Kids Master Skills: Neurodiversity-Affirming Support in Autism

Kids Master Skills: Neurodiversity-Affirming Support in Autism Understand and embrace the unique neurology of autistic children Welcome Occupational Therapists, Teachers, and Parents! My name is Dr. Lisa Marnell.

Incorporating meaning and joy into the lives of autistic and typical children and teens is a cornerstone of occupational therapy practice. This community embraces honoring children and working to help them overcome obstacles while cultivating their autonomy and sense of agency in all of their worlds: home, school, and community. I am a pediatric occupational therapist with 20 years of experience. I am honored to be a member of the Faculty at Boston University and a member of the Board of Directors at the STAR Institute in Denver.. My specialty areas of treatment include addressing sensory processing, executive function, and praxis challenges. I often work with autistic kids and teens, and I am autistic myself. On this page I will share weekly questions, research findings, blog posts, activity ideas, YouTube videos, and Facebook lives. This Facebook space is a place of inclusion, community, support, teaching, and learning to best foster joy and self-sufficiency in all children. Although this page is managed by an occupational therapist, information and posts do not provide or replace formal Occupational Therapy treatment. Content provided in this group does not constitute medical advice or qualification for medical or school related services. Learn more about my business, Kids Master Skills, and access a wide variety of child development information at www.KidsMasterSkills.com

Follow me on Instagram at https://www.instagram.com/kidsmasterskills/?hl=en

Again, welcome! So happy to have you join me! Dr. Lisa Marnell, OTD, MBA
Founder of Kids Master Skills, LLC

10/11/2025

If you support one Autistic child or many kids, I am so happy to guide you to adopt and use neurodiversity-affirming and strengths-based practices!

Please share in the comments, what is something that you struggle with in the day to day with your Autistic students?

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A story of parents who said, "No" to a rote, meaningless IEP that was not individualized or even working for their Autis...
10/11/2025

A story of parents who said, "No" to a rote, meaningless IEP that was not individualized or even working for their Autistic son. (The Endrew F. Supreme Court case.)

Parents took their case through the Federal District Court, to the Tenth Circuit Court of Appeals, to the US Supreme Court where they upheld the parents' AND STUDENT'S rights.

In the Supreme Court decision it was stated that a child, "must have the opportunity to meet challenging and ambitious goals through their IEP". We meet an Autistic child WHERE THEY ARE and we SUPPORT THEM!

Yes! And this is also known in laymen's terms as, "Presuming Competence".

Link in the comments.

We have to keep fighting the fight! Autistic children deserve to be seen, heard, respected, and taught using effective learning modalities that work for them and that align with their sensory, social, and motor comforts and traits!

10/10/2025
Hello! I am sharing a recent blog post . . . HAND OVER HAND: WHY IT'S UNETHICAL - AND INEFFECTIVE - FOR AUTISTIC STUDENT...
10/08/2025

Hello! I am sharing a recent blog post . . .

HAND OVER HAND: WHY IT'S UNETHICAL - AND INEFFECTIVE - FOR AUTISTIC STUDENTS!

My First-Grade Memory . . .

I adored my first-grade teacher. She was warm, kind, and believed that closeness — a hand on your shoulder, leaning in, even guiding your hand — helped children feel cared for.

But my autistic nervous system didn’t experience it that way.

Even as a child, I struggled with personal space. When she leaned in close or her sleeve brushed my arm, my chest tightened. I didn’t have words for it then, but my body said: too close.

I’m grateful my handwriting came easily. I often think how unsettled I’d have felt if she had placed her hand over mine — or under it — to guide my pencil.

Her steadiness nearby was regulating. Her touch would not have been.

Good intentions don’t override an autistic nervous system’s need for space.

The Sensory Science . . .

Research confirms that autistic people often have heightened responsiveness to touch and proximity.

MacLennan, O’Brien, & Tavassoli (2022) found autistic adults reported significantly greater tactile and olfactory sensitivity than non-autistic peers.

Crossing a child’s sensory boundary — even gently — can trigger discomfort or dysregulation, making learning harder.

Why We Must Rethink

Hand-over-hand, and often hand-under-hand, may feel helpful to adults but can:

Violate personal space

Override a child’s own sensory feedback

Create dysregulation that shuts down learning

If you feel you need to use hand-over-hand or hand-under-hand, pause.
Rethink the task. Scaffold it so the demand is lessened and the child can participate without having their personal space intruded upon.

A Better Way . . .

Autistic motor skills develop differently. Instead of forcing “correct” movement, we can scaffold through playful, hands-on activities: stringing beads, poking pipe cleaners into a colander, crumpling paper, using tweezers or dough.

For writing strokes, model beside the child: make “rain” down-strokes on a window, sweep “wind” strokes side-to-side, trace shapes in sand. Play first; keep distance; let them explore.

When we respect boundaries and scaffold thoughtfully, we create classrooms where autistic students feel safe, regulated, and ready to learn.

References:

MacLennan, K., O’Brien, S., & Tavassoli, T. (2022). Sensory reactivity differences in autistic adults: An examination across modalities. Journal of Autism and Developmental Disorders, 52(8), 3445–3457

This is so important to hear and honor!
10/05/2025

This is so important to hear and honor!

Before I could type I had to listen to people make me out to be some kind of subhuman; uninterested in others, in a different world, void of deep emotions and complex thoughts. I was a charity case or a burden. Never thought to be an equal and my perspective never considered.

While I sometimes become sad about not being able to talk and live more independently, what makes life so painful and tragic is actually the way people dehumanize, mistreat, and demean people like me.

If we could listen to nonspeakers and denounce hate speech against them, and allow them to lead the conversation about their own lives, the future for everyone will be much, much brighter. I love all of me, despite the many people who can't see me and make it so hard to live my best life.



[Image: Brown, curly faux-hawk Bri with headphones, sitting on interior steps, in a black tee with white writing and various chewable necklaces. Wearing gray pants and blue and orange sneakers, and blue, black, and clear spiral cord bracelets.]

However YOU choose to call it . . . "Building Rapport" . . . "CultivatingRelationship" . . . "Developing Felt Safety in ...
10/03/2025

However YOU choose to call it . . . "Building Rapport" . . . "CultivatingRelationship" . . . "Developing Felt Safety in a Student" . . . This approach should be your #1 Priority when supporting Autistic students. Not academics . . . and certainly not sitting at a table with a worksheet.

But how to do this? Let me share a story !

"When I walked into the classroom, something was deeply off — I felt it in my bones.

Teresa’s small shoulders were hunched forward, her face red as she chewed on her sleeve. The air in the room felt charged. I stood in the doorway, taking in the picture, like a detective arriving at the scene of a crime: Whatever had happened? Whatever had I missed?

This took place years ago. As a newer occupational therapist, I wanted to help this Autistic student, this third grader, Teresa, who was placed in a self-contained classroom most of the day. She was smart, curious, and expressive in her lyrical singing voice.

But things went poorly that school year.

Classroom staff chased goals to “normalize” Teresa’s actions — getting her to sit longer, training her visual attention to focus on pages of text, coaxing her to answer any and all questions, regardless of her capacity to speak in the moment. They thought if they could get Teresa ready to learn — in the neurotypical way — everything would fall into place.

What I saw, day after day, was distress. Teresa would melt down, shut down, shrink into herself. I felt anguish. I suspected there had to be a better way.

And I carried it home. I thought about Teresa on Saturdays and Sundays. I lay awake at night, agonizing over what more I could do.

As I look back now, it becomes painfully clear: the staff — well-meaning but misguided — had bypassed the real work. They leapt to worksheets and compliance, skipping over the foundational steps of cultivating safety, trust, and rapport.

This is not a rare story. All too often, teachers and therapists rush to “academics” — worksheets, tasks, flashcards — without realizing, instead, that they should be focused on building safety, tending to our students’ nervous systems, co-regulating, joining the child in activities, and then, only then, guiding them toward academic goals in ways they can access.



Neuroception and Sensory Over-Responsivity: The Invisible Framework


Stephen Porges’s Polyvagal Theory introduces the concept of neuroception: a brain system that assesses cues of safety, danger, or life-threat—without our conscious awareness (Porges, 2022).

Porges wrote:

“Neuroception evaluates risk in the environment without awareness. Perception implies awareness and conscious detection. Neuroception is not a cognitive process; it is a neural process without a dependency on awareness” (Porges, 2004, p. 19).

Put simply, our bodies are always scanning the world for signs of threat or comfort, and adjust our physiology accordingly. When neuroception senses safety, we can relax, connect, explore, learn. When neuroception reads threat—even subliminally—we go into defense: fight/flight/freeze or shutdown.

For many Autistic individuals, the world presents more frequent and intense cues that feel dangerous — cues that neurotypical systems might disregard or habituate to. One domain where this is especially salient is sensory input.

A robust body of research attests that Autistic people often experience sensory over-responsivity, meaning that sounds, lights, textures, smells, or just the hum of a classroom may be registered as intense, overwhelming, or painful (Ben‑Sasson et al., 2013; Schoen et al., 2009).

For an Autistic child, a buzzing fluorescent light may feel like a siren. The scratch of a chair on tile may feel like sandpaper on skin.Because of neuroception, when the sensory and contextual environment feels unsafe, a child’s physiology may shift to defense. In that state, higher-order thinking (in other words, learning) becomes impossible.



A Three-Stage Framework: From Trust to Learning


Instead of starting with academics and using teaching modalities that may work well with non-Autistic students (but not with Autistic ones), try this tree-pronged approach instead, and build relationship with your student and an accompanying felt safety.

1. Cultivate safety and trust: calm presence, predictable rhythm, honoring the child’s communication style

2. Engage in shared, low-demand activities: sensory play, following the child’s lead

3. Transition to academics that respect neurotype: short, interest-based sessions, flexible response modes.



Most Professionals Skip the First Two Stages (and What That Costs)


By skipping safety and rapport, we inadvertently escalate threat.When an Autistic child’s neuroception is detecting risk, physiology is not in a state to learn. The result: noncompliance, shutdown, resistance, emotional meltdown—the very behaviors we try to “correct.”

In Teresa’s case, the entire school year was eaten by this mismatch: she was asked to “get ready to learn” in ways her body couldn’t access. The goals were less about her growth, more about changing her way of being in the world.


Invitation to Shift Our Lens


As teachers and therapists, we must treat safety, trust, and rapport not as optional preludes, but as the very conditions necessary for learning.

Let Teresa’s story—and the science of neuroception and sensory responsiveness — remind us that we cannot teach a child whose physiology is in defense.

Rather, we must step into their world first, align ourselves, and invite them into co-regulation."

Do you prioritize developing relationship and cultivating felt safety with your Autistic students?

Share your thoughts in the comments!

Do your Autistic students wander in the classroom?What input do you think they are seeking?How do you try to support the...
09/26/2025

Do your Autistic students wander in the classroom?

What input do you think they are seeking?

How do you try to support them?

Share in the comments!

09/23/2025

Join Dr. Lisa Marnell in this pre-recorded presentation in which she identifies four common types of IEP goals that are detrimental to the mental health of Autistic students and shows parents, teachers, and therapists what they can do instead!

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Join Dr. Lisa Marnell tonight in this pre-recorded presentation streamed on Facebook Live (9/22 - 6:00 PM PST / 9:00 PM ...
09/22/2025

Join Dr. Lisa Marnell tonight in this pre-recorded presentation streamed on Facebook Live (9/22 - 6:00 PM PST / 9:00 PM EST).

She will identify four COMMON types of IEP goals that are in fact detrimental to the mental health of Autistic students. Dr. Lisa will show parents, teachers, and therapists what they can do instead!

Comment "ME" below or DM Lisa to sign up and get the link for this evening's talk!

on FB

This is part of Dr. Marnell's MINDFUL MONDAYS series in which she shares ways to identify and adopt neuroaffirming and strengths-based supports for Autistic students!

As an occupational therapist, teacher, or  other professional have you ever struggled when you work with an Autistic stu...
09/19/2025

As an occupational therapist, teacher, or other professional have you ever struggled when you work with an Autistic student?

Do you feel LOST when it comes to what to do EXACTLY to "get them" to engage with you and to engage with your IEP goals?

What is most likely missing is developing an authentic, human connection with them!

Don't be intimidated. Be yourself - be your thoughtful and kind and genuine self!

Try these ideas to develop connection and to build rapport with your student.

Let me know in the comments any approaches that work for you!

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Westlake Village, CA

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