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Fostering Age-Appropriate Independence by Empowering Children’s Capabilities

Carolyn Cassill, PhD & Aikisha Harley, PhD

November 22, 2025

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Carolyn K Cassill, PhD

    • B.S. in Psychology
    • Ph.D. in Clinical Psychology with emphasis in Neuropsychology
    • 2-year Fellowship at MGH LEAP
    • Pediatric Neuropsychologist with NNG

Aikisha Harey, PhD

    • B.S. in Psychology & B.S. in Biomedical Engineering
    • Ph.D. in Clinical Psychology with emphasis in Neuropsychology
    • 2-year Neuropsychology Fellowship at Kaiser Permanente, Roseville
    • Lifespan Neuropsychologist at NNG

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We have no disclosures.

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Executive Functioning

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  • Cognitive processes that enable goal-directed behavior
      • Pick a goal
      • Work towards that goal
      • Meet that goal

  • Foundation: Attention and Sensory Processing
  • Core EF components:
      • Working Memory – holding and manipulating information.
      • Inhibitory Control – resisting impulses and distractions.
      • Cognitive Flexibility – shifting thinking and adapting to change.

  • EF influences everything we do at home, at school, and in social settings

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Behavior Regulation

  • A person’s ability to manage and control their actions, impulses, and responses in different situations

  • Inhibition:
    • Inhibit impulsive responding
    • Following rules

  • Self-monitoring: managing one’s actions
    • Social settings

  • Shifting behaviors:
    • Transitions

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Emotion Regulation

  • Ability to modulate our emotions and how we express them

  • Shifting
    • Change your thoughts or behaviors
    • Adapt your behavior

  • Emotional Control
    • How we express our feelings

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Cognitive Regulation

How individuals manage their thinking processes to achieve goals

Skills

  • Initiation
  • Working Memory
  • Planning/ Organization
  • Task-Monitoring

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Development of Executive Functioning

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Expectations Based on Age

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Toddlerhood

(2-3 yo)

  • Simple, concrete, 1-step instructions
  • Engagement in imaginative play
  • Turn-taking
  • Development of simple impulse control/rule following

Early Childhood

(4-6 yo)

  • Follows 2-3 step commands
  • Simple multitasking
  • Improved turn-taking
  • Follow simple routines

Middle Childhood (7-11 yo)

  • Manage/organize materials w/ support
  • Plan short task
  • Remember multi-step instructions
  • Improved inhibition
  • Beginning of time management

Young Adulthood (20-25)

  • Independent initiation of previously learned EF skills

Adolescence (12-19 yo)

  • Goal setting
  • Long-term planning
  • Emotion regulation
  • Prioritizing
  • Increased abstraction and reasoning
  • Independent organization

Adulthood (25+)

  • Fully developed EF skills

SUPPORTS

  • Consistent structure
  • Visual schedules
  • Clear expectations
  • Concrete choices
  • Scaffolding
  • Transition warnings
  • Checklists
  • Timers
  • Support breaking down tasks
  • Help problem solving

EF SKILL

  • Guided decision making
  • Reflections on outcomes
  • Self-monitoring tools
  • Calendars
  • Lists
  • Alarms
  • Implementation of modeled and learned organizational strategies

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Fostering Independence

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Executive Function and Independence

Knowledge

+

Physical Ability

+

Executive function

Independence

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Importance of Independence

  • Learning how to fail
    • Enhances problem-solving skills
    • Helps build foundational skills the ultimately will be built upon for higher order skills

  • Builds confidence and resilience
    • Children learn frustration tolerance
      • “Productive struggle”
        • Develop problem solving skills
        • Foundational for emotional regulation
    • Reduces anxiety

  • Increases autonomy
    • Fosters development of important life skills
    • With parental guidance children demonstrate improved:
      • Self-regulation
      • Socioemotional adjustment
      • School performance
    • Encourages self-regulation
    • Promotes responsibility

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Barriers

ADHD

ASD

Intellectual Disability

Neurodevelopmental

Anxiety

Depression

Trauma/stress

Emotional/Psychiatric

Illnesses

Poor sleep

Medical

Cultural

Environmental

Psychosocial Expectations

Normal Development

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Parenting is HARD…

  • Desire to protect our children

  • More to worry about now compared to 10, 20 years ago
    • Social media, etc

  • Less control

  • Loss of the “village”

  • Life is hectic
    • Increased expectations as parents
    • Sometime it seems easier to “just do it”

  • Fear of emotional/behavioral regulation challenge
    • Avoid power struggles
    • Smoother path to do it for them to avoid the tantrum

  • Cultural/familial/generational expectations

  • It means they are growing up

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  • Shift from doing for to coaching through tasks.
  • Encourage “productive struggle”
  • Reinforce effort, strategy, and persistence rather than outcomes (Growth Mindset)
  • Provide opportunities for choice-making and decision-making.
  • Serve as scaffolders and coaches, NOT rescuers.
  • Provide consistent structure and predictable routines.
  • Offer emotional validation while guiding toward problem-solving.
  • Collaborate across environments (home, school) for consistency.

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Empowerment through capability building

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  • Use visual and environmental supports (schedules, bins, routines).
  • Teach organizational strategies (e.g., planners, time management tools).
  • Model self-talk and problem-solving.
  • Gradually fade adult support as skills strengthen.
  • Encourage self-reflection: “What worked? What can I try next time?”
  • Link competence with autonomy: “You did this by planning ahead!”
  • Encourage goal-setting and tracking progress.
  • Celebrate incremental successes.
  • Use language that communicates trust in the child’s ability to handle challenges.

Build self-efficacy and motivation

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Practical Exercises

Key Takeaways:

  • Consistency
  • Time
  • Perfection is not the Goal
  • Controlled Burn
  • Fun!

Examples:

  • Preschool: Clean-up songs, sorting toys, Simon Says, sequencing stories, play, choices, visual schedules
  • Elementary: Daily planners, cooking steps, setting up homework stations, helping with bathing, bickering.
  • Teens: Budgeting, managing schedules, planning group projects or outings, chores.

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Resources

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  1. Talk to your pediatrician

  1. If recommended, seek a neuropsychological evaluation

  1. Recommendations may include:
    1. Parent Coaching
    2. Executive Skills Coaching
    3. Occupational Therapy/Speech Therapy
    4. Social Skills Group
    5. Individual Therapy
    6. School Based Accommodations

Concerns for your child?