The root of every behavior issue we saw the NP about is in this failure to be able to switch.
We called it hyperfocus going into the session.
Actually, I take that back. The other really troublesome thing is his difficulty with doing things in a sequence... Ask him to do X, then Y, then Z (even in a routine that should be well known). He forgets or gets distracted. "Please empty your lunchbox, hang up your backpack, and put your shoes away" is very difficult, even with visual cues like a list. He's had this same ask daily since Kindergarten. He should have it down by now you'd think.
Hyperfocus here, lack of focus there. That is why we went to the NP in the first place, asking about ADHD.
I accept that this switching concept is something we need to work on with him, but without the hard skills, I'm not sure we are making significant progress. Thank you for the example above for coaching. If only I had a manual.
