09/19/2026
One of the biggest mistakes I hear constantly is that child-led therapy is play based therapy or that we consistently follow a childās lead.
š But what happens when we fail to teach kids in ways that are truly supportive for them?
š There are so many autistic clients who benefit from structure because maybe they struggle with coming up with a plan, task initiation, or feeling organized.
š And in this case, if an AAC user is not benefitting from just modeling naturally & having unlimited access to sensory supports, we need to think deeper.
š Do they need supportive, explicit support? Do they require self-reflection to increase metacognition (meaning that they need to think about their own thinking)? Do they need to think about how they access their AAC device
š Executive function gets stronger through the loop of noticing > focusing > reflecting on what we are focused on > taking action based on the information we have (Zelazo, 2020)
š share with someone who needs to hear this message
Zelazo, P. D. (2020). Executive function and psychopathology: A neurodevelopmental perspective. Annual Review of Clinical Psychology, 16, 431ā454.
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