another great way to involve numbers in everyday activities is including your child in planning the schedule for the day. Planning for the amount of travel time, whether it be by car or public transportation, accounting for the amount of time at the various activities and planning in meals can be a great exercise in time management and using numbers.

Physical activity and Social Skills: In addition to the academic aspects of summer slide it is also important to consider the physical and social aspects of an unstructured summer vacation. During the school year children have daily recess and regular gym class where they are presented with opportunities to interact with peers and get their bodies moving. During the summer there are endless opportunities to continue to promote these skills:

  • Sign your child up for a camp. Almost all summer camps have a social component and many also involve regular physical activity.
  • If your child is not doing summer camp there are also plenty of activities happening on a weekly basis throughout the summer. Check out your local recreation department/community center for free or discounted activities.
  • Walk or ride instead of driving the car. In the warm weather over the summer there are so many opportunities to get outside. Ride your bike or walk to the local ice cream parlor or even just around the block.
  • It can also be a great opportunity to learn a new sport like swimming or tennis.
  • Playgrounds, the beach, water parks, among others, are excellent places to meet up with old friends or meet new friends.

The important thing for the summer is to have fun and to never stop learning!

About the Author:

Dr. Amity Kulis joined NESCA in 2012 after earning her doctoral degree in clinical psychology from the Massachusetts School of Professional Psychology, with a concentration in Children, Adolescents and Families (CAF). She completed post-doctoral training in pediatric neuropsychology with an emphasis on treating children with developmental, intellectual, learning and executive functioning challenges. She also has extensive training psychological (projective) testing and has conducted individual and group therapies for children of all ages. Before joining NESCA, Dr. Kulis worked in private practices, clinics, and schools, conducting comprehensive assessments on children ranging from toddlers through young adults. In addition, Dr. Kulis has had the opportunity to consult with various school systems, conducting observations of programs, and providing in-service trainings for staff. Dr. Kulis currently conducts neuropsychological and psychological (projective) assessments for school aged children through young adulthood. She regularly participates in transition assessments (focusing on the needs of adolescents as they emerge into adulthood) and has a special interest in working with complex learners that may also struggle with emotional challenges and psychiatric conditions. In addition to administering comprehensive and data driven evaluations, Dr. Kulis regularly conducts school-based observations and participates in school meetings to help share her findings and consultation with a student’s TEAM.

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton and Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

 

Neurodevelopmental Evaluations – Where and When to Start

By | NESCA Notes 2018

**Creating Roadmaps for the Lifespan: Preschool Neurodevelopmental Evaluations to Life After High School**

NESCA Pediatric Neuropsychologist Dr. Erin Gibbons will be presenting on neurodevelopmental and neuropsychological evaluations in a free educational workshop at NESCA’s Plainville, MA office on Monday, March 9 from 6:30 – 8:00 PM. NESCA Transition Specialist Becki Lauzon will be co-presenting to address the transition process/how to start preparing for life after high school.

For more information, visit the event page. To register to attend the event, email Jane Hauser at jhauser@nesca-newton.com. As a preview to what attendees can expect to learn at the event, read Dr. Gibbon’s blog post.

 

By: Erin Gibbons, Ph.D.
Pediatric Neuropsychologist, NESCA

Parenthood is a daunting task to say the least. Not only must we worry about keeping our children healthy and safe, but we are constantly bombarded with information about potentially harmful foods, chemicals, toys, etc. Many parents also have concerns about whether their children are meeting developmental milestones on time and/or whether they should worry about certain behaviors their children are displaying.

When concerns arise about older children, parents are often advised to seek a neuropsychological evaluation to rule out possible attention, learning, or developmental challenges. However, parents of children under 5 are often urged to “wait and see” or might be told it is “too early” to seek an evaluation. The truth of the matter is that it is never too early to have your child evaluated when you are worried about his or her development.

Where do I start?

If you have concerns about your child’s development, it is always a good idea to start with your pediatrician. Describe what you are seeing at home and any difficulties you have noticed. Your pediatrician might recommend that you seek a comprehensive neurodevelopmental evaluation to assess for any developmental delays.

What is a neurodevelopmental evaluation?

This is a comprehensive set of tests designed to assess all aspects of your child’s development, including cognition, language, motor, and social skills. This type of evaluation is conducted by a pediatric neuropsychologist. First, you will be asked to provide information about your child’s developmental and medical histories. Your child will then be asked to participate in a series of activities over the course of 2 or 3 hours. For example, he/she will have to solve simple puzzles, label pictures, or play with different types of toys.

Why is a neurodevelopmental evaluation useful?

After completing the evaluation, the neuropsychologist will analyze all of the information and develop a comprehensive picture of your child’s developmental profile. In addition to helping you understand your child’s strengths and weaknesses, the neuropsychologist will also identify any developmental delays that require intervention.

What happens next?

An evaluation will identify developmental delays that need to be treated in order to help your child catch up with peers. Some examples include speech/language therapy, occupational therapy, physical therapy or applied behavior analysis (ABA).

For children under 3, this means they can start receiving Early Intervention services right away. Early Intervention is a system of services for babies and toddlers who have developmental delays or disabilities and is available in every state in the US.

For children over 3, parents can seek services privately, or can work with their local school district to develop an Individualized Education Program (IEP) for their child. Having an independent evaluation completed prior to your child’s transition to public education is extremely useful as it provides the district with the child’s type of disability and informs the process of developing necessary services.

Where can I go?

Neurodevelopmental evaluations are available at many local area hospitals as well as private neuropsychology clinics. Parents can also contact their insurance company for a list of providers or search through the Massachusetts Neuropsychological Society: https://www.massneuropsych.org/i4a/pages/index.cfm?pageID=3309.

At NESCA, we are proud to offer neurodevelopmental evaluations for children ages 1-5 and will provide parents with a comprehensive report, extensive recommendations for services, and ongoing consultation through the years. Our clinicians are able to do observations of children in their natural environments (e.g., day care, preschool) to gain a full picture of the child and provide environmental recommendations that would be most supportive. Moreover, we are available to attend meetings with early intervention specialists and special educators to help a child’s team fully understand their individual learning and service needs.

If you are interested in scheduling a consultation or evaluation at NESCA, please complete our on-line intake form: https://nesca-newton.com/intake-form/.

About the Author:

GibbonsErin Gibbons, Ph.D. is a pediatric neuropsychologist with expertise in neurodevelopmental and neuropsychological assessment of infants, children, and adolescents presenting with developmental disabilities including autism spectrum disorders, Down syndrome, intellectual disabilities, learning disabilities, and attention deficit disorders. She has a particular interest in assessing students with complex medical histories and/or neurological impairments, including those who are cognitively delayed, nonverbal, or physically disabled. Dr. Gibbons joined NESCA in 2011 after completing a two-year post-doctoral fellowship in the Developmental Medicine Center at Boston Children’s Hospital. She particularly enjoys working with young children, especially those who are transitioning from Early Intervention into preschool. Having been trained in administration of the Autism Diagnostic Observation Schedule (ADOS), Dr. Gibbons has experience diagnosing autism spectrum disorders in children aged 12 months and above.


 

Enjoying the Holidays with Sensory Needs

By | NESCA Notes 2018, NESCA Notes 2019

 

By: Sophie Bellenis, OTD, OTR/L 
NESCA Occupational Therapist; Community-based Skills Coach

School vacation! Bright lights! Snow! Holiday cards on the wall! Bells a’ringing!

For many of us, the holiday season is an exciting, family-filled occasion that brings people together to celebrate yearly traditions. However, for some with sensory needs, the season can be over-stimulating, anxiety producing and difficult to navigate successfully. Even children who love the spirit of the season can quickly become saturated with the onslaught of visual, auditory, tactile and olfactory input. Here are some tips to consider as we head into holiday mode!

  1. Make Your Home a Safe Space – Consider reducing decorations, holding off on moving furniture and choosing a select few holiday cards from friends and family to display. With everything from daily routines to the look of familiar neighborhood streets changing throughout the month, maintaining consistency within a child’s home can help offer a much needed respite from the visual clutter. While these changes may seem minor, visual clutter causes some children’s eyes to continuously scan the room, move from place to place and constantly work to perceive all of the information. This is exhausting!
  2. Less is Often More – For a child who is easily over-stimulated, opening two presents can be much more exciting and rewarding than 10. One hour visiting family can feel easy, while two hours feels impossible. And a small tree can look beautiful, while a huge tree feels intimidating and scary. Set children up for success by keeping activities manageable.
  3. Have a Designated Sensory RetreatWhen venturing out to visit family or friends, preparation is always key. Discussing a sensory plan before arriving and having supports in place can catch stressful situations before they develop. A pre-planned hand signal or code word can save a child from having to explain that their body feels dysregulated and they are overwhelmed. Children may want to take breaks in a quiet bedroom, bring a pop-up tent to hide in, or eat their meal somewhere quiet before a big sit down dinner begins. For adolescents, this sensory retreat may simply be sitting in the car for 10-15 minutes in silence. Give children permission to take what they need.
  4. Enlist the Help of TeachersSocial stories, modified visual routines and exposure to holiday sensory input are all strategies that teachers and therapists in the school setting can help to develop and introduce to a child. Previewing the plan for school vacation can make the week off go much more smoothly.

In a household such as mine, that celebrates both Christmas and Hanukkah, the month of December is fraught with routine change, decorations and new smells from rarely cooked, homemade meals. Allowing our children with sensory processing disorder, autism spectrum disorder and other sensory needs to prioritize their internal regulation can help make the season fun for everyone!

About the Author:

Dr. Sophie Bellenis is a Licensed Occupational Therapist in Massachusetts, specializing in pediatrics and occupational therapy in the developing world. For the past five years her work has primarily been split between children and adolescents on the Autism Spectrum in the United States, and marginalized children in Tanzania, East Africa.

Dr. Bellenis graduated from the MGH Institute of Health Professions with a Doctorate in Occupational Therapy, with a focus on pediatrics and international program evaluation. She is a member of the American Occupational Therapy Association, as well as the World Federation of Occupational Therapists.

Dr. Bellenis has worked for the Northshore Education Consortium at the Kevin O’Grady School providing occupational therapy services and also at the Spaulding Cambridge Outpatient Center. She also has extensive experience working at the Northeast ARC Spotlight Program using a drama-based method to teach social skills to children, adolescents, and young adults with autism, Asperger’s Syndrome, and related social cognitive challenges.

Internationally, Dr. Bellenis has done extensive work with the Tanzanian Children’s Fund providing educational enrichment and support. She has also spent time working with The Plaster House, a post-surgical, pediatric rehabilitation center in Ngaramtoni, Tanzania.

Dr. Bellenis currently works as a school-based occupational therapist for the city of Salem Public Schools and believes that individual sensory needs and visual motor skills must be taken into account to create comprehensive educational programming. Dr. Bellenis joined NESCA in the fall of 2017 to offer community-based skills coaching services as well as social skills coaching as part of NESCA’s transition team.

If you are interested in an Occupational Therapy consultation/ assessment or individualized skill coaching with Dr. Bellenis, please complete NESCA’s online intake form today.

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

A Tale of Two Social Styles: Classical and Jazz Socializers (Republished from Nov. 27, 2017)

By | NESCA Notes 2018

By Jason McCormick, Psy.D.
Pediatric Neuropsychologist

I work with a number of parents concerned about the quality of their child’s social life.  Lamenting that their child has no true friends, many parents I see note that that their child doesn’t “hang out” with peers.  However, when asked about how their child does spend time with peers, many parents report that their child is involved in several different structured after-school activities, such as a church youth group, scouting, or a gaming club.  In other words, while not getting together with peers in less structured settings, these students often do, despite parent misgivings, have satisfying social lives.

I find it useful to think about socializers as lying in one of two camps: Jazz and Classical.  Jazz socializers are all about improv.  They’ll head downtown with a friend and see where the afternoon takes them, invite a friend over with no particular plan or agenda, or wander the mall in a herd.  They care little about predictability and in fact relish spontaneity and surprise.  Classical socializers, by contrast, are most comfortable with structure.  They crave predictability, wanting to know the specific parameters of a social activity, including the start and end times, the purpose, and the rules of engagement.  Classical socializers, then, tend to do best with organized social activities.

It’s important to note that one type of socializing is not better than the other; it’s about a match.  I say that as many parents of Classical socializing children worry that their children will grow up to be friendless and alone.  To those concerns, I observe that there are plenty of socially-satisfied Classical socializing adults: they have their book club the first Monday of every month, poker night every other Thursday, weekly chorus practice, and bar trivia on Wednesdays.

Thus, rather than trying cram to their Classical socializing child into a Jazz paradigm – which in fact runs the risk of leading to more social isolation due to anxiety stemming from the mismatch – I encourage parents to embrace the kind of socializer that their child is.  For parents of Classical socializers, that means supporting their child’s social satisfaction and growth through the encouragement of their participation in a variety of structured after-school activities (of course without over-scheduling).  In addition to giving their children a chance for a rich and rewarding social life now, participation in such activities serves as an important practice and preparation for adult life, as in college and as adults in the working world, that is how Classical socializers will be most socially satisfied.

 

About the Author:

McCormick

Dr. Jason McCormick is a senior clinician at NESCA, sees children, adolescents and young adults with a variety of presenting issues, including Attention Deficit Hyperactivity Disorder (AD/HD), dyslexia and non-verbal learning disability. He has expertise in Asperger’s Disorder and has volunteered at the Asperger’s Association of New England (AANE). Dr. McCormick mainly sees individuals ranging from age 10 through the college years, and he has a particular interest in the often difficult transition between high school and college. As part of his work with older students, Dr. McCormick is very familiar with the documentation requirements of standardized testing boards. He also holds an advisory and consultative role with a prestigious local university, assisting in the provision of appropriate academic accommodations to their students with learning disabilities and other issues complicating their education.

 

To book a consultation with Dr. McCormick or one of our many other expert neuropsychologists, complete NESCA’s online intake form.

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, MA, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

I’m Too ____ or _____ for Yoga: Yoga Myths Dispelled

By | NESCA Notes 2018

 

By: Ann-Noelle McCowan, M.S, RYT
Guidance Counselor; Yoga Specialist

As yoga continues to expand its popularity and presence many people still worry that there is something that prohibits their beginning a yoga practice. Yoga increases strength, balance and flexibility while decreasing stress. Yoga increases athletic performance, improves respiration, and promotes better sleep quality. It has been used successfully as a complementary therapy for mood disorders such as anxiety and depression, addiction and chronic pain.  As an “inflexible” yogi who has worked with a broad range of yogis, both as a student and a teacher I have seen that yoga truly is for anyone. May this review of some if the most common misconceptions to yoga reduce the roadblocks and invite you to step onto a mat in 2019.

  1. I’m too inflexible for yoga.  This may be the most common reason many people give, perhaps due to the images of bendy people in yoga poses on social media or in print. But do beginner Spanish speakers say they can’t take Spanish lessons because they don’t speak Spanish? Yoga classes will include multiple props (blocks, straps,  blankets) to help modify for all different bodies and continued practice will build greater flexibility. I love props and continue to use blocks in certain poses because that works for my body.
  2. I don’t have special yoga clothes or the right mat.  Having practiced in studios, homes, and schools you don’t need particular clothes to do yoga, just clothing that allows you to move is sufficient. Many yoga studios or gyms also offer rental mats, or mats to borrow which is the case at NESCA.
  3. I don’t have the right body/ want to lose weight first…  Similar to point 1 yoga is adaptable and designed for anybody. Blocks, blankets, and props are available. There is  a broad range of classes to try from beginner, or Yin to help increase your comfort in a yoga class.  A yoga practice can also help you be more accepting of your body and build healthy habits.
  4. I’m too old/young/ wrong gender to do yoga.   A quick Google search provides instructors of all ages and genders, from Tabay Atkins, an 11-year-old male yoga teacher, to  Tao Porchon- Lynch, at 100-year-old female instructor. There are resources and books designed for people age 1 to 100 and classes where parents can bring their baby to modified classes in chairs or entirely on the floor. My own teacher training there was a wide range of trainees, from their 20’s to grandmothers and they are the examples you may see leading your class. While yoga was originally taught by men to men, the focus has switched and classes now include both men and women.
  5. Yoga is too spiritual/ I don’t want a clash with my beliefs.  Yoga is taught in a broad range of locations and by different teachers. By reading the teacher bios you will get a sense of how they approach yoga. Classes range from a purely physical experience to ones that may include some chanting.  Many students find their yoga practice enhances their own compassion and in focusing on your own breath and experience you can take your practice in the direction you want, and not where you want.

Wishing you a happy holiday and that 2019 may be the year you add some yoga to your life!

 

About the Author:

Ann-Noelle provides therapeutic yoga-counseling sessions individually designed for each child. NESCA therapeutic yoga establishes a safe space for a child to face their challenges while nourishing their innate strengths using the threefold combination of yoga movement, yoga breath, and yoga thinking.

Ann-Noelle has worked with children and adolescents since 2001 and practiced yoga and meditation since 2005. Since 2003 she has been employed full time as a school counselor in a local high performing school district, and prior to that was employed in the San Francisco Public Schools. Ann-Noelle received her dual Masters Degree (MS) in Marriage, Family and Child Therapy (MFCC), and School Counseling from San Francisco State University in 2002, her BA from Union College in New York, and her 200 hour-Registered Yoga Credential (RYT) from Shri Yoga. Ann-Noelle completed additional Yoga training including the Kid Asana Program in 2014, Trauma in Children in 2016 and Adaptive yoga for Parkinson’s in 2014.

If you are interested in therapeutic yoga with Ms. McCowan,  please complete NESCA’s intake form today and indicate interest in “Yoga”

 

For more information on the therapeutic yoga at NESCA, please visit  https://nesca-newton.com/yoga/

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Preparing for the College Visit – for Juniors and Their Parents

By | NESCA Notes 2018

 

 

By: Dina Karlon, M.A.
NESCA Transition Specialist

So often students feel pressure to come up with a plan of what they want to do with their lives; college is expensive and it’s a big decision. I will say to you that while it feels overwhelming, there are things you can do to limit the stress. During the winter holiday season, college is likely one of the last things you want to think about as a junior or parent of a high school junior. But now is a great time to plan your college campus visits!  

While knowing what you want to do (and study) is important, it is not necessary to know that before deciding on a college. If you know you are going to college, you need to make sure it’s a place you can see yourself living at. Therefore, the feeling you get when on a campus is very important. That’s why I am suggesting you spend some time on it.  

Here are some tips for planning your winter and spring college visits: 

  1. School breaks are a perfect time to visit colleges. This is because colleges are in session when high schools have their breaks. You can always visit in the summer, but you will not get the same “feel” of how busy the campus is when the students are not there. 
  2. Register through the school website for the visit. Colleges do keep track of positive contacts from students (i.e., “points of contact”); it will demonstrate to the college that you are interested enough in the school to go and see it. If you just do a drive by or a self-directed visit, it doesn’t count with the college. You want them to know that you were on campus, so register!  
  3. What schools to look at? If you have narrowed your college list, you will know what schools to look at. If you have not, don’t worry. Just getting out there to see schools can help – you will be narrowing your search by visiting campuses as well. Remember, the feeling you get when you are on campus is just as important, probably more important, than anything else. If you are traveling out-of-state for the breaks, visit a college when you are out there. If you are staying home, do some local or in-state colleges – both 2- and/or 4-year schools.
  4. Remember when you go on a visit that they are trying to sell you the school. They should; that is their job! Your job is to be an educated consumer, so do your homework. Do a little bit of research before you go to the school. Treat it like a job interview – have a couple of questions that you want to ask. For example, ask: What kind of tutoring is there for students? Is it free? Who tutors? These are questions that may be of particular importance to you. One of my favorite questions is: How big is your commuter population? You may wonder, why is this important? Well, if it is a high number, that means that most people are not there during the weekend. If you are planning on being there on weekends, you don’t want to be alone. You want other students there. Schools that have a lot of people leave for the weekend are referred to as “suitcase colleges”. They are not as good for people who live on campus on weekends. 
  5. Go off the beaten path if you can. The student ambassadors giving the tour love the school and are likely being paid for the tour. They are often students with lengthy resumes about their involvement with the school (which is awesome but can feel intimidating). So if possible, talk with other students and ask them about their experience. 
  6. Eat in the cafeteria. You will likely be eating there for every meal (at least freshman year), so you want to know what that experience will be like. Are there a lot of options? Is it very busy? 
  7. Don’t schedule more than two visits in a day. Visiting schools can be exhausting and schools can all start to look alike after a while. Here is the itinerary: Visit one in the morning, eat lunch to debrief the first one (keep a notebook or digital notes/pictures), visit the second school in afternoon, and debrief that school during dinner or on the drive home. If you can do one a day, even better. But doing two in one day can be more time effective. Just don’t so more than two; you won’t remember them! 

So you went on a visit and you didn’t like the school. What a waste of time! You would never go there! Congratulations! You just started whittling your list and didn’t waste money going to a school that you wouldn’t be happy at. Also, you know more about what you do want to look for on your next college visit.  

On a personal note, I have two adult children of my own and have survived the college process. One of the college visits that stood out to me the most was one we attended on a cold, rainy, Friday afternoon. It was a college in a different state from where we live, so my daughter would be living there. Many people didn’t show up for the college visit (probably due to the timing and the weather). Because of that, we had our own tour guide. During the visit, the campus was very busy – students were walking around the campus on a late Friday rainy afternoon. It was clear that students were engaged and planning on being there for the weekend. My daughter ended up going there and enjoyed her college experience. There were obviously other factors that helped her with her choice, but that visit had a significant impact on her decision. 

 

 

About the Author:

Dina DiGregorio Karlon, M.A.  is a seasoned counselor specialized in transition issues. She has worked over 15 years as a school counselor in public high schools and has additional experience as a GED program coordinator, career center coordinator, and vocational assessment specialist. She has additionally worked for New Hampshire Vocational Rehabilitation as a rehabilitation counselor and also for the New Hampshire Department of Education.

At NESCA, Ms. Karlon offers coaching services as well as transition planning consultation to students, families, and fellow professionals in New Hampshire. In addition to her work at NESCA, Ms. Karlon is a Program Specialist for the New Hampshire Department of Education, specializing in the development of employability skills and job readiness skills for at-risk youth.  

When providing transition services, Ms. Karlon most enjoys the relationships that she is able to create with her clients and/or students and their families. She loves being part of helping them figure out their strengths and challenges and helping them realize their goals and dreams. Ms. Karlon knows that often the path after high school is not traveled from A to B, but rather it is A to E, to C, and then back to A. She works hard to help her clients view each setback as an opportunity for growth rather than a failure, to recognize their own strengths, and to overcome the barriers that may get in the way of setting goals, solving problems, and making progress. She brings extensive experience supporting clients with career and college planning and she is able to shift fluidly with clients along their paths in each of these domains. 

 

If you are interested in a consultation, pre-college coaching, or transition planning with Ms. Karlon, please complete NESCA’s intake form today and indicate interest in “Transition Consultation and Planning”

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Enjoying the Holidays with Sensory Needs

By | NESCA Notes 2018

 

By: Sophie Bellenis, OTD, OTR/L 
NESCA Occupational Therapist; Community-Based Skills Coach

School vacation! Bright lights! Snow! Holiday cards on the wall! Bells a’ringing!

For many of us, the holiday season is an exciting, family filled occasion that brings people together to celebrate yearly traditions.  However, for some of our children with sensory needs, the season can be over-stimulating, anxiety producing, and difficult to navigate successfully.  Even children who love the spirit of the season can quickly become saturated with the onslaught of visual, auditory, tactile, and olfactory input.  Here are some tips to consider as we head into December!

  1. Make Your Home a Safe Space – Consider reducing decorations, holding off on moving furniture, and choosing a select few holiday cards from friends and family to display. With everything from daily routines to the look of familiar neighborhood streets changing throughout the month, maintaining consistency within a child’s home can help offer a much needed respite from the visual clutter. While these changes may seem minor, visual clutter causes some children’s eyes to continuously scan the room, move from place to place, and constantly work to perceive all of the information. This is exhausting!
  2. Less is often More – For a child who is easily over-stimulated, opening two presents can be much more exciting and rewarding than ten. One hour visiting family can feel easy, while two hours feels impossible. And a small tree can look beautiful, while a huge tree feels intimidating and scary. Set children up for success by keeping activities manageable.
  3. Have a Designated Sensory Retreat – When venturing out to visit family or friends, preparation is always key. Discussing a sensory plan before arriving and having supports in place can catch stressful situations before they develop. A pre-planned hand signal or code word can save a child from having to explain that their body feels dysregulated and they are overwhelmed. Children may want to take breaks in a quiet bedroom, bring a popup tent to hide in, or eat their meal somewhere quiet before a big sit down dinner begins. For adolescents, this sensory retreat may simply be sitting in the car for 10-15 minutes in silence.  Give children permission to take what they need.
  4. Enlist the Help of Teachers – Social stories, modified visual routines, and exposure to holiday sensory input are all strategies that teachers and therapists in the school setting can help to develop and introduce to a child. Previewing the plan for school vacation can make the week off go much more smoothly.

In a household such as mine, that celebrates both Christmas and Hanukah, the month of December is fraught with routine change, decorations, and new smells from rarely cooked, homemade meals.  Allowing our children with sensory processing disorder, autism spectrum disorder, and other sensory needs to prioritize their internal regulation can help make the season fun for everyone!

 

About the Author:

Sophie Bellenis, OTD, OTR/L  is a Licensed Occupational Therapist in Massachusetts, specializing in pediatrics and occupational therapy in the developing world. For the past five years her work has primarily been split between children and adolescents on the Autism Spectrum in the United States, and marginalized children in Tanzania, East Africa.

Dr. Bellenis graduated from the MGH Institute of Health Professions with a Doctorate in Occupational Therapy, with a focus on pediatrics and international program evaluation. She is a member of the American Occupational Therapy Association, as well as the World Federation of Occupational Therapists.

Dr. Bellenis has worked for the Northshore Education Consortium at the Kevin O’Grady School providing occupational therapy services and also at the Spaulding Cambridge Outpatient Center. She also has extensive experience working at the Northeast ARC Spotlight Program using a drama-based method to teach social skills to children, adolescents, and young adults with autism, Asperger’s Syndrome, and related social cognitive challenges.

Internationally, Dr. Bellenis has done extensive work with the Tanzanian Children’s Fund providing educational enrichment and support. She has also spent time working with The Plaster House, a post-surgical, pediatric rehabilitation center in Ngaramtoni, Tanzania.

Dr. Bellenis currently works as a school-based occupational therapist for the city of Salem Public Schools and believes that individual sensory needs and visual motor skills must be taken into account to create comprehensive educational programming. Dr. Bellenis joined NESCA in the fall of 2017 to offer community-based skills coaching services as well as social skills coaching as part of NESCA’s transition team.

 

If you are interested in a consultation or individualized skill coaching with Dr. Bellenis, please complete NESCA’s online intake form today.

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Nearly 1/3 of College Students Drop out or Transfer by the End of Freshman Year: What Can We Do Differently?

By | NESCA Notes 2018

 

 

By: Kelley Challen, Ed.M., CAS 
Director of Transition Services  & Assistant Director of NESCA

 

As a transition specialist with a guidance counseling background, I work with many students during the college application process and the transition to managing life on a college campus. I help students and their families determine whether the student is ready to make the transition, whether an “in between” step such as a postgraduate or transitional year is needed, and how to shore up necessary skills for managing the enormous step between structured life at home and high school where adults constantly tell you what is expected and independently managing the freedoms, responsibilities, and unspoken expectations of being an adult on a college campus. Furthermore, I support young adults after a transition home from college participation, whether successful or unsuccessful, as they figure out the next steps in their life journey.

Two weeks ago, the New York Times (see link below) featured an article by Dr. William Stixrud and Ned Johnson emphasizing the hard reality that initial college transitions are unsuccessful for nearly one-third of young people.  The article further added that college is not actually a four-year endeavor for the majority of students who enroll (only 20% of the students who enroll in four-year college finish a bachelor’s degree in four years, and only 57% of students graduate within six years). The cited statistics are numbers that I have often mentioned in my own work with families and schools. I believe we need to be talking about, and normalizing these experiences. But, while many high schools track and publicize college admissions statistics, long-term graduate outcomes are less often known or shared. For students, parents, and teachers, being accepted into a college is frequently thought of as a final achievement for a successful high school student, rather than a small step in the context of a larger life plan.

Cue the transition specialist! Postsecondary transition planning is a process by which a young person is supported in the setting of goals and expectations for themselves and in building the skills and resources that will enable them to reach those goals. This should be a completely individualized process. However, in working with a large number of clients in Massachusetts and New Hampshire, I have observed that most middle and high school students have the same postsecondary vision: College. There is a strong consensus that college is the only goal to reach after high school, rather than an important step that leads to gainful employment in an area of strength, interest, or aptitude. Students with and without disabilities often know that they want to go to college (or that they are expected to go to college) but they have no career goals or sense about whether a college degree will actually benefit them in finding employment related to their aptitudes. Despite the data, most young people (and their parents) simply take as fact that college is what you do after high school.

But, as Stixrud and Johnson point out, thirty percent of students leave college by the end of their freshman year, and “the wheels can start to fall off as early as Thanksgiving.” Students find themselves back at home, no longer a student, but with no other sense of plan or identity. The authors cite two primary issues faced during this transition to college: the highly dysregulated environment that college provides (e.g., inconsistent sleep and diet patterns, lack of structure, and substance abuse including stimulant overuse, binge-drinking, and pot-smoking), and the late transition of managing daily life from parents to students. While I see students transfer or leave colleges for many reasons (e.g., difficulty managing social relationships without support, burnout, technology overuse, underusing needed/available support services, disciplinary issues, etc.), I certainly agree that the identified issues are often at the heart of college difficulties.

So how do we help students to better manage the transition process? First and foremost, we need to start discussing career development earlier and help our youth to understand the wide range of postsecondary options available to them. A bachelor’s degree is one academic pursuit that has a place for many students, but for a great number of students, it is not the best immediate option available after high school. There are many other options worth exploring such as two-year college programs, vocational or certificate programs, apprenticeships, military, employment, and gap year programs (see https://www.gapyearassociation.org/gap-year-programs.php). Without understanding the concept of career development, and the alternative paths available, students often do not know that they can make another choice besides (or on the way to) college. We also need to acknowledge that four-year college degrees are not a reality for the majority of people. To be truly informed decision-makers, students need to know that enrolling in college is likely to be a 5 or 6-year process.

In addition to helping students make informed decisions, we must begin planning for a transition of power and responsibility much earlier. Transition planning starts at a young age with things like sleep training, taking the school bus, learning to brush one’s own teeth, or packing one’s own school lunches. But as parents, we often establish patterns of doing things for our kids in order to save time and to cram in more activities. However, the net result of this process can end up being a high school student who has a long resume of extracurricular activities but no idea how to get out of bed in the morning or independently manage a schedule of schoolwork, athletics, and clubs. For students who actually need more time to plan and organize independently, they can also end up feeling like failures for not being able to manage this type of busy (and unrealistic) schedule on their own. As pointed out by Stixrud and Johnson, many college students have been used to their parents managing their daily lives and making decisions for them. When faced with a lack of structure and the opportunity to make an unlimited number of poor choices on a daily basis, new college students are frequently unable to navigate the landscape and manage their responsibilities.

“It takes time, practice and some failure to learn how to run a life.” This is probably my favorite quote from the article as it is very similar to a phrase I learned from my colleague Kathleen Pignone; for every transition-aged client at NESCA, we talk with parents about the importance of allowing the young person to have “the dignity to fail.” This is easiest to do when kids are young and consequences are less (e.g., letting them wear pajamas to third grade when they dawdle with their morning routine). However, the reality is that allowing a high school student to oversleep and be late, or to not turn in an assignment, is a much lower risk activity than waiting for them to fail an expensive class in college or binge drink themselves into a hospital bed. Picking and choosing opportunities to allow our children to be “in charge” and to experience the natural consequences of their actions is critical for helping them to develop planning, organization, and coping skills. Also, letting students advocate for themselves with classmates, teachers, and authority figures is vital since they will be expected to do this for themselves after high school. (You may need to plan a script together initially.)

Work experience is briefly mentioned as an alternative to college, but I see employment as much more than an alternative. Early work experience is something that we should be striving to help all youth attain as part of the process of transferring power and responsibility. There are many recent articles (e.g., J. Selingo., 2015; Gowans, H., 2018) highlighting that the number of teenagers who have a paid job while in high school has dropped from nearly 40% in 1990 to somewhere between 16-17%, an all-time low. While the causes for a decline in teen employment are not clear, I have anecdotally observed that summer academic participation, travel, and extracurricular activities (e.g., athletics) are often prioritized above work experience. Sometimes this is in the name of bolstering a college admissions packet which is unfortunate because colleges are often more eager to accept applications from high school students with work experience. Work experience is exactly the way that a young person can learn to manage a schedule, be on time, complete a task list, budget personal money, and generally be accountable for one’s actions. Having employment during high school has long been a predictor of success in college as well as success in attaining employment later in life. Work experience also helps students to start thinking about work they might like to have, or not have, in their adult lives and to begin to think about the concept of a career path.

But, what if you are reading this blog and your child is already at the end of their high school experience? Certainly, some of the alternatives mentioned by Stixrud and Johnson (e.g., employment, gap year) are important options to consider for building maturity. Another transition plan not mentioned, but often essential for students who struggle with executive dysfunction, social, or emotional difficulties, is to continue living at home and start with community college. This type of slower transition reduces the number of skills that the student has to independently learn to manage at the outset. If your child and you really want to give four-year college a try, the authors note that it is important to strike a balance between supporting student autonomy and extending some parental oversight to college. For example, parents who are contributing to college tuition might require that students give them access to on-line grades and/or that students sign a grade release. I often suggest that parents require that students are engaged in at least one or two student organizations or activities on campus to enable social and emotional success. Also, parents can schedule regular phone times, lunches, or dinners in order to more closely monitor the transition. While you don’t want to hover, it is likely that your child would jump at the chance for a free off-campus dinner once a month, especially if they can bring a few friends.

Finally, there is enormous value in talking about the reality that students who finish high school can “try” college and that it may not be completely successful the first time around or they may not like it at all. Students may figure out that they have picked the wrong school, don’t actually like lecture learning, would rather live at home, or don’t want to participate in a general studies program because they don’t want to take another math class, ever.  We need to be clear that the requisites for getting into college are not the same as those for getting out. College failure is a reality for a high percentage of students and good transition planning requires that teens and young adults make informed decisions, understand the risks, and have the skills for coping with the realities. As part of transition planning, we need to be emotionally and financially planning for much more than a four-year college experience and we need to be thoughtful about the timing of college participation and how the experience fits or doesn’t fit, into a longer and larger plan for our children. Thank you to Dr. Stixrud, Mr. Johnson, and the editors at The New York Times for shining a light on something we need to talk more about!

Articles:

Stixrud, W., and Johnson, N. (November 19, 2018). When a College Student Comes Home to Stay. The New York Times. Retrieved from https://www.nytimes.com/2018/11/19/well/family/when-a-college-student-comes-home-to-stay.html?nytapp=true.

Selingo, J. (November 25, 2015). Why more teenagers and college students need to work while in school. The Washington Post. Retrieved from https://www.washingtonpost.com/news/grade-point/wp/2015/11/25/why-more-teenagers-and-college-students-need-to-work-while-in-school/?noredirect=on&utm_term=.db2aeb63c5bd.

Gowins, H. (May 25, 2018). Fewer high schoolers are working. This is not good. Crain’s Chicago Business. Retrieved from https://www.chicagobusiness.com/article/20180525/ISSUE07/180529922/fewer-teens-working-in-high-school-a-worrisome-trend.

 

About the Author:

Challen

Kelley Challen, EdM, CAS, is NESCA’s Director of Transition Services, overseeing planning, consultation, evaluation, coaching, case management, training, and program development services. She is also the Assistant Director of NESCA, working under Dr. Ann Helmus to support day-to-day operations of the practice. Ms. Challen began facilitating programs for children and adolescents with special needs in 2004. After receiving her Master’s Degree and Certificate of Advanced Study in Risk and Prevention Counseling from Harvard Graduate School of Education, Ms. Challen spent several years at the MGH Aspire Program where she founded an array of social, life and career skill development programs for teens and young adults with Asperger’s Syndrome and related profiles.  She also worked at the Northeast Arc as Program Director for the Spotlight Program, a drama-based social pragmatics program, serving youth with a wide range of diagnoses and collaborating with several school districts to design in-house social skills and transition programs. While Ms. Challen has special expertise in supporting students with Autism Spectrum Disorders, she provides support to individuals with a wide range of developmental and learning abilities including students with complex medical needs. She is also co-author of the chapter “Technologies to Support Interventions for Social- Emotional Intelligence, Self-Awareness, Personality Style, and Self-Regulation” for the book Technology Tools for Students with Autism.

 

To book a consultation or evaluation with one of NESCA’s expert transition specialists, please complete NESCA’s online intake form today.

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Dr. Ryan Conway on Parent-Child Interaction Therapy

By | NESCA Notes 2018

 

By:
Ashlee Cooper
NESCA Marketing and Outreach Coordinator

 

PCIT was first developed in the 1970’s. How did you become interested in this treatment?  

My first exposure to PCIT was in graduate school, in a course through my doctoral program that covered evidence-based therapies for childhood externalizing disorders, including ADHD and disruptive behaviors. I was immediately intrigued by the methodology given my interest in providing behavior therapy to young children and supporting parents.

What training is involved for a therapist who wants to provide PCIT?

PCIT training for therapists is highly structured and time intensive. It includes in-person training and live practice with PCIT Master Trainers, as well as ongoing consultation to ensure treatment is being delivered effectively.

Who is the target audience for this treatment?

PCIT is for young children, ages 2-7, along with their caregivers. It is an empirically supported therapy for children who demonstrate emotional challenges and behavioral problems (e.g., noncompliance, aggression). Some children might have a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) and/or Oppositional Defiant Disorder (ODD), although it is not necessary to have a formal diagnosis in order to participate in treatment and get help!

How does PCIT work?

PCIT is a dyadic treatment, in which parents and children participate together. It is delivered in weekly 60-minute sessions that progress through two treatment phases. In PCIT, parents learn specialized techniques to improve interactions with their children and effectively manage their behaviors at home. What is unique about PCIT is that the therapist coaches parents in real time, where the therapist is able to observe certain behaviors and interactions while offering immediate feedback, which is then continuously practiced at home in between sessions.


Video Link: Dr. Conway explains PCIT

 

Can you speak more to the two phases of PCIT? Why is it important to complete the first phase before moving on to the second?

As mentioned in the video above, PCIT has two phases. The first phase is called Child Directed Interaction (CDI), in which caregivers learn and practice new parenting techniques in the context of playing with their child. However, even while playing, parents are practicing essential behavioral techniques for children who tend to have self-regulation challenges, such as giving lots of attention to positive behaviors and learning to ignore negative behaviors. CDI helps to promote positivity in parent-child interactions, which then sets the foundation for the second phase, called Parent Directed Interaction (PDI). The focus of PDI is teaching parents how to give effective commands and learning specific techniques to increase child compliance at home and in public settings.

What are some of the program goals? How long does it take to complete treatment?

Goals of PCIT include reducing challenging child behaviors, increasing child social skills and cooperation, improving the parent-child relationship and decreasing parental stress.

PCIT is time-unlimited, meaning that families remain in treatment until caregivers have mastered certain skills and child behaviors fall in the more typical range of development. While treatment length varies, given its structured, skill-based and targeted design, families typically graduate from treatment in about 12 to 20 sessions. Keep in mind that the length of treatment depends on each family’s specific needs, as well as other factors (e.g., regular attendance, completion of home practice in between sessions, and the intensity of the child’s behaviors at the onset of treatment).

When talking about PCIT, I have heard you say that parents are “not the problem, but part of the solution.” What do you mean by this?

Yes, I heard this once from a PCIT Master Trainer and it has stuck with me ever since! In PCIT, parents essentially are the agent of change in improving their child’s behavior. By promoting warmth in the parent-child relationship, learning new ways of relating to their child and employing both a consistent and predictable approach, parents are able to get back to enjoying their child again.

What advice do you have for families who may be considering this treatment?

There are many behavioral parent training programs out there, so it can be helpful to speak to a professional to determine which might be best for your family. While many parenting programs teach similar skills, PCIT is so effective because it emphasizes in session learning and practicing of skills through coaching, as opposed to separating learning in session and practicing at home. This process enables caregivers to feel increasingly equipped and confident in their parenting, after sometimes feeling defeated about ongoing behavioral challenges dealt with at home.

Are there any additional references to learn more about PCIT?

Yes, absolutely! Please check out my prior blog post about PCIT here: https://nesca-newton.com/pcit/ You can also visit PCIT International’s website (www.pcit.org) for additional information.

If parents or guardians would like to speak to you more about PCIT, how can they reach you?

I would be happy to speak with any caregivers who are interested in PCIT and/or wondering if the treatment would be a helpful next step. I can be reached at rconway@nesca-newton.com or (617) 658-9831.

 

Ryan Ruth Conway, PsyD
Clinical Psychologist

Ryan Ruth Conway, Psy.D., is a licensed clinical psychologist who specializes in Cognitive Behavioral Therapy (CBT), behavioral interventions, and other evidence-based treatments for children, adolescents and young adults who struggle with mood and anxiety disorders as well as behavioral challenges. She also has extensive experience conducting parent training with caregivers of children who present with disruptive behaviors and Attention-Deficit/Hyperactivity Disorder. Dr. Conway has been trained in a variety of evidence-based treatments, including Parent-Child Interaction Therapy (PCIT), Dialectical Behavior Therapy (DBT), and Exposure with Response Prevention (ERP). Dr. Conway conducts individual and group therapy at NESCA utilizing an individualized approach and tailoring treatments to meet each client’s unique needs and goals. Dr. Conway has a passion for working collaboratively with families and other professionals. She is available for school consultations and provides a collaborative approach for students who engage in school refusal.

 

 

 

 

 

 

 

 

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

Interview with Reva Tankle, NESCA Pediatric Neuropsychologist

By | NESCA Notes 2018

 

 

By:
Ashlee Cooper
NESCA Marketing and Outreach Coordinator

 

What made you become interested in being a neuropsychologist?

I first became interested in neuropsychology when I was in graduate school.  I was pursuing a Masters Degree in Developmental Psychology and I worked on a research project looking at brain organization in children with autism.  This sparked my interest in how the brain works and how differences in brain organization relate to different neurodevelopmental disorders. My doctoral research focused on differences in how right and left-handers processed information.  I had planned to make a career within the research field of neuropsychology and my first job was in the Neurology department of a medical school. However, after a short time, I found this to be rather unsatisfying as I did not feel that the work, I was doing was having any direct impact on individuals’ lives.  It was at that time that I took a job in Boston at a rehabilitation center working with adults with traumatic brain injury. I found working with the patients and their families to be very meaningful and satisfying.

What brought you to NESCA?

After working for many years in the field of adult brain injury, I found myself having to navigate the special education world. My family and I were assisted by a wonderful Special Education advocate and from that experience I found my next “calling.”  I did the advocate training through the Federation for Children with Special Needs and over the next 7 years, I had the opportunity to work with hundreds of families and help guide them through the process. I was fortunate to meet Dr. Ann Helmus, Director of NESCA, and she invited me to join NESCA; first, to expand my training as a neuropsychologist and then as a staff clinician.  I have been able to bring my experience of working with many wonderful families and dedicated school personnel and connect it to a deep understanding of the neuropsychological underpinnings of the learning and emotional challenges our children face.

Do you have a specialty? What do you specialize in?

I evaluate students age 6 years to young adulthood.  I see a wide range of children and young adults including those with language-based learning disabilities, attentional issues, brain injury, and other neurodevelopmental disorders.  I often do school observations and attend Team meetings. I provide recommendations that are individualized for that student and relevant for both school and home-based interventions.

What do you like about your job?

First and foremost, I love spending time with and evaluating children.  One very bright child asked me “Is this boring for you?” I told him “No, I am always thinking about what the child is doing and trying to figure out what else I need to do to best understand his or her thinking and learning.  And that is not boring.” And I try hard to have “fun” and make it an enjoyable experience for the child. No one is going to be a pediatric neuropsychologist and not find kids fun to be with. I also like my job because I can have an impact on the life of that child, their family and their school.  When we work effectively as a Team, we can really make the life of that child so much better and make their school experience more positive.

Why should parents bring their child to NESCA for evaluation?

The evaluations we provide at NESCA are individualized and comprehensive so that we can answer the referral questions being asked by either the family or the school district.  We have no time constraints; so, if a child needs a third or even a fourth session to get through the necessary testing, the clinician is encouraged to do so. This allows us to fully evaluate the child and develop a deep understanding of the cognitive, learning and/or emotional factors that are making school and life in general, hard for this child.

I would also like to point out that NESCA clinicians are provided with extended opportunities for continuing education and consultation with colleagues.  The NESCA clinicians meet several times a month for continuing education seminars provided at NESCA to further both clinical knowledge and information about resources in the community.  In addition, NESCA clinicians gather weekly for a “Case Conference” where colleagues can consult with each other to ensure that our evaluations and recommendations include the broad-based expertise of our many clinicians.

What advice do you have for parents who are not sure if a neuropsychological evaluation is needed for their child?

When I teach at the Parent Consultant Training course for the Federation for Children with Special Needs, I tell them that an evaluation should be recommended when parents have concerns about their child’s development, particularly cognitive or academic.  Parents might start out with a school evaluation, but, a more comprehensive neuropsychological assessment should be considered if the school evaluation does not provide a deep enough understanding of the child’s learning needs or if the child is not making meaningful progress.  There are great benefits to intervening early when a child is struggling. A neuropsychological evaluation can provide a better understanding of the child’s learning profile and offer recommendations for the interventions that can avoid longer-term negative consequences on learning and emotional well-being.

NESCA has opened up a 3rd location in Plainville, Massachusetts which is where you will be primarily seeing clients. Can you tell us more about your decision to work in Plainville?

Well, I have to admit that moving to Plainville will result in a significantly shorter commute for me.  I have loved being a part of the daily excitement in the Newton office but, I have struggled with the commute.  I am excited to extend this easier commute to families on the South Shore, MetroWest and even Central MA who will find it easier to get to our new office.  I don’t want to make our Newton colleagues jealous, but even parking will be easier.

 

Reva Tankle, Ph.D.
Pediatric Neuropsychologist

Combining her experience and training in both pediatric neuropsychology and educational advocacy, Dr. Reva Tankle has particular expertise in working with families who are navigating the IEP process. Having participated in numerous team meetings over the years, Dr. Tankle is especially knowledgeable about the many ways that schools can support and accommodate students with special learning needs, information that she clearly communicates in her evaluation reports and in team meetings, if needed. She also has a great deal of experience in articulating the reasons that a student may need a program outside of the public school.

Dr. Tankle evaluates students with ADHD, learning disabilities, high functioning autism spectrum disorders, and neurological conditions, as well as children with complex profiles that are not easily captured by a single diagnostic category.

 

NESCA’s new satellite office, opening December 1st,  is located at 60 Man Mar Drive, Suite 8, Plainville, MA 02762.  To schedule an appointment with Dr. Reva Tankle in Plainville, please complete our online intake form

 

 

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.