While school may be wrapping up, Summer is an ideal time to embark on transition assessment and services to ensure that your child’s IEP process is preparing them for learning, living, and working after their public education. The ultimate goal of transition assessment is to identify the necessary skills and services to ready a student age 13-21 for transitioning from high school to the next phase of life. To book an intake and consultation appointment, visit: www.nesca-newton.com/intake. Not sure if you need an assessment? You can schedule a one-hour parent/caregiver intake and consultation.

Getting Through Thanksgiving Day

By: Madelyn (Maddie) Girardi, OTD, OTR/L

Occupational Therapist, NESCA

Setting Expectations

Thanksgiving may be different this year, but it can still be a long day full of sensory stimulation, new social interactions and possibly unfamiliar faces and experiences. By providing clear expectations, this can help prepare the child for upcoming events, minimize surprises and set the child up for success. Talk openly about events, review pictures of anticipated people/events, and/or watch a video describing an experience beforehand. Use a calendar or visual schedule at home to display the sequence of upcoming holiday events. A social story is a great tool to prep the child for the day (Lewis, 2016).

Open CommunicationBeing transparent with family members/friends can allow for greater understanding and a more positive experience for those involved. Help those present understand if there are certain obstacles/triggers that can be avoided, or if there are particular tools/language that can be incorporated throughout the day (Lewis, 2016).

Devotion of TimeFor parents, we know that much of Thanksgiving is devoted to cooking and meal preparation. Make sure to communicate with family members beforehand about the plan for the day. Will there be other children or adults around to play with the child, or should my child be expected to play independently if I am occupied? If so, have a few preferred toys/activities accessible. Or involve the child in the meal preparation process as appropriate.

Consider the Environment

How will your family be celebrating Thanksgiving or other holidays this year – in-person or virtually?

In-personFestivities this year may take place with modifications. Will it be less crowded this year? Will events be taking place in a different set-up this year (outside, in the garage, socially distanced)? If so, prepare your child by communicating expected changes beforehand.

  • Is my child expected to wear a mask or keep a distance from others? If so, use a social story or designate a “code word” to act as a reminder for proper mask/social distancing etiquette. Allow the child to practice wearing a mask beforehand. Model expected behavior (Lewis, 2016). Provide mask breaks as appropriate.

VirtuallyWith current social distancing guidelines, Thanksgiving interactions may instead take place virtually. If possible, it can be helpful to make children aware of this change beforehand. Many children may experience difficulty attending to a Zoom call. Here are some tips to help:

  • Provide a tool to help with heightened arousal: fidget toy, squeeze ball, putty, fidget band (at feet), chewing gum/oral tool, etc.
  • Consider the environment: Eliminate distractions as much as possible (visual plus auditory), ensure adequate lighting and proper seating, etc.
  • Rehearse events beforehand, identifying potential “rough spots” and positive coping strategies (Lewis, 2016). Proactively establish talking points if helpful.
  • Establish guidelines for both the beginning and end of a videocall. Use a timer if necessary.

Sensory EnvironmentThanksgiving Day will likely be full of stimulation for the senses: sight, smell, touch, sound and taste.

  • Food sensitivity: Many children may experience sensitivities to food textures, tastes or smells. Ensure access to “safe,” or preferred foods beyond traditional Thanksgiving dishes. If attending a celebration outside of the home, make sure to pack a few options for meals/snacks. For children who experience sensitivity to smell, consider bringing a comfortable nose plug.
  • Sensory overload: Ensure access to calming tools in the case that overstimulation, or sensory overload, occurs. Some options include a weighted or compression vest/blanket, chewy, squeeze ball, pushing/pulling activities, noise canceling headphones or a mini trampoline for a movement break. Create a calming jar with the child beforehand. Ensure that the child has a safe space they can go to, such as a dark, quiet room, when feeling overwhelmed. For children who may experience challenges self-regulating, help to guide the child in identifying states of arousal before a meltdown occurs. Use visuals as needed.



Lewis, K. S. (2016). Full Inclusion Holidays: An SLP offers tips to prepare clients for a season full of social and sensory stimuli—and people who may not understand their communication and behavioral challenges. The ASHA Leader21(12), 52-56.


About the Author

Madelyn (Maddie) Girardi is a Licensed Occupational Therapist in Massachusetts with experience in both school-based and outpatient pediatric settings. Maddie received her undergraduate degree in Exercise Science/Kinesiology at The College of Charleston in South Carolina and  earned her Doctorate degree in Occupational Therapy from The MGH Institute of Health Professions in Boston.

Maddie is a passionate therapist with professional interest in working with young children with neurodevelopmental disorders, fine and gross motor delays and Autism Spectrum Disorder (ASD).

To book an appointment or to learn more about NESCA’s Occupational Therapy Services, please fill out our online Intake Form, email info@nesca-newton.com or call 617-658-9800.


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.