NESCA is currently accepting Therapy and Executive Function Coaching clients from middle school-age through adulthood with Therapist/Executive Function Coach/Parent Coach Carly Loureiro, MSW, LCSW. Carly specializes in the ASD population and also sees individuals who are highly anxious, depressed, or suffer with low self-esteem. She also offers parent coaching and family sessions when needed. For more information or to schedule appointments, please complete our Intake Form.

Tag

psychological evaluation

5

We’re in this together, but do we have to be together all the time?

By | NESCA Notes 2020

By Dot Lucci, M.Ed., CAGS

Director of Consultation and Psychoeducational Services, NESCA

Everyone being home at once is now the “new normal,” and, let’s face it, nothing feels normal about the situation we are in now. We are in uncharted waters and need to create life boats for all of us to use when the going gets tough. No matter how much you love your kids, your pets, your wife, husband or partner and they love you, you will all need some time away from each other.

As you try to create a routine and schedule of activities for your family, one activity to include – one life boat to create – is designated “alone time.” Alone time is when everyone in the house chooses an activity that they can do by themselves without interruption. Specify time limits for alone time based on the ages and stages of your kids and the types of activities they can do independently. This could be watching a movie, reading a book, drawing, playing with special toys (only used during this time), listening to music or a podcast, doing a puzzle, or even a little screen time, etc. Another life boat for parents and guardians needing to work from home is to make “Stop” and “Go” signs to hang on a door. When the Stop sign is up, it means, “No interrupting. ___ (i.e. mom, dad, grandma, etc.) is working.” Each parent or caregiver can take turns with work, keeping in mind that flexibility and kindness is needed for all of us to survive.

Another life boat to create is a calming space. Many kids share a bedroom with a sibling so they do not have a private, separate space to go to as a retreat. A calming space is one that’s as quiet as possible and away from the activity center of your dwelling. It is a separate space to “chill out” in. When you create this space, you will have to teach your kids about the space, what it is used for, how to use it, what can and can’t be done in it, etc. Set boundaries and stick to them so each child can get what they need. Get the kids involved in the design and creation of this new project. Let them choose what goes in it and what types of activities can be done in it. It can be a small nook already available in your house (i.e. under a stairwell, inside a closet, a corner in a bedroom, in the dining room if this space isn’t frequently used, etc.).

If you don’t already have a “nook,” make one. Remember the “calming space” is a separate place used to pause and self-regulate; a cozy place away from everyone else. You can create a “calming space” by tacking a sheet to a couple of walls in a corner to create a triangular space. If you have extra folding chairs, set them up and drape a sheet over the chairs to create a tent-like space. If you go camping and have a room big enough to set up your tent in, do that! With so many packages being delivered these days, be on the lookout for a large delivery or appliance box. Let the kids decorate it. Use a curtain and a rod, hang a hook from the ceiling and attach a canopy.

What goes inside the tent can be decided upon by the kids. If they are new to this, offer some ideas, such as pillows, a sleeping bag, calming music, favorite stuffed animals, weighted blankets, fidget toys, soothing visuals (i.e. lava lamp, water toys, etc.), calming scents, etc. Activities for kids to do when inside may include coloring, drawing, matching games, reading stories about feelings and ways to express feelings, etc. (many are available online and can be downloaded). Each child could have their own box outside the calming space that has their own calming items in it to use when they enter the calming space. Encourage your child or have items in the space that promote calm and mindfulness, such as deep breathing exercises, calming scents, serene images, soft music, feeling cards, etc.).

Let this be a break from the chaotic pace of life and uncertainty of the present.

Resources for specific calming activities:

 

About the Author

NESCA’s Director of Consultation and Psychoeducational Services Dot Lucci has been active in the fields of education, psychology, research and academia for over 30 years. She is a national consultant and speaker on program design and the inclusion of children and adolescents with special needs, especially those diagnosed with Autism Spectrum Disorder (ASD). Prior to joining NESCA, Ms. Lucci was the Principal of the Partners Program/EDCO Collaborative and previously the Program Director and Director of Consultation at MGH/Aspire for 13 years, where she built child, teen and young adult programs and established the 3-Ss (self-awareness, social competency and stress management) as the programming backbone. She also served as director of the Autism Support Center. Ms. Lucci was previously an elementary classroom teacher, special educator, researcher, school psychologist, college professor and director of public schools, a private special education school and an education collaborative.

Ms. Lucci directs NESCA’s consultation services to public and private schools, colleges and universities, businesses and community agencies. She also provides psychoeducational counseling directly to students and parents. Ms. Lucci’s clinical interests include mind-body practices, positive psychology, and the use of technology and biofeedback devices in the instruction of social and emotional learning, especially as they apply to neurodiverse individuals.

 

To book a consultation with Ms. Lucci or one of our many expert neuropsychologists, complete NESCA’s online intake form. Indicate whether you are seeking an “evaluation” or “consultation” and your preferred clinician/consultant in the referral line.

 

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.

 

2

Having a Seat at the Table

By | NESCA Notes 2019

By Dot Lucci, M.Ed., CAGS

Many people come to NESCA because their child/children or they are struggling in some aspect of their life, school or work. They come to be evaluated, counseled or to access our integrative services. Often, they are hoping to gain insight into what is amiss and ultimately receive recommendations to help develop a “roadmap” toward improving their lives. The roadmap provides them with a greater understanding of themselves or their child/children, including strengths, challenges and possibilities. Through the neuropsychological evaluation, a diagnostic label is often provided, if warranted, that conceptualizes their learning and psychological profile. This label typically implies a difference from the “norm” – a disability. So, is getting a label of a disability a relief, a shock, a curse, a dream shattered or an “ah ha” moment? It may be all of these, and these feelings may change over time. Is a disability a “bad thing” or a “good thing” or both? I like to say, “It just is.” It is a piece of who we are, but it isn’t everything – nor does it define us in our totality.

Did you know that 60 million Americans have a disability? That’s 20% of our population. Many of us will enter this category of disability as we age; therefore, all of us will know someone with a disability or will develop one ourselves. As Jay Ruderman, disability advocate, says, “It’s the only minority group almost all of us are guaranteed to join at some point in our lives.” If we look at it this way, wouldn’t we all be better off if we embraced people with disabilities across all aspects and stages of life? Wouldn’t it be nice to know that there’s a place for us at the table and one that we didn’t have to fight for?

It’s been 30 years since the Americans with Disabilities Act (ADA), the civil rights law that prohibits the discrimination against individuals with disabilities in all areas of life (work, schools, housing, etc.), was passed. It states that people with disabilities should have the same rights and opportunities as everyone else, meaning they belong at the table and should be included. But do individuals with disabilities truly have the same rights as non-disabled people? On paper, yes, but in practice, not necessarily. While people with disabilities do have many more rights today than they did before the ADA was passed, barriers still exist – people are still marginalized and fighting for equality. The law says everyone is equal, yet people are still discriminated against in profound and subtle ways every day.

Compared to 30 years ago, public education, communities and businesses are doing a much better job at recognizing individuals with disabilities and providing opportunities for them. We now have universal design principles utilized in architecture, community planning, schools and businesses. However, there is still much to be done! Data from the National Center for Education Statistics shows that in 2017, 63% of students across all disability categories spend 80% or more of their school day in classrooms with typically developing peers. That’s a dramatic increase from pre-ADA years. Yet in contrast, only 17% of students with intellectual impairment and 14% with autism spend their time in general education classrooms.

When disabled students age out of the educational system, they are not faring as well as their nondisabled peers in opportunities for housing, community and employment inclusion. Data from the Department of Labor Statistic states that the employment to population ratios in 2018 are still lagging for persons with a disability. In fact, 20.8 % are employed, whereas 69.2% of “non-disabled” persons are employed. Why is that? This is an untapped workforce. What holds back employers, communities and housing authorities from hiring and including people with disabilities? Is it fear? Is it a belief that they can’t do the job, or that it will cost more to hire/include a person with a disability? The reasons/excuses cited are endless, and unfortunately inhibit us from including people with disabilities from being truly valued and contributing members of society.

So, even 30 years later, there is much work to be done to improve outcomes for individuals with disabilities. We have to look inside ourselves and ask, “What are we doing to create an inclusive society?”. How have we fostered an inclusive community at school, work, as we walk down the street or at a café? How have we overcome our own biases and fears, or helped to alleviate the fear of other people? How have we helped to change the hearts, minds and beliefs of others so we have true inclusion and true equality? Much like the civil rights movement did – it’s taking a stance and doing what’s right for everyone. Inclusion is about creating a better world, where everyone belongs, is valued and honored for who they are and what they contribute to our society.

Remember, in the word “disability” is “ability.” This should be the guiding principle. See the ability before you see the disability in people. Everyone has abilities, interests and strengths that can be used to better our world. Recognize the abilities and strengths of individuals who learn and work differently, for it is what makes the world a better place. We hope that after coming to NESCA for an evaluation, counseling or integrative services, our clients leave with a better understanding of themselves or their child/children, recommendations for next steps, an acceptance of who they are and hope for the future.

For additional resources, please visit:

Commit to Inclusion www.committoinclusion.org

National Center for Educational Statistics www.nces.ed.gov

Disabled World www.disabled-world.com

 

About the Author:

NESCA’s Director of Consultation and Psychoeducational Services Dot Lucci has been active in the fields of education, psychology, research and academia for over 30 years. She is a national consultant and speaker on program design and the inclusion of children and adolescents with special needs, especially those diagnosed with Autism Spectrum Disorder (ASD). Prior to joining NESCA, Ms. Lucci was the Principal of the Partners Program/EDCO Collaborative and previously the Program Director and Director of Consultation at MGH/Aspire for 13 years, where she built child, teen and young adult programs and established the 3-Ss (self-awareness, social competency and stress management) as the programming backbone. She also served as director of the Autism Support Center. Ms. Lucci was previously an elementary classroom teacher, special educator, researcher, school psychologist, college professor and director of public schools, a private special education school and an education collaborative.

Ms. Lucci directs NESCA’s consultation services to public and private schools, colleges and universities, businesses and community agencies. She also provides psychoeducational counseling directly to students and parents. Ms. Lucci’s clinical interests include mind-body practices, positive psychology, and the use of technology and biofeedback devices in the instruction of social and emotional learning, especially as they apply to neurodiverse individuals.

 

To book a consultation with Ms. Lucci or one of our many expert neuropsychologists, complete NESCA’s online intake form. Indicate whether you are seeking an “evaluation” or “consultation” and your preferred clinician/consultant in the referral line.

 

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.

 

1

Improving Life Outcomes through Self-awareness, Stress Management and Social Competency

By | NESCA Notes 2019

By Dot Lucci, M.Ed., CAGS

Currently many school districts have social-emotional learning (SEL) goals as part of their mission. They include goals, such as students will: think critically and solve problems; communicate and collaborate effectively; attend to physical, social and emotional health; contribute to and care about their community and world; and, recognize the uniqueness and dignity of individuals of differing religions, classes, ethnicities, sexual orientations, learning abilities and more. These goals are part of what is expected in our workforce and as citizens in general. If children and adults could attain these goals, our world would be a more tolerant and compassionate place.

Given the neurological, psychological, behavioral or cognitive challenges many students diagnosed with Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), nonverbal learning disorder (NLD), intellectual disability (ID), anxiety, depression, etc. may have, they will often experience difficulty attaining these goals. Direct teaching as well as embedded instruction of Mindsets, Essential Skills & Habits (MESH) and SEL is imperative for these students to succeed in school, relationships, work and in their own quality of life. In fact, MESH and SEL can help all students with or without special needs. Students of today become the adults of tomorrow. With SEL and MESH instruction, they become mindful, compassionate and socially competent adults – and potentially leaders!

In our consultation work with schools, NESCA focuses on three primary areas that we call the 3-Ss: self-awareness, social competency and stress management. Many adults with learning or developmental challenges have not yet reached their potential because they struggle in one or more of these areas. They do not know who they are and “what makes them tick,” or understand that stress is a part of life that we all deal with. They may struggle to recognize that getting along with and being kind and respectful to others is a necessary part of life, even when we do not agree with others. Some of these adults have advanced degrees but sadly cannot get or keep a job or a relationship. By directly addressing the 3-Ss, we help individuals develop life-long skills to be the best they can be.

Self-awareness

Self-awareness is the ability to recognize one’s strengths/challenges, interests, likes/dislikes, learning style, personality and more. It allows us to self-reflect and accurately identify emotions and thoughts and how they influence our behavior. Being optimistic when dealing with life’s setbacks is also central to self-awareness. As we mature, the ability to make responsible decisions – constructive and respectful choices about personal behaviors based on safety concerns, ethical standards and social norms – also falls under self-awareness.

The earlier we begin to help children develop self-awareness, the better off they are in the long run. Teaching them about their personalities earlier allows them to understand themselves better and themselves in relation to others. Through consultation, we normalize the neurodiversity of learners in a classroom. For example, we may have everyone (teachers and students) complete a learning style checklist and discuss the variety of learning profiles in a class. This makes self-awareness more concrete and accessible to all students.

Social Competency

Social competency allows self-awareness to be applied in relationships with others. Social competency is the ability to establish and maintain healthy and rewarding relationships with others in one’s family, school, community and work. It is what allows us to demonstrate perspective-taking and empathy with others of diverse backgrounds and cultures. It includes knowing the social and cultural norms of behavior and also understanding why demonstrating those matters and helps us to communicate clearly, listen actively, negotiate conflicts, cooperate with others, and ask for help when needed. It can also include nonverbal cues and communication when sharing space with others, which is what makes it possible to ride on public transportation, wait in line, ride in an elevator, watch a movie at a theatre, etc. – all in accordance with unwritten, hidden, yet expected social norms. It is critical to work on social competency from preschool through middle and high school and beyond as the expectations and challenges change throughout our lives – and as we change, too.

Stress Management

No matter how self-aware someone is, stress happens and we need to learn to cope or we will suffer both physically and psychologically. Stress is neither good nor bad – it just is. Therefore, stress management is critical to living a life that is as healthy and satisfying as possible. Stress management is the ability to identify one’s emotions, thoughts, feelings and behaviors, and to regulate them effectively – identifying internal and external triggers, controlling impulses, motivating oneself and developing a toolbox to cope with stress. By teaching stress management skills early on, we help children identify how stress feels in their bodies and how our bodies and emotions are linked. All too often, we tell children to “calm down” without teaching them how and what that actually means. If we teach children and adolescents a variety of ways to calm themselves (breathing, progressive muscle relaxation, mindfulness, exercise, problem solving, etc.), and we offer regular opportunities to practice these skills in a range of settings and activities, our hope is that they will gravitate to those techniques and eventually use them independently and successfully. Teaching children about resilience and optimism is key so they can cope when adversity happens – as we know it will.

By highlighting the 3-Ss in our work, we have witnessed significant growth and a positive impact on students’ learning and ultimately their lives. By directly modeling and teaching these MESH skills, students diagnosed with disabilities improve their understanding of self, others and their ability to manage stress and cope with adversity. We are fostering the development of the adults of tomorrow.

To learn more about NESCA and its consultation services, visit: https://nesca-newton.com/.

To learn more about SEL and MESH, visit:

 

About the Author:

NESCA’s Director of Consultation and Psychoeducational Services Dot Lucci has been active in the fields of education, psychology, research and academia for over 30 years. She is a national consultant and speaker on program design and the inclusion of children and adolescents with special needs, especially those diagnosed with Autism Spectrum Disorder (ASD). Prior to joining NESCA, Ms. Lucci was the Program Director and Director of Consultation at MGH/Aspire for 13 years, where she built child, teen and young adult programs and established the 3-Ss (self-awareness, social competency and stress management) as the programming backbone. She also served as director of the Autism Support Center. Ms. Lucci was previously an elementary classroom teacher, special educator, researcher, school psychologist, college professor and director of public schools, a private special education school and an education collaborative.

Ms. Lucci directs NESCA’s consultation services to public and private schools, colleges and universities, businesses and community agencies. She also provides psychoeducational counseling directly to students and parents. Ms. Lucci’s clinical interests include mind-body practices, positive psychology, and the use of technology and biofeedback devices in the instruction of social and emotional learning, especially as they apply to neurodiverse individuals.

 

To book a consultation with Ms. Lucci or one of our many expert neuropsychologists, complete NESCA’s online intake form. Indicate whether you are seeking an “evaluation” or “consultation” and your preferred clinician/consultant in the referral line.

 

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.