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Diverse Thinking Different Learning

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Dec 22, 2020 • 40min

Ep. 9: How Occupational Therapy Helps Kids

Now more than ever, many parents and families are seeking support. Maybe your child is struggling with distance learning. Maybe your child is having difficulty with self-regulation. Or, maybe things are just hard and you don’t know why. Sound about right? This is such a challenging time and that is why I am so excited to bring today’s guest to the Diverse Thinking · Different Learning Podcast. Today my guest is Leah Hiller, a pediatric occupational therapist, an educational consultant, and a former Jewish day school teacher. She not only breaks down what occupational therapy is, how it works, and how it can benefit a child, but she gives us a toolkit of amazing opportunities to help our children thrive. Some of her recommendations I plan to try with my own children!  So listen on to find out more about occupational therapy, what occupational therapists do, and some sensory strategies that help kids self-regulate.   Show Notes: [2:18] - Leah defines occupations as things that we do everyday. As an occupational therapist, her job is to help kids thrive in their daily occupations. This could be a variety of things that differ per child. [3:15] - Now more than ever, Leah says that the struggle she is seeing the most is self-regulation. This is not a surprise as we are in a challenging time with the COVID-19 pandemic. [4:16] - Now that parents are working more closely with their children with homeschooling and distance learning, the problems that may have been hinted at by a teacher in the past are more noticeable and parents are seeking support. [4:59] - Leah also works with children that are labeled with autism, motor delays, and ADHD. [5:54] - Occupational therapists look at things a little differently as they are looking at function.  [6:49] - Because so many aspects of our lives have changed with the pandemic, struggles may show up. Children may have been functioning well in their normal routine but may have difficulty in some areas now. [8:14] - Although the pandemic is awful, this could be used as an opportunity for parents and children to identify these difficulties and find a toolkit to help address them. [9:31] - Leah shares Proprioceptive “Zoom” Breaks which can help get kids in the “just right” zone. She explains the science behind them and gives examples. [11:33] - Another important thing we need to make sure we’re explicit about with children is why the Zoom breaks are important.  [12:29] - By having a conversation with your child about taking these breaks to do something active with our bodies is great modeling and validating for them. [14:41] - The strategies Leah shares are great recommendations for educators who are navigating through distance and virtual learning as well. [15:38] - Leah shares a story about how this time is a great opportunity to troubleshoot. One size fits all does not apply here. [17:11] - Flexibility is key. The learning environment for each child will be different because each child has different needs. [18:50] - The flexibility also gives your child the opportunity to self-regulate. With collaboration, kids will discover what works best for them and what doesn’t work. [20:41] - Leah and Karen discuss The Executive C.H.E.F.S. program, and Leah defines what executive functioning is. [22:39] - Leah started bringing her kids into the process of making dinner and realized all of the tasks to cook used fine motor skills. [23:43] - In addition to fine motor skills, Leah noticed an increase in different vocabulary and the willingness to try new things. [24:49] - After trying OT through Zoom, Leah shifted to cooking with her families online and it was so much more effective.  [25:50] - Because it didn’t address social skills, Leah created The Executive C.H.E.F.S. program as a group of kids that cooked together in a virtual setting to discuss what they were doing and eating. [28:56] - The program helped parents as well by giving a slight relief in their dinner routine. [29:48] - In addition to the C.H.E.F.S. program, Leah ran a parent workshop for executive functioning, which helped parents take a step back. [31:28] - Making mistakes is part of the learning process and we need to normalize that to give our children the opportunity to thrive. [32:01] - Leah and Karen discuss the “just right” challenge which is applicable in all areas of life. [34:34] - Leah feels that she feels like she makes an impact and is the most successful when she can take a step back and the kids can function on their own and when kids can teach each other.   About Our Guest: Leah Hiller provides teachers and parents with the strategies, support, and evidence-based resources to help children thrive at home, school, and play. In addition to providing individualized OT services in her private practice, Leah offers workshops for parents and educators, and she teaches graduate courses in special education. Leah lives in Los Angeles with her family, and her OT therapy studio is located in a natural setting - her backyard.   Connect with Leah Hiller: Hiller Therapy Home Page Phone: (323) 641-3662 Email: leah@hillertherapy.com ChildNEXUS Profile: Leah Hiller Hiller Therapy on Instagram Hiller Therapy on Facebook Links and Resources: ChildNEXUS Home Page ChildNEXUS Instagram Executive C.H.E.F.S. Program Handwriting Heroes Program Proprioceptive Brain Breaks for Zoom ChildNEXUS Live Back to School Town Hall
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Dec 15, 2020 • 40min

Ep. 8: Mindfulness with Dr. Kathleen Carroll-Wray

With all that is going on, compassion and empathy are crucial to managing the stress and anxiety we continue to struggle with. That’s why I am thrilled to have Dr. Kathleen Carroll-Wray as our guest today to talk about mindfulness and how powerful it can be. Dr. Kathleen Carroll-Wray is a licensed clinical psychologist and registered yoga instructor. She specializes in psychological assessment and mind-body psychotherapy for children, adolescents and adults. Today, she talks about mindfulness and how it can help individuals and families who experience anxiety or have trouble with focus, emotional regulation, or impulse control. She gives us tools on how we, as parents, can model mindfulness for our children and how breathing helps regulate the nervous system. Thank you for joining me for this episode of the Diverse Thinking Different Learning podcast. It is my hope that these simple mindfulness techniques that Dr. Carroll-Wray shares with us help ease a bit of the worry and anxiety and provide a way to give you self-compassion.   Show Notes: [2:08] - There’s a lot of anxiety that Dr. Wilson and Dr. Carroll-Wray come across during assessment and within their practices. [3:01] - There are obvious stressors but there are also worries that are harder to pinpoint. [3:33] - Anticipatory anxiety is when you worry about something specific that you know is coming up, sometimes even in your day-day-day schedule.  [4:10] - Kids pick up on parent anxiety. There’s so much anxiety going on right now in everyone and Kathleen says this is an opportunity for increased compassion. [5:41] - Dr. Carroll-Wray’s practice promotes overall well-being rather than specific issues. [6:41] - Mindfulness is bringing attention to the present moment and focusing on how you feel without judgment. [7:37] - The starting point is to begin noticing behaviors. Then, recognize how you feel about those behaviors. [8:41] - When engaging in mindfulness, make sure you don’t rush to what you need to do about something. You’re not acting on it, you’re just noticing. [9:39] - Dr. Carroll-Wray explains how there is no clear answer on how long a parent practices mindfulness and that she models how it works in sessions with families. She provides a chart for those who need structure. [12:05] - Creating a space is an important piece of mindfulness. Noticing your physical space and how you feel within it is helpful to ground yourself.  [13:47] - This physical space can vary per person. Dr. Wilson lists a few examples of where people might feel at ease the most in order to practice intentional mindfulness. [15:32] - Dr. Carroll-Wray tends to work with parent modeling first to help families and children who experience anxiety. She says that adding in other sensory components helps families with emotional regulation. [18:04] - Modeling mindfulness for children helps build parent-child connection and relationships. [19:03] - Realizing how you feel and communicating it with facial expressions is one piece of the puzzle. Now there’s an opportunity for empathy! [20:16] - Breathing is a huge part of emotional regulation. Practice taking deep breaths before giving this technique to your child. [21:10] - Dr. Carroll-Wray describes what deep breathing should feel and look like. She also gives examples on how to teach your child how to participate. [22:49] - Mindfulness is an incredibly effective skill. Over time, children will be able to self-advocate and use breath work to regulate the nervous system. [24:27] - Deep breathing with a parent is a great way to intervene and over time, children will start to do this on their own. [25:54] - You begin with noticing how you feel and how you are escalating. [26:40] - Mindfulness techniques are immediate and accessible. [27:14] - It can be scary to tune into your body because we spend so much time in our minds. It is normal to feel this way and as with any other skill, you need to practice it. [28:13] - Kathleen is also a yoga instructor in addition to being a psychologist. She shares a story about a child she has worked with and shares how she combines the two areas of her work. [29:19] - Kathleen is a huge believer in empathy through movement. [30:19] - Empathy is a gift to those who struggle because they often feel like they are not understood. [32:14] - Mindfulness might not be enough for each individual. It is one skill but there are many other components that go into supporting a child’s wellness. [34:20] - For parents who are struggling and are feeling overwhelmed, Kathleen says the only thing you should add to your plate right now is self-compassion.  [35:07] - Be mindful of your energy levels during different times of your day or different activities. What times of day or activities more draining than others? [37:17] - There’s a lot we don’t have control over, so give yourself the gift of breath.   About Our Guest: Kathleen Carroll-Wray, PsyD is a licensed clinical psychologist and registered yoga teacher offering integrative psychotherapy and psychological testing for children, adolescents and young adults. Many of her clients struggle with attention, social skills, flexibility, emotional regulation and family conflict. While working primarily with individual children, Kathleen often includes parents and care-providers into treatment, offering relaxation techniques for all participants in the child’s life.   Connect with Dr. Kathleen Carroll-Wray: Dr. Kathleen Carroll-Wray’s Website Phone: (323) 306-0736 ChildNEXUS Profile: Dr. Kathleen Carroll-Wray Dr. Carroll-Wray Psych on Instagram Carroll-Wray Psychological Services on Facebook Holisticology Podcast   Links and Resources: ChildNEXUS Home Page ChildNEXUS Instagram Holisticology Podcast Episode: Beyond Mindfulness Holisticology Podcast Episode: Deep Dive into Deep Breathing Mindfulness in the Treatment of Attention-Deficit/Hyperactivity Disorder  
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Dec 8, 2020 • 34min

Ep. 7: The Importance of the Caregiver-Child Relationship with Dr. LaFaune Gordon

Oftentimes when a child is struggling, we seek help for them. It feels like the right thing to do and it is. But, the help isn’t only for the child; it is for the whole family. My guest today is Dr. LaFaune Gordon and she shares with us the importance of empowering families to help our children. Dr. LaFaune Gordon is a seasoned licensed clinical psychologist with an expertise in pediatric and child clinical psychology and working with high risk and traumatized infants, toddlers, and preschool age children and their extended families. We discuss a lot of important topics today including the mental health of infants and toddlers, grief and trauma in young children, and how play is effectively used to develop a strong relationship. The work Dr Gordon does is so important and her approach to helping families is inspiring. I am thrilled to have her here today to demonstrate the importance of the caregiver-child relationship.   Show Notes: [2:11] - Dr. Gordon explains why she decided on the work that she does. Originally she wanted to be a pediatrician but when she took a psychology class, she found her niche. [3:40] - Mental health doesn’t start when a child goes to school. Dr. Gordon was very intentional when looking for training and clinical experience in the area of infant and toddler mental health. [5:01] - LaFaune was a consultant with a child development program for 10 years. She had the opportunity there to work on mental health with small children and was able to provide training to the teachers. [7:34] - Working with families and teachers is important to Dr. Gordon as she states that we are all a team for our children. [8:17] - Infants and toddlers can’t tell you that they're struggling, but they can show you with certain behaviors. [10:10] - Karen and LaFaune discuss the approach of working with the family rather than just the child.  [11:03] - Families are the change agents. The clinicians are facilitators who support and encourage the team of family members and teachers. [12:36] - The pandemic has spotlighted a lot of problems in how we approach mental health and education. It has given us a unique opportunity to connect with children and families. [14:01] - Because some sessions with Dr. Gordon are now virtual, they have given her a better peek into the home lives of the children she works with. Children are in their comfort zone and parents can more easily show the behaviors their children are exhibiting. [16:58] - LaFaune discusses how one of the struggles families are facing is using technology to learn. Creating a support system in that area is a good idea. [18:21] - Dr. Gordon has seen an increase in referrals for children experiencing grief and trauma. On top of learning difficulties, they are trying to deal with loss. [20:48] - The work in dealing with grief, trauma, and loss begins with helping the parents address them before learning can be an expectation. [22:09] - We can’t just treat the child that is dealing with trauma. We have to give the families and teachers the tools to support them. [24:44] - Dr. Gordon starts with play therapy with parents and the child together. Because it is recorded, it gives the parents a different perspective and puts them in their child’s shoes. [26:04] - When we follow the child’s lead, a lot of times we discover that we are participating in parallel play instead of actually interacting with them. [28:24] - Having the opportunity to talk to the parent, not to tell them what to do, but to demonstrate how parents are interacting with their child. [31:15] - When kids are struggling, we often look to others to help them, but we will have better outcomes when we work together with families.   About Our Guest: La Faune Gordon is the executive director of Children and Families, Inc., a non-profit 501(c)(3) organization.  Dr. Gordon is endorsed by the State of California as an Infant-Family and Early Childhood Mental Health Specialist, is certified as an Infant Massage Instructor by the World Institute for Nurturing Communication (WINC) without Borders, is a certified Effective Black Parenting Instructor, and an advanced level provider of Developmental Individual Relationship (DIR) Floortime developed by Dr. Stanley Greenspan. She has formalized training (derived from accredited predoctoral and postdoctoral fellowships) in assessing the development and mental health of children, ages birth to 5, as well as providing clinical services to this population. Furthermore, Dr. Gordon has conducted numerous professional trainings to parents, teaching staff, other primary caregivers (e.g., relative caregivers, legal guardians, & foster parents), and clinicians regarding the mental health and wellbeing of children at risk or have endured various traumatic experiences. In her professional career, Dr. Gordon has worked clinically with children and families involved with the Child Welfare system for over 20 years in the capacity of a clinician, clinical supervisor, and program head as a previous employee of Los Angeles County Department of Health Services (HUB Clinic at King-Drew Medical Center) and Department of Mental Health (Interagency Consultation and Assessment Team and Enhanced Specialized Foster Care Program in formal collaboration with Los Angeles County Department of Children and Family Services and driven by the Katie A. lawsuit). Dr. Gordon represents Children’s and Families, Inc. and utilizes her expertise in providing consultation, training, and direct clinical services to these agencies.   Connect with Dr. LaFaune Gordon: Phone: 424-254-8128 Email: lgordon@childrenandfamiliesinc.com Children and Families Inc. Home Page ChildNEXUS Profile: Dr. LaFaune Gordon, Ph.D., MS Children and Families Inc. on Facebook Links and Resources: Trauma-Informed Care for Children and Adolescents Beyond Credentials: Three “Extras” to Look for in Your Child’s Therapist Anxiety and the Family Parenting Youth in a World of Rising Suicide Rates
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Dec 1, 2020 • 32min

Ep. 6: Managing Family Stress and Anxiety with Dr. Stephanie Mihalas

This pandemic has impacted us all in more ways than one. Our stress and anxiety levels are much different than they were at the start of the year and that means our children are feeling it, too. Is it normal for people to be feeling the way they do in the midst of a pandemic and when should people seek help? I am so thrilled to have Dr. Stephanie Mihalas on today’s episode to discuss this very topic. Dr. Mihalas is a Licensed Psychologist and a Nationally Certified School Psychologist. She is Board Certified by the American Board of Professional Psychology, in the sub-specialty of School Psychology. She has a private practice in Los Angeles where she works on self-esteem, self-advocacy, and general well being and happiness in children and families. Our conversation today is so meaningful and relevant to the challenges we are all facing. By listening, you’ll learn the difference between individual and collective grief, how to address grief associated with the pandemic, the difference between anxiety and trauma, and strategies for managing stress and anxiety.   Show Notes: [2:28] - Dr. Wilson and Dr. Mihalas discuss the grief people are experiencing after losing our normal way of living. [3:22] - We are in a state of individual grief and a state of collective grief. Our feelings of anxiety and grief are a completely normal response. [4:23] - This grief and anxiety isn’t a clinical issue unless it gets to the point where you can’t function anymore. That would be when you need to reach out for support. [5:27] - We may be fine and then we turn on our social media or the news and we are hit with information that can make our emotions fluctuate moment to moment. [6:03] - Dr. Mihalas says the most important thing we need to do during this time is to acknowledge that our feelings of grief are normal and that we utilize our support systems. [7:06] - Over 70% of parents are stating that they feel stress and anxiety in regards to distance learning. It is tough to parent when you are feeling this way. [7:42] - This is the first time many parents are seeing their own children learn and when they see their inattentiveness or struggle, they wonder if there is a learning disability. [8:52] - Parents are creating more stress for themselves and their child during distance learning. Stephanie’s recommendation is to take a step back and talk to your child about their learning and what support they feel they need from you. [9:47] - Dr. Mihalas also says that parents need to make sure they have dedicated self-care time every single day to avoid burnout and to decompress. [11:22] - As parents, we want to be there for our children but being physically present during remote learning may be causing stress and anxiety for them. Taking breaks and communication are both important. [12:56] - There is debate right now about whether we are experiencing a traumatic event or not. Dr. Mihalas says that it depends on the makeup of the family. [14:37] - Some people can also experience anxiety and a PTSD response to the challenges we are facing. [15:31] - When there is uncertainty, it contributes to the feelings of anxiety. [16:43] - The critical factor that compounds this situation is collective family anxiety. Parents want to reassure their children but they are anxious and scared themselves. [18:40] - Stephanie discusses how children can experience a PTSD response during these times. [19:19] - Dr. Mihalas is encouraging parents to be vigilant with monitoring their child’s mental health. [21:21] - Anxiety, stress, and PTSD interfere with the learning process. When you seek help for mental health, you are also helping with learning. [22:40] - Children may show their anxiety in different ways. Dr. Mihalas lists several examples of this and emphasizes the importance of taking note of issues that impede learning. [24:08] - There has been focus and concern around learning losses, but Dr. Wilson points out that learning takes place in a social context and losing the opportunity to interact with their peers is something that some children are grieving. [26:01] - Dr. Mihalas lists a lot of ways to think outside the box on how we can have connections with others.  [27:31] - Dr. Wilson comments on how these creative ways to connect are also great activities for helping manage our own stress and anxiety. [28:29] - Home used to be the place to connect and unwind, but now it is also used for school and work. Stephanie suggests having some symbolism to separate spaces or times to switch gears. About Our Guest: Dr. Stephanie Mihalas has a private practice in Los Angeles – The Center for Well Being – where she works on enhancing self-esteem, self-advocacy, and general well being and happiness in children and families. In her practice, she utilizes a number of techniques including CBT, play therapy, psychodynamic psychotherapy, art interventions, trauma-informed care, and mindfulness techniques. Connect with Dr. Stephanie Mihalas: Ask Dr. Stephanie ChildNEXUS Profile: Dr. Stephanie Mihalas The Center for Well Being Instagram Dr. Stephanie on Twitter   Links and Resources: ChildNEXUS Home Page ChildNEXUS Instagram ChildNEXUS Live with Dr. Stephanie Mihalas: Family Anxiety and Resilience during a Pandemic Parenting During Stressful Times (AKA Covid-19 Pandemic) Anxiety and the Family - How Mindfulness-Based, Mind-Body Techniques Can Help Anxiety and Depression in Adolescents How Home Clutter Impacts Your Family’s Emotional Health
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Nov 24, 2020 • 54min

Ep. 5: Educational Therapy, Distance Learning, and Social Justice with Dr. Bibi Pirayesh

As with many other facets of our lives, COVID-19 has had a drastic impact on education. What we have found out about our education system may be surprising to you, but it has not been a surprise to our guest today, Dr. Bibi Pirayesh. Dr. Bibi Pirayesh is a Learning Specialist and an Educational Therapist who has been in private practice for over a decade. While the emphasis of Dr. Pirayesh’s work is on remediating learning disabilities in a one-on-one setting, she is also a sought after speaker and community advocate for children and families around learning rights. Today, we discuss how educational therapists help students develop the skills they need in order to be successful. You will also learn what can be done now to make a difference in the life of a child who is struggling in school. How can we address learning loss in a child who is remote learning during these challenging times? Listen on to hear Dr. Pirayesh’s riveting statements on how learning differences and disorders can be viewed as a social justice issue.   Show Notes: [1:56] - Dr. Wilson assesses kids to find out the underlying cause of learning difficulties and then refers them to professionals like Dr. Pirayesh. [2:16] - Dr. Pirayesh began her career in education by accident and shares her story on how she started on this path with observing children and families as a researcher. [3:46] - After beginning to work with children and families, Dr. Pirayesh felt so much fulfillment and it “awakened the teacher” in her. [4:50] - Bibi started with a Science degree and learned to be an educator by doing. [6:59] - Using a processing lens, Dr. Pirayesh helps students with remediation by first knowing what the issues are and provides targeted intervention. [7:52] - There are several clusters of issues a student may have because different parts of the brain develop simultaneously. [9:19] - Educational therapists are important as they will be able to bring in speech pathologists, occupational therapists, psychologists, etc. as they discover the needs of the student. [10:01] - Bibi says that her work is about 60/40, with 60% of her work being one-on-one remediation with students and the remaining 40% helping students navigate through their school experience. [11:35] - There are certain types of progress that are really easy to measure. Bibi uses phonics and phonemic awareness as an example.  [12:17] - So much of the work is about helping kids own their learning and demystifying the learning process. There are a lot of emotions for parents and students to manage. [14:12] - All brains are equipped to learn, grow, and expand. When we are able to help a child find what is getting in the way of that natural flow and find the ways we can work around it, the hardest part is done. [15:15] - We live in a world where there is a lot of pressure on both students and parents. Bibi feels like our expectations have gotten so high and nothing we do feels like enough. [16:34] - When kids struggle, they lose the motivation for learning. With high expectations placed on them, remediation is a therapeutic time for students to love learning and to know that they can learn. [17:21] - Kids always love to learn, but unfortunately through the man-made constructs of our schooling, we erode their love of learning. [18:26] - Bibi feels that the way our formal education system works is a very linear and limited way of thinking and it is a social injustice. [19:24] - So much of the work Dr. Pirayesh does is to help kids understand that they may be struggling because of very limited measuring sticks. [20:05] - What we know from research is that 10-15% of children struggle with learning difficulties. [21:09] - There is a constant demand for higher and better production and that is what our education system has become.  [22:04] - Due to the higher demand beginning earlier, childhood is diminished and people everywhere are feeling burnt out. Kids are feeling like they aren’t good enough and don’t have enough time. [23:09] - These issues are large scale cultural issues and so much of the work we need to do is to undo the damage. [24:21] - Due to COVID, we are seeing a step back to the basics and a lot more social emotional learning. But we are also seeing the disparities in the experience of distance learning for students. [26:09] - Dr. Pirayesh says that COVID has lifted this veil and we can see the social injustice in some aspects of our education system. [27:12] - If you follow the history of Special Education law, you will see that parents who are highly educated, who have resources, and are able to fight take advantage of the laws in place. Many parents who do not fit this mold have trouble accessing the very resources that protect them. [28:42] - Due to the way these laws are designed, we see the overrepresentation of minorities and students from a low socio-economic background. [30:01] - Over the years, Bibi noticed that the same people were coming through her private practice. She noticed the divide and how she contributed to it. [31:52] - Dr. Pirayesh discusses how some people negatively view public schools where she lives in Los Angeles.  [33:01] - When kids with learning difficulties pass through school, are they ready to navigate the real world? Bibi says that some groups of students will get the support and resources they need and some will not. [34:31] - Unless you are willing to go deep to the roots of the problem and understand what’s going on to remediate it and rebuild step by step, all you are doing is putting a band-aid on the problem. [36:08] - Communities are organically designed to be able to figure out and solve their own problems including issues surrounding learning for children in their communities, but we don’t allow for that to happen because of a narrow education system. [36:58] - In some ways, COVID has been a gift, because it has opened our eyes to a lot of these systemic problems within education. [38:02] - Are we going to harness this gift and make changes to solve these problems? Or, are we going to wait till this passes and go back to business as usual? [39:38] - Some believe that the system is broken for many kids and needs to change. The system needs to work in a way that increases access to services in an equitable way no matter where you attend school. There is an opportunity to change the system. [40:58] - Change happens very slowly and we need to recognize that the system wasn’t designed for everybody. [43:04] - We’ve limited ourselves by seeing the world through a very tiny lens. [44:15] - Having this conversation and acknowledging the problem is an important first step. [46:05] - “Regardless of what is going on, if you move forward with the idea of connecting, empathizing, and understanding, somehow miraculously it will work.” Dr. Pirayesh gives some tips for distance learning and taking the opportunity to work for change. [47:16] - We view our education system and teachers as this place where we go to get assessed. We go there to find out if we’re good enough. The truth is the relationship you have with your child’s teacher is very important because you are working together to provide for your child. [48:30] - Take a moment to build a relationship with your child’s teacher and start a meaningful conversation. [49:32] - When you reach out to the teacher, you are modeling to your child that it is the right thing to do to make yourself vulnerable and ask for help. [50:55] - Remember that we are raising human beings and you can’t do that in a factory system.   About Our Guest: Dr. Bibi Pirayesh holds a Bachelor's degree in Neuroscience and Education from the University of Pittsburgh and a Master's degree in Developmental Psychology from Columbia University where her work focused primarily on children’s development of mathematical thinking and cognitive neuroscience.  While the emphasis of Dr. Pirayesh’s work is on remediating learning disabilities in a one-on-one setting, she is also a sought after speaker and community advocate for children and families around learning rights. Bibi works with children grades 1-12 and covers a wide range of learning difficulties including dyslexia, ADHD, and spectrum disorders. Dr. Pirayesh completed her doctoral work at Loyola Marymount University where she is also Faculty and is involved with a number of service organizations including The Association of Educational Therapists.   Connect with Dr. Bibi Pirayesh: Los Angeles Educational Therapy - Dr. Bibi Pirayesh and Associates ChildNEXUS Profile: Dr. Bibinaz Pirayesh Dr. Bibi Pirayesh on LinkedIn   Links and Resources: ChildNEXUS Home Page ChildNEXUS Live with Dr. Bibi Pirayesh: Should I Worry About Regression During Distance Learning? 6 Quick Questions for Parents Concerned About Dyslexia Fostering Social Justice in Our Youth
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Nov 17, 2020 • 34min

Ep. 4: Helping Your Child with Language-Based Learning Disabilities with Dr. Daniel Franklin

What is a Language-Based Learning Disability and when should we as parents be concerned? Well, let’s ask an expert! Today my guest is Dr. Daniel Franklin, the founder and clinical director of the Los Angeles based Franklin Educational Services and the author of the book Helping Your Child with Learning-Based Learning Difficulties. In today’s episode my guest and I discuss how the parent-child relationship is an important component of any intervention. We also recognize the fine line between being a helicopter parent and a helpful parent and Dr. Franklin gives great advice on walking that fine line. We even dive into the struggles students, teachers, and parents are facing with distance learning. Dr. Franklin and I have such an amazing conversation today that will leave you empowered and inspired.    Show Notes: [1:31] - Karen and Daniel have had a previous conversation about the “Summer Slide” and the new concern, the “COVID Slide.” [2:37] - Dr. Franklin says that research is finding that many children who have a reading difficulty or diagnosed specific learning disability very frequently have a behavioral difference as well, like ADHD. [3:29] - Because of this overlap in learning difficulties, they are grouped under a broader umbrella of Language-Based Learning Disabilities. [4:10] - Dr. Wilson mentions that she sees the overlap often in her practice and even when children have completely different diagnoses, they often have similar learning difficulties. [5:20] - We want to remember that the human brain, especially a child’s brain, is a social organ that functions best in a context of healthy, positive relationships. [6:11] - Dr. Franklin discusses the importance of the child developing a strong concept of healthy relationships and calls this Attachment Theory. Attachment Theory is an individual’s internal model of what a relationship is. [6:32] - Only when a child is in a calm, regulated state can they experience meaningful learning. [8:41] - The difference between a helicopter parent and a helpful parent is that a helicopter parent provides help that is not needed. [10:04] - When we need to provide more help, that is fine, but when help is no longer needed in an area, as parents, we need to dial it down a bit. The inconsistency can seem confusing. [11:19] - While students are learning to read, they cannot read to learn. When students are expected to learn information from written language, we need to help them understand in a different way. [12:39] - Dr. Franklin gives some suggestions on how to help students with writing without being counterproductive. [14:12] - Generally, teachers are okay with the help parents give their children when helping them with writing as long as we are transparent with them and they know what to expect. [16:05] - Dr. Franklin emphasizes the importance of identifying underlying difficulties to provide students the correct instruction and intervention. [17:04] - The hierarchy of reading support is discussed in Dr. Franklin’s book and he breaks it down briefly with Dr. Wilson. [18:40] - Dr. Franklin was featured in a documentary called Unteachable by Anthony Sherin which focuses on the importance of student-teacher relationships. Daniel was featured because of a personal experience with a teacher that impacted him profoundly. [21:05] - Having a strong relationship with students is important in helping them develop self confidence and reinforce a love of learning. Daniel realized that he was capable of learning. [23:58] - No two kids are the same. No two kids learn the same things in the same way at the same time. [24:25] - Teaching and learning virtually is very challenging so if a parent notices a struggle, it could be a learning difficulty, or it could be the fact that they are distance learning. [25:16] - Dr. Franklin’s recommendation for parents who are concerned about distance learning for their child is to keep a record of all the learning outcomes the teacher is seeking and to become actively involved in knowing the lessons. If you know ahead of time, you can pre-teach your child so they go in prepared and confident. [27:11] - Sharing your observations with teachers is important. Right now, during this pandemic, teachers are working hard on delivering content and teaching in a way they are not used to and that is very challenging. [29:47] - If you want to know what is going on in a child’s mind, observe their body. If they are slumped over, their brain is slumped, too.   About Our Guest: Dr. Daniel Franklin is the author of Helping Your Child with Language-Based Learning Disabilities, and a co-editor of The Los Angeles Psychologist. He holds a master’s degree from the Harvard Graduate School of Education and a PhD from UCLA in Education. Dr. Franklin has over 30 years of experience in education as a teacher, administrator, and educational consultant.   Connect with Dr. Daniel Franklin: Franklin Educational Services ChildNEXUS Provider Profile - Dr. Daniel Franklin Dr. Franklin on Facebook Dr. Franklin on Twitter Call Dr. Franklin (310) 571-1176   Links and Resources: ChildNEXUS Home Page   Helping Your Child with Language-Based Learning Disabilities by Dr. Daniel Franklin   ChildNEXUS Live with Dr. Daniel Franklin Supporting Parents of Children with Language-Based Disabilities Documentary featuring Dr. Daniel Franklin: Unteachable
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Nov 10, 2020 • 36min

Ep. 3: Neuropsychological Evaluations Through a Cultural Lens with Dr. Vindia Fernandez

When is it important to consider an evaluation for your child? Well, the earlier the better. But then the question is, what are the differences between evaluations and which is best for your child? My guest on today’s episode helps break it down and dives deep into the differences between a neuropsychological evaluation and a psychoeducational evaluation. Not only that, but we also discuss the challenges of evaluating non-English speakers and identifying neurodevelopmental disorders in children whose native language is not English. Welcome to Diverse Thinking · Different Learning! I am Dr. Karen Wilson and I am thrilled to have Dr. Vindia Fernandez with me today. Dr. Fernandez is a pediatric neuropsychologist who specializes in working with children, adolescents, and young adults with neurodevelopmental issues including autism, epilepsy, ADHD, and learning disabilities as well as schizophrenia-spectrum disorders. As a private practice neuropsychologist in Southern California, she also sees the impact and importance of culturally and linguistically appropriate evaluations. Today she shares with us her valuable expertise. Show Notes: [0:48] - Karen introduces Dr. Fernandez and gives her background. Dr. Fernandez is the founder of the Center for Pediatric Neuropsychology to address the growing need for culturally and linguistically appropriate evaluations for Latino/a children. [2:16] - Dr. Fernandez defines a psychoeducational evaluation, as that is the most commonly used assessment offered to parents of school-aged children struggling in an educational setting. It entails different tests that serve the purpose of identifying areas of academic need. [3:40] - A neuropsychological evaluation is not a specific type of evaluation but more an assessment performed by a neuropsychologist. This type of psychologist has extensive training in brain-behavior relationships and neuroanatomy.   [5:19] - A neuropsychological exam not only helps identify the learning difficulties a child may have, but also gets deeper into the medical side of things to find possible underlying medical issues. [7:01] - The purpose of an evaluation in schools is different than the evaluations done when a parent goes to see a neuropsychologist like Dr. Wilson or Dr. Fernandez.  [7:26] - Dr. Fernandez explains how school evaluations work and the purpose they serve in informing services and accommodations in a school setting. There are specific legal mandates on how these evaluations are conducted. [8:50] - Psychologists in a private practice have a lot more flexibility in diagnosing as opposed to the more narrow guidelines of a school evaluation conducted by a school psychologist. [9:36] - An evaluation is only as important or as valid as the recommendations you impart to the family. A diagnosis is important but it is what you do with that information that is the most valuable. [11:04] - Dr. Fernandez wrote an article about dyslexia and today she discusses some of the reasons why students could have trouble reading. [13:54] - The intervention and accommodations that are recommended as a result of the evaluation will certainly differ depending on what those results are. [15:31] - Oftentimes there is more than one issue that the student is struggling with. All issues need to have an intervention simultaneously. Dr. Fernandez explains why that is important. [17:32] - Dr. Fernandez explains that there was a time when Spanish speaking children were evaluated using English language measures to determine whether or not they had intellectual disabilities. They were placed in special education programs en masse. [18:24] - For a period of time, minority or underrepresented populations were overrepresented in special education. [18:44] - Several laws have since been passed as a result of some landmark cases in education. Now the instruments have to be validated for the population that it is being used for. [19:29] - Dr. Fernandez says that when she evaluates a child who doesn’t speak English or didn’t speak English as their first language, her first thought is about the instruments and whether or not they are appropriate for the child. [20:00] - Something we need to always consider is that some immigrant parents may not have a lot of experience with formal education and may feel uncomfortable in a professional setting. [21:49] - Developing rapport with parents is important. [22:37] - The parent interviews and questionnaires that are a part of the evaluation process will vary in detail. Some parents share a lot of information and others do not. Developing trust and explaining why these questions are important is helpful. [24:39] - Being able to determine what is going on with a child, you have to look at the evaluation and the struggles the child has with a cultural lens. [25:52] - Dr. Fernandez explains a few perpetuating myths, one being that bilingual children automatically have a limited vocabulary when they learn two languages simultaneously. [27:42] - We should not overpathologize differences in learning especially when we are talking about children who are growing up differently. But working with specific populations, it is important to be aware of various cultures and backgrounds. [29:37] - The types of children Dr. Fernandez usually sees are the ones who are struggling in school in comparison to their peers.  [31:25] - When there’s a level of distress associated with the learning difficulty that can’t be explained by normal development, the behaviors are red flags for a problem that needs to be solved. [33:21] - Don’t ignore your gut feeling. If you feel that your child is struggling more than their peers, seek an evaluation to determine the root cause of the struggle.   About Our Guest: Dr. Fernandez obtained her Ph.D. in clinical psychology from the University of Houston where she studied pediatric neuropsychology and completed research on the neuroanatomical markers of dyslexia. She completed her APA-accredited internship and postdoctoral fellowship at the UCLA Semel Institute. Her specialty training includes working with children, adolescents, and young adults with neurodevelopmental issues including autism, epilepsy, ADHD, and learning disabilities as well as schizophrenia-spectrum disorders. Dr. Fernandez has also worked closely with the UCLA PEERS Program and developed a passion for teaching social skills to neurodiverse youth. In 2017, Dr. Fernandez founded the Center for Pediatric Neuropsychology in part to address the growing need for culturally and linguistically appropriate evaluations for Latino/a children. She is an attending clinician and volunteer clinical faculty member in the UCLA Hispanic Neuropsychiatric Center of Excellence and collaborates with the Los Angeles Department of Mental Health on program development and training. Connect with Dr. Vindia Fernandez: PediatricNeuropsych.com ChildNEXUS Provider Profile - Vindia G. Fernandez, Ph.D. Links and Resources: ChildNEXUS Home Page Dyslexia Blog Article ChildNEXUS Live Back to School Town Hall
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Nov 10, 2020 • 32min

Ep. 2: Demystifying the Assessment Process

I feel very strongly that if we put in place certain practices, more children with undetected learning disabilities would be identified early and receive appropriate treatment. There’s a lot of education that needs to be done about the different learning challenges that students face. And that’s why I’ve started this podcast. Welcome to Diverse Thinking Different Learning. I’m Dr. Karen Wilson and we are moving right along with episode 2 today. In episode 1, we discussed the importance of uncovering why a child is struggling. The first step in doing just that is the assessment. Why does a child need an assessment? What does an assessment involve? What does an evaluation tell parents and educators? Let’s dive into what an assessment looks like and why it is more than just testing. Show Notes: [1:01] - In episode 1, Dr. Wilson talked about what it looks like when kids struggle. This episode is all about the assessment process. [1:29] - The reasons you seek an assessment will vary per child, but you see their difficulties are hindering their success. This will find what is causing the challenge to help determine what needs to be done. [2:38] - It is never too late to evaluate a child when you see that they are struggling and need some support. An assessment helps you get to the root of the difficulties. [3:35] - Some struggles can be overcome by implementing appropriate intervention. [4:12] - The assessment is so much more than testing. Testing is a part of the process, but the assessment actually begins with a parent interview. Family history and parent observations give a lot of insight and can help determine various risk factors. [6:13] - A child’s early developmental milestones will also be discussed to find if the challenges the child is having now may have been observed early on as well. [7:23] - Dr. Wilson also explains that the assessment involves gathering information from other sources, especially from teachers. [8:38] - Observations will take place within the classroom and during a testing session, but Dr. Wilson explains that behavioral observations will begin when they first enter the office. [10:04] - An assessment should also involve the child’s perspective. It's not only about getting information from parents and teachers. The child will be asked about their struggles. [12:01] - There are several domains that are being assessed during the testing session. Domains may vary depending on the test, but Dr. Wilson breaks down the domains you will find in a comprehensive evaluation designed for determining the root of the problem. [12:27] - One such domain is Intellectual Functioning. This typically asks the child to complete tasks that they have never been asked to complete before. This causes them to pull from past experiences and use their problem solving skills to complete the tasks successfully. [14:09] - Another domain that is typically assessed is Academic Achievement in the areas of Reading, Writing, and Math. Oftentimes, this is when the learning difficulties are first noticed. [15:35] - When assessing academics, Dr. Wilson explains that some tasks will be timed and others will be untimed which helps determine an appropriate intervention or accommodation. [16:21] - Another domain that’s assessed is Attention and Concentration which can greatly interfere with learning processes. [17:15] - Memory is also looked at as that is critical in a learning environment. Can the child pull information from memory? Does the child have a stronger visual memory than verbal memory? [18:39] - Another process that is looked at is Executive Functioning which will be explained in greater detail in a future episode. It is an umbrella term that includes organization, planning, and an individual’s ability to work towards a goal. [19:19] - Language Functioning is also assessed which includes expressive language and receptive language. How do they express themselves? How do they understand others? [20:14] - The evaluation also looks at Visual Spatial and Visual Motor Functioning which helps us understand how the child perceives information that he or she sees. This also includes motor skills, like holding a pencil. [21:23] - Something important to keep in mind is that children and adolescents are social beings. They will often have an emotional response to their struggles. An evaluation will also look at anxiety and depression. [23:15] - In parent and teacher questionnaires there will be questions about stomach aches and headaches and determine if there is a pattern. [23:50] - Behaviors in which a child acts out, such as defiance or breaking rules, are also looked at as these could co-exist with the learning difficulty or a way for the child to cover up the struggle. [24:45] - In contact with the child’s parents, Dr. Wilson also explains that media use will be asked about which could be affecting sleep, attention, and has a connection with depression. [26:46] - Exercise is also looked at as it can enhance mental health and brain growth. Is there a connection between the child’s amount of exercise and their challenges? [27:18] - Once all of this information is gathered, Dr. Wilson can use it to determine if there is a disorder, what the disorder is, and can then develop an appropriate intervention. [28:51] - The information from this assessment also helps a parent or educator be more patient and gives them guidance on how to help them. [30:23] - An assessment is only the first step. It determines the reason for the struggle and once we have that information and gives us a roadmap to help the child to overcome their struggles so that they can thrive.   Links and Resources: ChildNEXUS Home Page More About Dr. Karen Wilson What is a Comprehensive Evaluation and How Can it Help Support My Child’s Learning? Pediatric Neuropsychological Assessment Signs Your Child May Have a Learning Disorder
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Nov 10, 2020 • 32min

Ep. 1: Uncovering Why a Child is Struggling

Millions of kids struggle with learning, processing, and social difficulties. These challenges interfere with their ability to reach their full potential. My name is Dr. Karen Wilson and I am on a mission to make sure that when kids are struggling, we find out why and we give them the support they need to thrive.   Welcome to the Diverse Thinking Different Learning Podcast. This podcast is a resource for parents and educators working with children with learning difficulties. It is my hope that after listening to this show, you will better understand the challenges that some kids face and know how to help them overcome difficulties, become more resilient, maintain a love for learning, and experience more success.   Today I’m discussing what struggles look like for kids with learning challenges, what parents and educators should do when they see kids are struggling, when to consider an evaluation for a child, and the benefits of targeted intervention.    Show Notes: [0:45] - Welcome to the first episode!  [1:36] - This episode is about why the identification of learning challenges is so important. What do we do right and where do we go wrong? [2:24] - Approximately 5% of school aged children have a learning disability and 13% of all public school students receive special education services. Another 15% are struggling due to an unidentified learning or attention issue. [3:40] - Children who see Dr. Wilson are those who have been struggling in some aspect of their life at school and/or at home. [4:10] - Struggles can look different in different children. It may be an issue with listening, concentrating, motivation, etc. Dr. Wilson lists many different examples of what struggles look like in different children. [5:36] - With misunderstanding sometimes comes mislabeling. Mislabeling can lead to behavioral problems and can cause a lot more anxiety. [6:57] - We see the struggle, but what we tend to do is to rationalize the difficulty. We say that they’ll grow out of it, they’re lazy, or they’re the youngest in the class. We are doing them a disservice when we do this. [9:01] - When children have a learning disorder, they typically experience trouble learning skills in the regular classroom and tend to be behind their peers in one or more areas. [10:13] - Dr. Wilson uses an example of a child struggling with reading comprehension. A common “solution” is to jump to an intervention. But if you don’t know what the underlying problem is, how can you appropriately intervene? [11:05] - Some reasons a child may be struggling with reading comprehension is poor working memory, poor phonological processing, and some could have issues with receptive language. Dr. Wilson describes these in length and demonstrates how every child has very different needs. [14:45] - The same is true for writing. Writing is such a complex task for students to tackle. [15:12] - Some children experience fine motor struggles and become fatigued when writing. Others may have a problem getting started, which Dr. Wilson shares is called task initiation. Expressive language could be the issue or it could be an attention problem.  [17:18] - Children have a lot to say and have a lot of great ideas. For children who are struggling with phonological processing, they know what they want to write but their spelling interferes with their ability to demonstrate what they know. [18:08] - If you don’t know why a child is struggling, it is difficult to give them the proper support. [18:42] - When Dr. Wilson conducts evaluations for children with learning difficulties in her private practice, she is able to uncover the reason for the struggle. These assessments serve as a guide for appropriate intervention to address the difficulties a child experiences. [19:16] - 1 in 3 children with one learning disorder will also meet criteria for an additional disorder. [21:01] - When we give children the appropriate, evidence-based intervention for their specific learning disorder, we can reorganize their brain pathways and we will see significant improvement. [22:51] - Not all kids who struggle need a full, comprehensive evaluation. Some learning struggles could be tied to anxiety. [23:58] - If a child has anxiety and a learning disorder, the intervention for the learning disorder is not enough. The anxiety also needs to be addressed. [24:26] - A child struggling with anxiety may be irritable, extremely tired, have difficulty sleeping, and may have concentration issues. [25:31] - As human beings, we spend approximately one-third of our lives in a state of sleep, yet 70% of American kids and adults get insufficient sleep. When kids don’t get enough sleep, you get poor attention or other possible issues in school. [27:41] - When a real problem continues to be rationalized and unidentified, children may grow to have low self esteem and are at greater risk of struggling with anxiety and depression. [28:37] - As adolescents, these children are also at a higher risk of dropping out of school and abusing substances. [29:18] - We have to move from observing the struggle to getting students the appropriate intervention and stop rationalizing the problem.   If something in this episode resonated with you, I want to know about it. Thank you so much for listening! Links and Resources: ChildNEXUS Home Page More About Dr. Karen Wilson When A Child Struggles in School - A Quick Guide for Parents Signs Your Child May Have a Learning Disorder
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Nov 10, 2020 • 5min

The Launch of Diverse Thinking Different Learning with Dr. Karen Wilson

Welcome to the Diverse Thinking Different Learning Podcast! I am Dr. Karen Wilson and I am thrilled to begin this podcast journey with you. With my background and experience in pediatric neuropsychology and higher education, I am on a unique mission to inform, educate, and empower parents and educators who see kids struggling and don’t know what to do to help. It is my hope that by listening to this podcast you will have an “ah-ha” moment that prompts you to take action that changes the trajectory of a child or adolescent’s life. Show Notes: [0:55] - Dr. Karen Wilson specializes in the evaluation of children who struggle with learning processes. [1:17] - Why this podcast and why now? Dr. Wilson shares with us her inspiration to bring this podcast to life. [2:00] - Dr. Wilson was becoming frustrated with the lack of support for children and families. She wants to reach more kids than just the ones who came into her private practice. [2:56] - In this weekly podcast, she is committed to serving communities, not just clients. [3:13] - This podcast is for parents and educators who see kids struggling and want to know what they can do to support them and help them thrive. [4:14] - It is Dr. Wilson’s hope that by listening to this podcast, you will have an “ah-ha” moment that prompts you to take action that changes the trajectory of a child or adolescent’s life.   I am so looking forward to working with you on this podcast journey! Thank you for joining me! Links and Resources: More about Dr. Karen Wilson ChildNEXUS Home Page  

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