There are generally three different ways that kids come to me. Often they’re referred by parents, because of what they perceive of as being primarily behavioral problems. So they may have horrible arguments about following routines, bedtime, behavior routines, and very often because the children are having trouble getting through homework and it’s becoming very tense and stressful time for the whole family.
Sometimes it’s the teachers who notice that the child doesn’t seem to be able to meet the expectations for tracking homework and paper demands and they’re not turning things in or they’re not turning things in on time or they’re disorganized or their work is not well organized.
And then often it’s pediatricians. When they hear those complaints from parents or when a child is diagnosed with one of the conditions often associated with problems with executive functioning. So if a child is diagnosed with ADHD or is determined to be on the autism spectrum and the pediatrician hears about problems at home or at school, I often get to see them.