Finding the right solution starts with identifying what problem this child needs our help to solve.

Realizing this opportunity requires that we dig behind labels like “ADHD” and “ASD” to identify the specific neurocognitive and neurophysiological skills that drive them. These diagnoses are made based on a child’s clinical presentation, but they don’t tell us why the child presents as they do. For example, a child may meet the diagnostic criteria for ADHD because they are struggling with a language processing disorder, anxiety and depression—or because they have an actual problem with their attentional system (in which case ADHD medication may actually be helpful to them). Needless to say, one would solve a language disorder very differently than one would treat anxiety—so knowing what problem is driving the presentation is essential to addressing the problem and not just treating the symptoms.

This process requires that we look instead to those cross-cutting neurocognitive and neurophysiological skills that a student uses as they engage in academic tasks and travel through the world more generally, using the data in their neuropsychological, psychoeducational and OT/PT profiles. These cross-cutting skills come together in different combinations for different tasks, and a given child may be at very different ends of the bell curve with respect to one skill than they are with respect to another—in fact, this is true of most of twice exceptional children. So how successful a student will be at a given activity depends on how well that task matches to their current skill level with respect to each of the skills required to perform it. Thus, we can improve not only their academic experience but the quality of their life-lived experiences if we identify those low-lying skills that are holding a child back across multiple spheres and then work to build up their capacity to perform that specific skill.

Each child’s program begins with a deep dive into the learning, social, emotional, medical, sensory, executive function, auditory processing and other elements that influence how this child experiences the world. This work starts in the admissions process, as Director of Research and clinical neuropsychologist Steven Mattis, PhD, ABPP looks across the data in the child’s prior evaluations to identify those cross-cutting strengths a child is relying on, and also core cognitive and neurological deficits that may be manifesting across multiple, seemingly unrelated areas. This work is integrated across learning, social, emotional and self-regulation spheres, with a goal of arming the child with strategies that are just as integrated as are their life-lived experiences.

For example, a child who has difficulty intuitively figuring out which of many details is the most relevant will have a difficult time trying to structure new information so that they can efficiently categorize and store it in their memory. This in turn may affect their abilities to efficiently recall and work with math formulas, spelling rules, history facts and even social feedback. For educators, this creates a patchwork quilt of special education pullouts and services. For the child, it can lead to a generalized feeling of being overwhelmed and less “smart” than their peers who may be quick to recall facts but may have lower analytical and/or creative thinking skills for how they work with them.

However, once we understand that in fact these several challenges are all stemming from a single low-lying skill, it becomes apparent that rather than “playing whack-a-mole” with a raft of individual academic and social challenges, we can give the child greater leverage across a range of issues if we focus instead on building up those cross-cutting skills that are impacting their performance across multiple individual areas. We call these skills our “Domino One’s,” because like the first domino in a maze, these are the skills that when addressed, can create the biggest improvement for the child.

Developing the Student Growth Catalyst: an inter-disciplinary clinical program that reduces or removes learning and social-emotional challenges by enhancing the splinter skills that drive them

Armed with this scientific understanding of how the child’s skills profile, academic and social-emotional experiences intersect, we create comprehensive programs, called Student Growth Catalysts, that connect the dots between them and move the child forward on a holistic basis. Like a student’s IEP in public school settings, this program incorporates a mixture of services by licensed therapists, accommodations and academic differentiation, but unlike an IEP, each student’s Catalyst provides a roadmap for how to reduce or even remove those challenges, through a mix of traditional and Cajal-exclusive approaches, applying the well-established principle of neuroplasticity. Find out more about our Catalyst Method and how we develop individual student programs.