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When kids are experiencing anxiety, they're often referred for therapy, and when they're having difficulty with friendships, they often attend social skills groups. While intervention in a separate setting is necessary in certain situations, this "pull out" model is an incomplete solution for executive functioning issues. For many kids, executive dysfunction is a huge contributor to their anxiety; so talking about it in a therapy room alone is not going to give them an opportunity to practice new skills that will build their confidence (Minahan, 2017). Adult-led social skills groups don't give kids the opportunities to read situations and pay attention to the reactions of others in real-life contexts. The same applies when executive functioning issues cause learning challenges. While intervention delivered in an isolated therapy session or intensive instruction setting may be NECESSARY, it's often INSUFFICIENT on its own. This is why it's not just the students who need scaffolding; teachers, clinicians, paraprofessionals, and parents need it as well so they have the resources and knowledge needed to support these skills at home and school. Executive functioning support should include direct intervention for kids and coaching for adults in their lives supporting them. Additionally, behavior charts are often too abstract to teach the internal planning skills required for true self-regulation and internal motivation. Without guidance in these skills, students may struggle to translate external incentives into meaningful strategies for managing their behavior. In this video video, I’m going to explain some common challenges relating to mental health and social relationships. I’ll also explain why anxiety and executive dysfunction often go hand-in-hand—and what strategies can help students thrive across environments. For more information about how school teams can support students' executive functioning, visit my website at drkarenspeech.com or drkarendudekbrannan.com.