5 Ways to Teach Your Child to Pay Attention

When a child has a short attention span, it affects many areas of learning.  Children are often easily distracted and inattentive, so as teachers we find ourselves having to repeat instructions and redirect our student’s attention to the task at hand.  At times, pursuing those tangents our kids lead us on can actually be both fun and educational.  For those times when you really need to get something specific accomplished, those “rabbit trails” can be a source of frustration.

My dog, Daisy, has demonstrated to me in a very visual way just how many twists and turns a rabbit trail can take.  With her nose to the ground, she tracks the path the neighborhood cottontail has taken through our backyard.  Every little bit Daisy suddenly changes direction in seemingly random moves, sniffing away, moving rapidly but ultimately going nowhere.  This paints a mental picture of how it has been on those days when I’m trying to teach my distractible kids.  I exert a lot of energy, but getting pulled off course in so many directions leaves me feeling like I’m getting nowhere just like Daisy as she dashes around my back yard following the rabbit’s scent but never catching up to it.

I’d like to share with you some practical ways to stretch your child’s attention span using materials and daily activities that are already part of your routine.  Remember, children with attention challenges like novelty, interaction, and brevity.  It is counter-productive to plan a lengthy activity to work on attention span development.  Instead, try activities like these:

1.                              Do the unexpected.  When a child’s mind starts to wander, pull their attention back by introducing something unanticipated.  Try changing up a familiar story to catch your child off guard.  For example, when telling the story of the three bears discovering Goldilocks in Baby Bear’s bed, instead of having her run off, have Goldilocks say, “I’m going to turn you all into bear rugs!”  When your startled child reacts and tells you that’s not how the story goes, have him tell you the proper version.  Now you’ve got your child’s attention, he is engaging in on-task behavior, and developing his language skills and attention to details.

2.                              Take “one more turn”.  When a child tires of playing a game or reading a book have her remain with the activity for one more turn or one more page than she would choose.  In this way, you are gradually stretching her attention span with a little bit of a challenge but not to the point of absolute frustration. 

3.                              Use humor.  Humor is memorable, and can help a child maintain interest when he begins to feel restless.  Break up those longer sessions by sharing a good joke or telling an amusing anecdote related to the lesson.   Just make sure the joke is not at anyone’s expense, or the attention span may last longer but shift to the subject of the joke instead of your teaching topic. 

4.                              Tap in to your child’s imagination.  Many of our children who struggle to pay attention have an amazing capacity for creative endeavors.  My highly inattentive son could recall minute details about inventions he wanted to create or stories he planned to write.  Ask your child to picture what you are talking about.  The more details they can envision, the better they will be able to recall the information later.  Giving a child the task of imagining what something looks, sounds, smells, feels, or tastes like keeps him actively engaged in the learning process and helps him attend for longer periods of time.  I would prompt my son to “make a movie in your head” when giving him a multi-step direction.  If he got upstairs and forgot all or part of what I had asked him to do, he knew to watch that movie in his head to help him remember the tasks.  This is also a helpful strategy to increase reading comprehension and recall of auditory information.  Picture it!

5.                              Stay active and interactive.  If you have a child with a short attention span, be aware that this child needs time to mature and will not do well when required to sit passively for long periods of time.  Incorporate movement when you can, because a child in motion is more alert and some kids need an outlet for excess energy.  Involve your child in the lesson as frequently as you can, making it interactive even if you are just having her answer a question or retell something in her own words.  My children could pay attention for longer periods of time when I had them write or draw on a white board with dry erase markers.  When the lesson itself is not really conducive to physical activity or interaction, you may be surprised at how much longer your child can attend if you provide small and quiet fidget toys. 

With maturity, attention spans lengthen.  Some children take longer than others to develop but most improve their ability to pay attention dramatically over time.  If your child is not there yet, try the ideas above.  You cannot force physical maturity, but you can incorporate these strategies to nudge and stretch the attention span to lengthen it just a little bit more.  Gradually, you will see your child attending for longer and longer periods of time.  As with so many things, you will have helped them on their way to growing up.

           

On The Road Again

This is the time of year when I do the most traveling to conferences and conventions.  This weekend I will be at the CHAP conference with Pennsylvania home educators.  This has always been a busy conference with the opportunity to see some familiar faces and meet new people.  This year I am accompanied by my husband, Scott, and two of our three children.   

Since my son, Josh, has been the inspiration and field tester for many of the ideas and strategies I’ve tried over the years I am always happy when he attends conferences with me so attendees can speak to him and gain access to a struggling student’s perspective.  My daughter, Beckie, has likewise tried out most of the products that Heads Up carries.  I have grown in my understanding and knowledge of learning challenges over the years and I am thrilled when I can help others as they try to make decisions to help their own children.  I have been around the block (on my knees in desperate prayer at times) as a Mom seeking help and answers.  Even so, I think it can be very encouraging for people to talk to Josh and Beckie about their personal challenges with Attention Deficit Hyperactivity Disorder, Auditory Processing Disorders, Sensory Processing Disorders, and homeschooling with a Mom whose learning style is very different from theirs. 

Josh and Beckie are the true experts, because they live with the challenges and understand the struggles and feelings students may face.  They can share firsthand what did and did not help them, and in many cases what they were thinking when they engaged in some quirky behavior or other.  You could ask me for my thoughts on why your child engages in a certain behavior, and I could give you my theories based on years of personal experience and similar situations I’ve encountered as a speech/language pathologist working with children.  You could learn as much or more if you ask Josh the same question and see immediate insight because he remembers what it felt like to be that kid who can’t sit still or pay attention or remember what comes so easily for others.   

You can ask me how I helped my daughter Beckie meet her need for sensory input and I could tell you strategies I used such as suspending a swing in the doorway for her.  Beckie, though, can tell you what swinging does for her and why she seeks it out along with other ways she meets her need for sensory input from a first person perspective.  Scott and I hope and pray to help people we meet in our travels, and Josh and Beckie willingly share their lives to help others who are struggling learners.  If you are attending the CHAP convention this weekend, please take advantage of this opportunity to talk to any of us.

Now, lest you think we have our collective act all together and will be telling you why we are so amazingly successful, let me see if I can readjust your expectations so you will be neither surprised nor disappointed.  We have been traveling to conferences for the past 15 years or so and have NEVER made it to a single destination and back without at least one of us either forgetting or losing something.  Our pre-conference hours are spent like a clutch of chickens running around with their heads cut off.  Seriously, you’d think we’d never prepared for a conference before.  

 Just this morning I asked Beckie if she was packed for our trip, since I had prompted her last night to pack as much as she could in advance. She smiled sweetly and said “Yep!  I’m pretty much all packed except for my clothes.”  

Then she gestured toward the washing machine to let me know where her clothes currently resided, and happily turned and walked away.  Now picture me standing in the middle of my kitchen with my mouth hanging open trying to process how one could be “pretty much packed” without including clothes.  

 There!  Now I think you are ready to meet the real Boring family, unplugged!

-Melinda (AKA Heads Up Mom) 

What's in Your Wallet?

     There is a commercial advertising a credit card company that ends with the question, “What’s in your wallet?”  While this is an interesting question, at my house I am more likely to hear, “Where is my wallet?”

            Life with the distractible and disorganized can be discombobulating.  I live with three family members who have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and due to challenges with inattention and forgetfulness often items get lost or misplaced.  Sometimes my kids will ask me if I’ve seen something that’s gone missing.  Since I like things to be organized and put away in a logical place, there are times when I can locate the missing object because I put it away instead of leaving it out where it was dropped. 

            I have systems for cleaning and organizing.  The problem is with implementation and cooperation from the rest of my family.  I have a strong need for things to be put away where they belong so I can find them when I go looking for them.  Just last night I pulled out all the ingredients to make a delicious smoothie, but when I went to get my smoothie maker only part of it was in the cupboard where I keep it.  I had a blender base with the pitcher and a lid, but the ball on a stick part used to help move the mixture around in the pitcher was missing.  I looked in all the places I could think of putting it, but only one place really made sense to me and that was to store all the smoothie maker parts in the same location.  My husband came into the kitchen and joined me in the search for the missing part.

            After looking in the same places I had looked, and striking out just as I had, my husband began looking in places that made no sense to me but just might contain the lost tool so they warranted a look.  Even then we could not locate our smoothie tool, so we…looked in all the same places again!  I’m not sure why we do this, as if the missing item that wasn’t there previously will somehow show up if we look again in the exact same place.  This strategy was also unsuccessful, so we moved on to asking our children if they knew where the missing piece was hiding.

            This is not generally a good strategy, either, because we are talking about distractible people who misplace things all the time and absentmindedly leave things in odd places.  But it was worth a shot, since we had nothing else to go on at that point.  Both children stated where they might have placed it, but neither actually remembered doing so and the item wasn’t where they suggested.  This time, my husband decided to try substituting a silicon spatula in place of the missing tool, with the result that we had delicious smoothies with bits of a chopped spatula mixed in.  I think I swallowed a piece.

            Those types of lost items are frustrating and inconvenient, but not nearly as alarming as missing driver’s licenses, phones, or my personal nemesis the missing wallet.  Not my wallet.  Remember, I have a “wallet place” where my wallet lives and is predictably located when I need it.  My daughter and husband have misplaced their wallets multiple times, though, and it sends me into a far greater panic than they experience.  While my mind is racing with all the possibilities and security risks, they are unsystematically roaming the house looking in odd places for their wallets.  Sometimes they leave the house for a minute and I realize they are checking the car to see if it’s there.  Or maybe on the sidewalk, or in the grass, or…well, you get the idea.

            My daughter will, at times like these, casually ask me if I’ve seen her wallet.  She acts like it’s not really a big deal because it’s bound to turn up sooner or later, and she really believes that! Hunting for her wallet is like a treasure hunt and is only mildly irritating if she doesn’t find the wallet.  I, on the hand, begin mentally listing all the items that will need to be replaced or cancelled.

            My husband is more subtle about searching for his missing wallet or other items, and rarely asks me to help him look anymore.  The reason he doesn’t bother seeking my assistance is because I’m not much help at finding whatever he has lost.  I look in logical (to me) places where I would leave my wallet, for instance, and since I have a “wallet spot” I don’t have too many places to look. 

            Even when my husband doesn’t come out and say that he’s misplaced something of importance, I can recognize the signs.  He enters a room scanning it like a secret service agent taking everything in at a glance.  Then he moves around the room, picking up papers and small portable items while surreptitiously looking under and around them.  He never panics, and never tells himself not to bother looking in strange places because he knows the missing item could be anywhere.  While I fret about possible identity theft, my husband remains unruffled as he continues his quest for the missing wallet.

            I no longer reach the panic stage as quickly as I used to, because more often than not my husband and daughter do find their missing wallets.  Rather than berate themselves for having lost them, they congratulate themselves on another successful recovery.  I would like to avoid the stress of “Where is my wallet?” but I do admire the resiliency of my family members who just don’t sweat it when these events happen.  They take it in stride as casually as a driver stopping for a red light, doing what the situation calls for and moving on.

Speaking of moving on, I just heard my husband in the next room quietly asking himself, “Now where did I put my keys?” 

             I am quite confident that he will find his keys, no matter how strange a hiding spot they are in, because his experience and resiliency will win out.  Keys, your time on the loose is limited.  Give yourselves up!  You will be found.

A Mom Like You

In the last six weeks, I've had the opportunity to speak at three different state homeschool conventions. At each conference I attend, I share information about learning disabilities, Attention Deficit Hyperactivity Disorder, Sensory Processing Disorders, and Auditory Processing Disorders. More important than the facts I pass along are the real-life stories from my own family experiences. I share what didn't work as well as what worked at least some of the time. I share some of the failures and frustrations as well as our hard-won achievements.

When my first two children graduated from our homeschool in 2006, we declared our school colors to be black and blue. We were the homeschool of hard knocks! Not only did my children struggle with learning, but I struggled to try to find better ways to teach them. One of the biggest benefits for those attending workshops for children with various special needs is to look around and realize they are not alone. There are others striving to teach children with challenges, and others who understand the difficulties families face when their child has to work harder than most for every small gain they accomplish.

What has always amazed me is how God has prompted me to share some of the hardest, most unimpressive movements of my life and that is what people are blessed by in my workshops. Sure, I offer lots of tips and practical strategies, but what people connect with is hearing a speaker who admits to not having it all together but never gave up trying. My son is a young adult now, and he comes to conferences with me. People look at the two of us as survivors, who dealt with a lot of learning challenges and came out intact. Now Josh can share his perspective, and give parents insight into why their children may act the way they do.

I've never had all the answers to the challenges my children faced. What I did have was a commitment to help them grow into the unique individuals God intended them to become, equipping them as best I could. Sometimes I was out of ideas for how to teach a given topic, and my kids still weren't "getting it". All I had to offer was reassurance that I would keep trying to find ways to help, and would not give up on them. I would be the knot at the end of the rope that they could hang onto. The message was: Mom doesn't have all the answers but Mom will always be there with you, coming alongside until we figure something out.

Don't underestimate the power of just being there for your children. You don't need to know all the answers, but your kids need to know you haven't given up on them. It's in the safety of knowing your love is unwavering that your children find the courage to try again, fail or succeed, and try some more. Our children are far more than what they can or cannot do, and they each have something to offer. This overall supportive attitude has a far greater impact than the best teaching strategies in the world.

Years ago I had a man in his 30's come up to talk to me after I presented my workshop, "Helping the Distractible Child". I don't remember which conference it was, but I will forever remember what he said to me. He explained that as a child he always had difficulty paying attention, and was constantly getting in trouble as a result. He thought he was smart enough, but couldn't sit still and had trouble completing assignments. He tried hard to comply with the demands put on him, but always felt like he was a disappointment to his parents no matter how hard he worked. "I wish I'd had a mom like you," he said. "One who could see the strengths and work with me."

One day all of our children will be adults. I challenge you to be that Mom, the one who never gives up on her kids no matter what. Be that Dad, who is consistently there for his children regardless of their struggles. Be that husband or wife who sticks around during the hard times. Be that person, so that one day your adult children will be able to say, "I'm so glad I had a Mom (and Dad) like you."

Energetic, Impulsive, and Distractible

My daughter, Beckie, is an amazing girl. She has worked through most of her sensory processing and auditory processing difficulties. She is funny, kind, and is doing well at her part-time job teaching martial arts. Beckie also has a diagnosis of ADHD, combined type. Girls are less likely than boys to be considered hyperactive, but my Beckie has that component with a capital H. I love her energy! Even now that she is an older teen, her hyperactivity is still apparent. Beckie has learned strategies to help her focus over the years, and she knows ways to help burn up her excess energy. She teaches martial arts for several hours each week. She rides her bike or walks to neighborhood destinations. When she was younger, Beckie used to race cars from our house to the end of the block, running barefoot down the sidewalk just for the pure joy of it. At home these days she listens to music on her iPod and paces or runs through the house. Our first floor is structured in such a way that Beckie can basically run laps around it. Since we have hardwood floors, she can also get a running start and go for a nice slide across the floor. It's kind of hard on her socks, but that energy has to be expended somehow and the sliding across the floor is relatively tame. We laugh together about the time I asked her if her hair dryer had stopped working, because she was running around the house with her hair only halfway dried. Beckie explained to me that her long hair takes several minutes to dry and she had to take a break from the monotony of drying her hair so she could move around a bit. Her attention span is short, but intense. She studies very hard, but not for hours on end. After concentrating for a period of in-depth studying, Beckie tells me her brain needs to take a break and do something different for awhile. I'm actually glad that she recognizes what she needs and finds strategies that work for her. Is she distractible with a short attention span? Yes, but she can focus and sustain her attention when needed. Is she hyperactive? Absolutely, but her extra energy is often a plus. There are times when Beckie acts impulsively. For example, she walks into a room, sees me there, and grabs me for a hug. Sometimes she will spontaneously start giving me a back rub as she is going by, and it is the best 10-second back rub I've ever had! True, it only lasts a few seconds before she is on her way, but I do enjoy those brief moments. Beckie faces challenges from being so energetic, impulsive, and distractible. But it's not all bad. There's something wonderful about Beckie's ability to spontaneously show affection and respond with enthusiasm to so many different things. She is growing as the individual she is meant to be, without the burden of trying to completely change her natural inclinations.

Homeschool Flashback #1

This was an assignment Josh did for a homeschool writing class. In addition to the ADHD, auditory processing, and sensory processing issues, Josh struggled with social nuances. Some of Josh's struggles he understood and could identify. Other symptoms left all of us baffled, even Josh. I'm glad that even at this young age Josh knew he was smart and strong, so some of my truth messages were getting through to him in the midst of his challenges. It's interesting to me that "I know karate" made the positives and the negatives list. Knowing karate was good for Josh, in that it provided an outlet for his excess energy and helped him develop coordination and self defense skills. It also allowed him to be part of a group sport, but one that was individualized so he could progress at his own pace. Knowing karate was a negative for Josh, because as soon as other kids found out he was training in martial arts they asked if he was a black belt and then wanted to take him on. Josh was never aggressive, so demonstrating his karate skills outside of class was not appealing to him. One of the first things most boys do in social settings is talk about their favorite sports teams and the sports they participate in. Josh was more interested in drawing and creating things than in sports, so he didn't have much to talk about other than that he knew karate. This led to the inevitable challenges to prove his skills, which Josh did only when he absolutely had to for self defense. Even then, he ended the confrontation as soon as he could. This homeschool flashback provides a snapshot of a young boy's emerging self perception. Teaching him at home gave me the opportunity to help him develop a balanced view of himself, which is revealed by this writing assignment as he recognizes some of his strengths despite huge challenges. By the time Josh reached adulthood, he had a mental list of positive and negative things about himself that was accurate and realistic.

A Child's Description of AD/HD

This is a page out of Josh's journal. It's a concise entry. He was in middle school at the time, and was taking a composition class with our homeschool support group. The assignment was to tell a little about himself. Except for the final four words, his entire description relates to his AD/HD. Even his initial description of himself as a smart kid is immediately followed by "but"... and goes on to describe some of his ongoing struggles. Josh knew he was smart. He also knew that he was easily distracted and had a hard time completing his work. Even this brief journal entry took him a long time to write due to his distractibility and difficulty with paper and pencil tasks. The handwriting and spelling are not great. But look beyond that for a minute and see the hope peeking through. Josh started by acknowledging his awareness that he is smart, despite his many challenges. He mentions the difficulties matter of factly since they are part of his experience, but they do not entirely define him. It encouraged me to see that Josh realized that I was trying to help him, not "fix" him or change him, but truly help him. With that insight Josh could listen to my suggested strategies knowing that I didn't view him as defective but rather as clearly in need of help. Finally, Josh ended with another positive comment. The exclamation point says a lot. It's not just that he is in karate classes, but he is enthusiastic about karate. So although at first glance this journal entry might appear discouraging, a closer look at the content reveals a healthy balance. Josh knew he had struggles just as he knew he had strengths. This promotes a healthy view of himself, acknowledging his AD/HD while refusing to be defined by it.
It is so important to build up our children in truth, recognizing and pointing out their gifts and strengths. Kids with AD/HD get corrected and directed a lot. They may be very aware of their differences. Others seem oblivious but still need to develop an accurate perception of who they are. Until our children have achieved a realistic perspective of themselves, we need to take advantage of opportunities to help those with learning challenges see the contributions they make in our lives. We need to direct their attention to all the things they do well, even as we are teaching them and redirecting them in their areas of struggle. This developing sense of identity is what you can see emerging when you read Josh's journal entry.

More Tootsie Roll Magic for Executive Functions

When a child is disorganized and distractible, he needs more direct instruction in learning executive function skills. So how do you teach what seems to come naturally to some people? How do you teach a child if you share these struggles with them? Just how many Tootsie Rolls must be doled out before a child learns and generalizes a skill?!?

I recommend the book "Smart But Scattered" by Peg Dawson and Richard Guare. Billed as "The revolutionary Executive Skills approach way to helping kids reach their potential", it is packed with practical ways to identify and address issues related to executive functioning. I found a copy at my library and it is available on Amazon.com as well. As for concerns about too many Tootsie Rolls, I feel your dental pain. Here's the upside with our distractible kids...they love/crave/need variety so the rewards not only can be changed, they should be changed now and then. And if your family is like mine, you do not need more trinkets cluttering up your house. For example, you could use a reward to work toward a larger prize by having two zip-loc bags side by side marked in some way to make them distinctly different. A small set of Legos goes in one bag, with one piece being transferred into the "I did it!" bag with each completed task. You could tape the picture of the completed object on this bag for added motivation. When all the pieces have been transferred the child can make whatever the set was designed to make, or if your child is like my son he can make something completely different! This is also a great way for your child to earn back toys that have not been put away or have been forgotten under the bed or in the bottom of a toy box. In any case, the child is getting rewarded for completing tasks and learning patience while working toward a larger goal or prize. The rewards don't have to be big or expensive, just rewarding. I used to sing the song "I'm proud of you" (from Mr. Roger's Neighborhood) to my kids when they did something well. It cost me nothing and took only a minute, but the children got the acknowledgment they needed. The entire song went like this: “Proud of you, I’m proud of you! I hope that you are proud of you, too.” The song repeats one time and it’s over. To this day, my children remember this song. Since you may not always be physically with your child when she completes a task, try recording a celebratory song on an inexpensive recording device and have her play it for herself when she completes a task. She can keep it in her pocket or you can leave it at the task completion spot. Again, if things tend to get buried or misplaced at your house try using industrial Velcro to keep it in one place. And now...(drum roll)...for the distractible adult here are a couple tips we've tried over the years. First, and only moderately successful but better than nothing, when my easily-distracted husband sets out to do a task I remind him of his goal and loudly hum the theme from Mission Impossible. "You're in, you're out!" I helpfully remind him as he heads out the door. The other tip I've used on those especially scattered, brain fog days is to wear a recording device and tell myself what I need to remember. I record a message, then when I get to the top of the stairs or in another room (yep, it could have evaporated from my brain already) I listen to the message. Usually it's something simple like "I'm going upstairs to get my sewing scissors." Sometimes I throw in an encouraging message like "You're the woman!" just to keep my motivation strong. Check your cell phone for an application that allows you to do voice recordings. That might be a good technology tool for distractible teenagers to use. It's faster than writing things down and we almost always have our cell phones nearby. Plus, cell phones are less likely to be lost than scraps of paper with hastily scrawled notes on them.

The Magic of Tootsie Rolls

My daughter, Beckie, has AD/HD. Now that she's a teenager, her primary challenges are with the executive functions (EF) like planning, organization, and working memory. She also continues to need more prompts and external rewards than her peers without EF challenges.

Beckie and her sister have been sharing a hair dryer for years. It is important to Beth, the older sister, to have the hair dryer put away after use. Beckie couldn't care less if the hair dryer gets put away, so there is little internal motivation on her part to do so. Remember, anything that requires extra steps is not popular with our kids or adults with AD/HD. Additionally, they need more frequent rewards than their "neurotypical" peers. This need often extends into adulthood.

The hair dryer wars went on for a while, with hard feelings on both sides. Since the girls were not able to work out their differences and the hostility was escalating, we met as a family to problem solve together. If something didn't change, the hair dryer wouldn't be the only thing to blow at our house. At one point in the discussion, Beth told Beckie she just needed to remember to put the hair dryer away. "After all, you are a teenager. It's not like I'm going to give you a Skittle every time you remember to put it away. You just have to make yourself do it."

When I heard Beth say that, it was a light bulb moment for me. Having recently attended a conference on Executive Functions, it was fresh in my mind how the presenters shared that many with EF struggles will continue to be externally motivated throughout their lives. Since the EF challenges continue throughout the lifespan, affected individuals also continue to need more encouragement, praise, recognition, and rewards than those without EF struggles. This explains why my husband, who regularly makes the coffee, asks me how it is sometimes before I've even taken a sip. My first thought is, "Um, it's fine. It's always fine?"

I've come to realize that my husband needs that frequent positive reinforcement because making coffee and doing other chores is not intrinsically satisfying to him. He needs to know that his efforts are appreciated. Once I understood that, and realized that my son with AD/HD is the same way, I trained myself to make a point to express thanks for even mundane, everyday things. They need that. I can easily give them that. So when Beth made the comment about Skittles, I realized that Beckie was getting no reward when she remembered to put the hair dryer away. She honestly tried to remember, but since having the hair dryer put away was meaningless to her and she is highly distractible she often forgot. Since it wasn't important to her in the first place, she experienced no internal satisfaction when she completed the task.

I devised a simple plan to help Beckie be more successful, and hopefully end the hairdryer war or at least reach a truce. Knowing that she loves Tootsie Rolls, I bought a bag of miniature Tootsie Rolls and put them in a small bowl in the bathroom. I told Beckie that every time she remembered to put the hair dryer away, she could have one Tootsie Roll. Beckie thought it was a great idea.

Now some of you are thinking, "Why should a teenager need a treat to do what she is supposed to do? Won't that just keep her dependent on external rewards?" Good questions. Here's what I think. By showing Beckie a simple way to motivate and reward herself, she is learning a strategy that she can eventually use on her own. Because her EF difficulties are likely to continue into adulthood, she absolutely needs to figure out ways to reward herself. Would it bother you as much if she were buying the Tootsie Rolls herself and using them as rewards for completing tasks? Probably not, because most of us do this in one form or another. I'm just showing Beckie an example of what she can do to keep herself motivated and on task. In the future, she will know how to do this for herself.

Asking Beckie to try to remember to do a task that was not important to her just didn't work. She meant to, intended to, sometimes did remember to, but not with adequate consistency. Now, every time she goes into the bathroom, she sees the little bowl of Tootsie Rolls. It is a visual reminder and incentive several times a day, even though she only dries her hair once a day. She is aware that one of those treats will be hers if she remembers to put the hair dryer away. Guess how many times she has forgotten to put it away since the Tootsie Roll plan has been in place? Zero! She has not forgotten to put that hair dryer away a single time, and it has been several weeks since we implemented the plan. Did this teenager benefit by an external reward system? The results would indicate an absolute YES!

The hair dryer war seems to have ended peacefully, and Beckie has had great success while learning a strategy that will serve her throughout her life. She reports that she feels she has met the challenge, although she adds with a grin that once in a while she has forgotten to take a Tootsie Roll reward.