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.

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SMART goals

22

Ring in the New Year with SMART Goals

By | NESCA Notes 2022

By: Tabitha Monahan, M.A., CRC
NESCA Transition Specialist/Counselor

Happy New Year! 2021 was another chaotic and challenging year. Many folks have big plans to start the year strong and make hefty goals for their new year resolutions. French writer, Antoine de Saint-Exupéry, wrote: “a goal without a plan is just a wish.” This is true for resolutions, just as it is for any goal. How can we help our young people change their wishes, visions, and dreams into goals? We teach them (and maybe ourselves while we’re at it) how to plan. One of my favorite strategies for both teaching and reaching goals is by creating SMART Goals. What is a Smart Goal?

Specific – The goal should be specific. I’ll increase the distance I run is vague. Will you increase the distance by 20 feet, 2 miles? Are you planning for a marathon? Instead, let’s take a look at step 2, making it measurable.

Measurable – There’s a good chance that if your goal is not specific enough, it will be hard to measure if you have succeeded in that goal. So, let’s make our exercise goal both specific and measurable. I’ll increase the distance I run from 1mile to 3.2 miles (5k).

Attainable – Attainable is the hard one for many students who are still building awareness of their strengths and challenges. Let’s say a person who has never run wants to run in the Boston Marathon. This is likely not an attainable goal, even if it is specific and measurable. While Couch to 5k training exists, I have not personally seen the couch to marathon training program. Having measurable steps also helps break down the goal into smaller pieces, which will be further discussed later.

Relevant – If I am trying to increase my social circle and group leisure skills, running is unlikely to get me there. However, if, like many people, we’re trying to improve our health in 2021 (or take off some of those quarantine pounds), increasing the distance we run certainly will help get us there. Many young adults may need to bounce ideas off someone to ensure the goal is relevant to the area at hand.

Time-bound – Attainable and time-based work tightly together. If you do not give yourself a deadline, the goal may still be there come December 2022. Humans work best with deadlines. We need the motivation to complete a plan, and often motivation needs a sense of urgency.

When students begin working on developing SMART goals, the hardest area for students to understand and develop is creating an ATTAINABLE goal. The goals are often too hefty and need to be broken into much smaller pieces. My clients who are meeting with me in person are greeted by a quote in my office from Dr. Glenn Doyle, offering my favorite way of looking at creating that attainable goal.

When in doubt, set the goal small.

Then chop it in half (½)

Then take the first part of that goal….

Figure out just what you’d need to do

to GET STARTED on it.

THAT’s your NEW GOAL.

~Dr. Glenn Doyle~

(emphasis mine)

Okay, so what does our SMART goal look like for increased health and wellness? I will increase the distance I run from 1 mile to 3.2 miles (5k) in ¼ mile increments by June 30, 2022.

We have all the pieces. It is specific, and we know precisely what the end goal will be and how we will get there. It’s measurable; there is something we can check off as complete, like a to-do list. It’s attainable and seems realistic. We are not trying to run the Boston Marathon course after only running a mile. We will start as a beginning runner and work towards a 5k, and we are not trying to do it tomorrow with no steps in between. It’s relevant; we are working on bettering our health in 2022. And it is time-based. We want to meet our goal by the end of June.

Now that we’ve refreshed our minds on SMART goals, how do we build these skills in transition-aged youth? Ask them. Ask your child, your students, your clients what they want for themselves in education, employment, and independent living. We already have the starting points. We have their vision. We have the IEP TEAM’s goals and objectives.

The youth may have a far-reaching (and maybe seemingly unattainable) goal. Help them break that big goal down into smaller parts and work backward. Do they want to be an engineer? Engineers need a college degree. What does the student need to do to graduate college? They need to get into college. How do they get into college? They need to apply and graduate from high school. What do they need to do to graduate high school? They need to pass their science class. That seems like a reasonable starting place, and it is still related to the vision. What might a SMART goal look like for that student? I will receive a passing grade on my final exam by answering the end of chapter questions each week and asking for clarification from my teacher for any questions I got wrong by the end of the spring semester.

But how do we support them when they aren’t making progress? Many people have a hard time adjusting once they have made a plan. Whenever we set a goal, we need to look at our progress periodically. We need to check that the goal is still attainable by the deadline we gave ourselves. Are we making progress? If we are still running only a mile and it’s March, what adjustments do we need to make? Suppose a student is not finding answering the end of chapter questions helpful in confirming their knowledge of the material. What changes can they make to increase their understanding of the material? Maybe the student asks the teacher if they can work one on one twice a week to increase understanding? Frustration, when the plan doesn’t work, makes many give up on the goal. Learning how to adapt is just as essential as learning how to make a goal.

A person who has practiced SMART goals is a person who will have an increased understanding of the objectives and smaller steps they need to reach their vision. They will have more confidence in their abilities and more awareness of their challenges. A person who has goal-setting skills is a person who has control of their own life. What are your SMART goals for 2022?

About the Author

Tabitha Monahan, M.A., CRC, is an experienced transition evaluator and vocational counselor. While she is well-versed in supporting a wide range of transition-aged youth, she is especially passionate and knowledgeable in helping clients and their families navigate the complex systems of adult services and benefits as well as medical and mental health systems. She is further adept in working individually with students of all abilities to empower self-advocacy and goal achievement.

 

To schedule an appointment with one of NESCA’s expert transition specialists or neuropsychologists, 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 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.

 

15

Celebrate the Small Wins

By | NESCA Notes 2021

By: Tabitha Monahan, M.A., CRC
NESCA Transition Specialist/Counselor

In the moment, it can be hard to see the change. It can be hard to find the successes. This is true for any improvement we try to do, whether it is trying to have a healthier lifestyle or build the skills needed for postsecondary life. When looking at a student’s vision, it can feel like getting there is an impossible task. Maybe the student is the only one who believes they can get there. Perhaps they don’t understand all the pieces that need to be put in place. When the rest of the IEP team has doubts, those doubts will likely spread to the student. Objectives about SMART Goals might be added to help the student learn how to set realistic goals and build an understanding of setting small goals and determining specific objectives. However, when we look back to where the student was their freshman year or in elementary school, the progress they made may seem massive. Many small wins over time turn into big wins.

What are the small wins? It might be getting a better grade on a test in math. It might be fastening the buttons on a shirt without help. It could be understanding another’s point of view one time.  Maybe it was trying a bite of one new food. Maybe they were able to identify a coping skill that would have helped after having a rough day. By themselves, none of these seems like they will help a person reach success once they leave special education. But small wins build confidence. They build pride. If we celebrate the small wins, not only do we get reminded that progress is possible, but the student knows they accomplished something. An IEP is filled with areas where the student needs help and even at a young age – when the student is getting more help than their peers – they know it. They should know where they are succeeding, too.

So how can we help our student celebrate the small wins?

  • A high five and a “way to go”
  • Help your child create a list of successes and have them add each win to the list
  • Remind them of where they were at the beginning of the year
  • Pick a fun activity as a “reward”
  • Have your child add to one of their favorite hobbies (e.g., a small LEGO set, a new book, trading cards, collectibles, action figures)
  • Frame it! (If it’s not paper, make part of the celebration part art project)

What do you do to celebrate the small wins?

 

About the Author

Tabitha Monahan, M.A., CRC, is an experienced transition evaluator and vocational counselor. While she is well-versed in supporting a wide range of transition-aged youth, she is especially passionate and knowledgeable in helping clients and their families navigate the complex systems of adult services and benefits as well as medical and mental health systems. She is further adept in working individually with students of all abilities to empower self-advocacy and goal achievement.

 

To schedule an appointment with one of NESCA’s expert transition specialists or neuropsychologists, 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 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.

 

13

Developing S-M-A-R-T Goals in 2021

By | NESCA Notes 2021

By: Tabitha Monahan, M.A., CRC
NESCA Transition Specialist/Counselor

Happy New Year! Now two weeks into 2021, maybe it’s time to revisit those New Year Resolutions.  French writer Antoine de Saint-Exupéry wrote: “a goal without a plan is just a wish.” This is true for resolutions, just as it is for any goal. How can we help our young people change their wishes, visions and dreams into goals? We teach them (and maybe ourselves while we’re at it) how to plan. One of my favorite strategies for both teaching and reaching goals is by creating SMART Goals. What is a Smart Goal?

Specific – The goal should be specific. I’ll increase the distance I run is vague. Will you increase the distance by 20 feet, 2 miles? Are you planning for a marathon? Instead, let’s take a look at step 2, making it measurable.

Measurable – There’s a good chance that if your goal is not specific enough, it will be hard to measure if you have succeeded in that goal. So, let’s make our exercise goal both specific and measurable. I’ll increase the distance I run from 1 mile to 3.2 miles (5k).

Attainable – Attainable is the hard one for many students who are still building awareness of their strengths and challenges. Let’s say a person who has never run wants to run in the Boston Marathon. This is likely not an attainable goal, even if it is specific and measurable. Couch to 5k training exists; I have not seen the couch to marathon training program. Having measurable steps also helps break down the goal into smaller pieces, which will be further discussed later.

Relevant – If I am trying to increase my social circle and group leisure skills, running is unlikely to get me there. However, if, like many people, we’re trying to improve our health in 2021 (or take off some of those quarantine pounds), increasing the distance we run certainly will get us there. Many young adults may need to bounce ideas off someone to ensure the goal is relevant to the area at hand.

Time-bound – Attainable and time-based work tightly together. If you do not give yourself a deadline, the goal may still be there come December 2021. Humans work best with deadlines. We need the motivation to complete a plan, and often motivation needs a sense of urgency.

Okay, so what does our SMART goal look like for increased health and wellness? I will increase the distance I run from 1 mile to 3.2 miles (5k) in ¼ mile increments by June 30, 2021.

We have all the pieces. It is specific, and we know precisely what the end goal will be and how we will get there. It’s measurable; there is something we can check off as complete, like a to-do list. It’s attainable and seems realistic. We are not trying to run the Boston Marathon course after only running a mile. We will start as a beginner runner and work towards a 5k, and we are not trying to do it tomorrow with no steps in between. It’s relevant; we are working on bettering our health in 2021. And it is time-based. We want to meet our goal by the end of June.

Now that we’ve refreshed our minds on SMART goals, how do we build these skills in transition-aged youth? Ask them. Ask your child, your students, your clients what they want for themselves in education, employment and independent living. We already have the starting points. We have their vision. We have the IEP TEAM’s goals and objectives.

The youth may have a far-reaching (and maybe seemingly unattainable) goal. Help them break that big goal down into smaller parts and work backward. Do they want to be an engineer? Engineers need a college degree. What does the student need to do to graduate college? They need to get into college. How do they get into college? They need to apply and graduate from high school. What do they need to do to graduate high school? They need to pass their science class. That seems like a reasonable starting place, and it is still related to the vision. What might a SMART goal look like for that student? I will receive a passing grade on my final exam by answering the end of chapter questions each week and asking for clarification from my teacher for any questions I got wrong by the end of the spring semester.

But how do we support them when they aren’t making progress? Many people have a hard time adjusting once they have made a plan. Whenever we set a goal, we need to look at our progress periodically. We need to check that the goal is still attainable by the deadline we gave ourselves. Are we making progress? If we are still running only a mile and it’s March, what adjustments do we need to make? Suppose a student is not finding answering the end of chapter questions helpful in confirming their knowledge of the material. What changes can they make to increase their understanding of the material? Maybe the student asks the teacher if they can work one-on-one twice a week to increase understanding? Frustration, when the plan doesn’t work, makes many give up on the goal. Learning how to adapt is just as essential as learning how to make a goal.

A person who has practiced SMART goals is a person who will have an increased understanding of the objectives and smaller steps they need to reach their vision. They will have more confidence in their abilities and more awareness of their challenges. A person who has goal-setting skills is a person who has control of their own life. What are your SMART goals for 2021?

 

About the Author

Tabitha Monahan, M.A., CRC, is an experienced transition evaluator and vocational counselor. While she is well-versed in supporting a wide range of transition-aged youth, she is especially passionate and knowledgeable in helping clients and their families navigate the complex systems of adult services and benefits as well as medical and mental health systems. She is further adept in working individually with students of all abilities to empower self-advocacy and goal achievement.

 

To schedule an appointment with one of NESCA’s expert transition specialists or neuropsychologists, 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 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.

 

149

From School to Summer – Life Rolls Along in the Era of COVID19

By | NESCA Notes 2020

By: Sophie Bellenis, OTD, OTR/L

Occupational Therapist; Real-life Skills Program Manager and Coach

This past March, families were thrown into the world of remote learning, Zoom classrooms, digital assignments and school at home. With little to no time to prepare, teachers and parents alike have worked tirelessly to provide a sense of routine and academic focus, while handling the social and emotional fallout of the COVID19 pandemic. As schools start to wrap up their years and families start to look ahead at what is sure to be a notably unique summer, there is a bit more time to plan, think proactively and chart a positive course for our children.

As summer camps, childcare options, volunteer opportunities, and internships are either cancelled, transitioning to an online format, or significantly limiting capacity, the need for children to manage and plan self-directed activities is becoming more and more apparent. With such an extended period of time ahead of us, let’s highlight some ways that we can create environments that allow our children autonomy while building important skills and leavings lots of room for fun.

Set Firm Boundaries

There is evidence that tells us our children most successfully build and demonstrate their executive function skills when they are allowed freedom and opportunities to make their own choices, within boundaries and limits set by their parents (Schroeder & Kelley, 2010). Consider what aspects of summer life are non-negotiable for your family. This may be a certain limit on hours of screen time per day, a time that all children are expected to be up and out of bed, or chores and expectations that they must meet as a part of the family unit. Make sure that these are clearly communicated and agreed upon by everyone in the home.

Set Goals

Helping children set and work on completing goals can provide a concrete representation of the accomplishments that they have achieved over the summer. There are many ways to organize and format this process, but one consistent theme should be creating goals that are measurable, achievable and specific. Consider the SMART goal format as a template. One way to help children to choose their goals is to have them focus on three categories: personal, family and community. Some examples are:

  1. Personal Goals – Develop a consistent exercise routine; try out a new form of exercise, such as running, yoga or Pilates; incorporate a mindfulness meditation into a weekly schedule; consistently wake up independently with an alarm; or drink the recommended amount of water per day for their age, etc.
  2. Goal to Benefit the Family – Cook dinner for the family once a week; commit to weeding a family garden; deep clean one room per week; learn which cleaning supplies are used for the bathroom and for the kitchen; add a new chore each week; or teach a grandparent or family friend how to use a new technology, etc.
  3. Goal to Benefit the Community – Collect box-tops from all of the food items in the home to give to their school once it’s back in session; take a walk and pick up trash on a road or beach; do a food drive for a local pantry; mow the lawn for a neighbor; or reach out to vulnerable people in the community and ask if they can do anything to help, etc.

Create an Activity Bank

Pediatric Neuropsychologist Dr. Angela Currie of NESCA recently explained why telling kids to simply, “find something to do,” rarely leads to positive results (Currie, 2020). One suggestion that Dr. Currie gives is to create an activity bank or “menu.” It is often difficult to come up with suggestions in the moment when a child mentions that they are bored or feel there is little to do. Take the proactive step of creating a list of activities that your child can go to when they are having a hard time deciding how to fill their time. This makes it easy to prompt them to independently choose something to do. The response, “Why don’t you go take a look at the activities bank and see if there is something that would be a great choice for today?” gives a child a concrete first step. Some families have used creative ways to help children decide between options, such as an activity dice, an activity grab-bag or a personal activity “menu” with specific options for each child.

Encourage Independent Learning

The old adage states that anyone can be an expert at something, if they spend 10,000 hours practicing. Teach this theory to your children and ask them what truly makes them feel excited and curious. What would they like to explore? Children are used to viewing themselves through the lens of a student; however, they rarely make decisions about exactly what they would like to learn. Help your child explore their personal interests and choose something they would like to learn about over the course of the summer. This could look like a 1st grader collecting sea shells at the beach and bringing them home to draw; a 5th grader spending a couple of hours a week researching underwater caves; an 8th grader learning how to keep a sourdough starter alive and bake bread; or a junior in high school doing a deep dive into the current cultural shift developing in the United States. The topic should be completely chosen by the child, with suggestions and support facilitated by their parents.

 

References

Currie, A. (2020). Why “find something to do” doesn’t work – Teaching independent play skills during quarantine, NESCA Notes. Retrieved from https://nesca-newton.com/why-find-something-to-do-doesnt-work-teaching-independent-play-skills-during-quarantine/

Schroeder, V. & Kelley, M. (2010) Family environment and parent‐child relationships as related to executive functioning in children, Early Child Development and Care, 180:10, 1285-1298, DOI: 10.1080/03004430902981512

 

About the Author

Dr. Sophie Bellenis is a Licensed Occupational Therapist in Massachusetts, specializing in educational OT and functional life skills development. Dr. Bellenis joined NESCA in the fall of 2017 to offer community-based skills coaching services as a part of the Real-life Skills Program within NESCA’s Transition Services team. 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. Having spent years delivering direct services at the elementary, middle school and high school levels, Dr. Bellenis has extensive background with school-based occupational therapy services.  She believes that individual sensory needs and visual skills must be taken into account to create comprehensive educational programming.

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.

 

9

New Year’s Resolution to Lasting Lifestyle Changes

By | NESCA Notes 2019

By Billy Demiri, CPT
Certified Personal Trainer

The New Year can bring with it so many possibilities, and beginning a new decade is even more exciting. This is the time of year so many of us envision great goals and changes that we want to make in the new year. A 2016 study published in scientific journal Personality and Social Psychology Bulletin, investigated New Year’s resolutions and found that, “55% of resolutions were health related, such as exercising more, or eating healthier.” I know from personal experience and working with so many people, helping them achieve their fitness and lifestyle goals, just how hard it can be to make lasting changes. So how do we stay on track with all of our New Year’s resolutions when, “about 80% of people fail to stick to their New Year’s resolutions for longer than six weeks”? Here are some of the best strategies I use when setting goals and staying consistent with them.

First, when it comes to New Year’s resolutions and goal setting, it is important to make sure they are doable and meaningful if we want to give ourselves the best shot at success. It is essential to make sure that whatever goal we choose really matters to us, and we are making it for the right reasons. I like to use the acronym SMART when setting goals for myself and my clients. That means goals should be S-Specific, M-Measurable, A-Achievable, R-Relevant and T-Time-bound. For example, if your goal is to lose weight, you should be specific about how much weight you want to lose. Also, make sure it is realistic and set a time frame for yourself; such as losing 1-2 pounds a week vs. 5 pounds per week. Most important of all, it has to be the right goal for you! It is really easy to lose sight of our goal if we are making changes based on what someone else or society is telling us to change. So how do we find a goal that will be right for us?

My favorite technique for finding goals that matter to me and my clients is asking the 5- Whys—or the Downward Arrow Technique—which was coined by psychiatrist Dr. David Burns. It works for any goal or statement by asking why five times to really explore why that goal is important. For example, let’s stick with the goal of losing weight and explore it further:

  1. Why do you want to lose weight?
  • Because I want to lose fat and build some muscle.
  1. Why does that matter?
  • So I could walk around with my shirt off in the summer.
  1. Why do you want to be able to walk around with your shirt off?
  • Because I will look good and feel good about myself.
  1. Why do you want to feel good about yourself?
  • Because when I feel good about myself, I am more confident and assertive.
  1. Why do you want to be more confident and assertive?
  • Because I will be in control and will have a better chance at getting what I want out of life.

By using the 5-Whys technique, we can gain critical insight to our goals. For this person, weight loss was really a matter of taking charge of his life. He’s not really motivated by the number on the scale or just looking good with his shirt off. By having that insight, he is far more likely to keep working towards his goal—even if the scale hasn’t moved as fast as he would have liked.

Now that we have a way of choosing the right goals for ourselves, how do we stay consistent and make sure we reach our objectives? The two most important steps to achieving any goal are making time and taking action! Making time declares that you matter, and it is a commitment to your values, priorities and goals. If you don’t make time, time will be taken from you. Practicing making time will also help you practice valuable life skills, such as identifying what is important to you and looking ahead, planning and preparing for anything life throws at you. One way to start this process is by making a time diary. For one day, about every 30 minutes, record how you are spending your time. This will help you assess how you are spending your time and figure out what activities are helping you, adding value, what is non-negotiable, and what is taking your time but not helping you. Now you can figure out what activities you can do less of so you can do more to accomplish your goals.

Once you find the time, now you can take action! Often, we come up with great, elaborate plans and idea, but  then get stuck in the thought process. The world’s best workout plan, diet plan or life plan is no good unless we can do something about it. The best way to get unstuck in this process is by taking a five-minute action. Only action creates change! Taking action almost always comes before motivation, and it is usually only after we’ve done something that we feel motivated. By taking small actions, we can gain momentum and bust out of procrastination. Usually, all we have to do is drive through the first few minutes of resistance and then five minutes turns into 30 and then into 60 minutes. By being consistent and learning to use this five-minute action, we will not only achieve our goals, but also learn these valuable life skills and truths along with it. Action is empowering, satisfying and serves as evidence that you’re getting things done even if it’s just for five minutes.

To accomplish any goal, we need to build certain skills and practices, then put them into action. Each goal requires different skills and practices to apply, but the process is the same for all of them. Let’s stick with the goal of losing weight by working out. To do so, we must develop and build up the skill of time management. Then we can practice making time to go to the gym or for a jog. Finally, we can take action and go to the gym or do anything that will help us reach our goal. The more we focus on this process, rather than the outcome, the better the results we will see. We will also build valuable life skills that can be used for more than just fitness goals.

So, now that you have a way to find a meaningful goal and an action plan to go with it, it is time to take charge of your path. Also, it’s really important to remember that when working toward a goal or resolution, that you only compare yourself to where you were yesterday, not to where someone else is in the present moment. Adopt a growth mindset and know that there is no such thing as failure…only feedback. There may be setbacks, and that is normal, but you can learn from it and take a five-minute action. Most importantly, have fun with the process, try new things and as Jocko Willink would say, “Get After It!”

References:

https://faculty.chicagobooth.edu/ayelet.fishbach/research/Woolley&FishbachPSPB.pdf
About the Author:

Certified Personal Trainer Billy Demiri offers Personal and Social Coaching (PSC) at NESCA. Billy has several fitness certifications including: NSCA-CPT (National Strength Condition Association- Certified Personal Trainer) Certified and Autism Fit Certified.

To book sessions with Billy Demiri, complete NESCA’s online intake form and note that you are interested in Personal & Social Coaching.

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.