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Reflex Integration Through Play

Author: Kokeb McDonald, OTR/L

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Welcome to the Reflex Integration Through Play (RITP) Podcast, your go-to resource for empowering therapists, educators, and parents with effective strategies to support children’s development. This podcast bridges the gap between science and play, offering actionable tools to create measurable, trackable, and repeatable treatment plans that make a real difference.
46 Episodes
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In this episode, Kokeb McDonald sits down with occupational therapist and RITP-certified therapist Katie Williams for a candid conversation about ADHD in girls and why it’s often missed until adulthood.Katie shares her own late diagnosis in her early forties and reflects on how it helped her reinterpret lifelong struggles with perfectionism, rejection sensitivity, sensory needs, time blindness, emotional regulation, and cycles of burnout and depression.This episode emphasizes how ADHD can present as “hyperactive on the inside,” with masking, daydreaming, high performance at school followed by emotional crashes at home, and anxiety or depression appearing before ADHD is recognized.Kokeb and Katie discuss social expectations for girls, the impact of negative comments and labeling, and practical therapy approaches, building rapport, supporting unmasking, parent coaching, and helping kids identify what they truly like and feel (including interoception and emotional regulation). They also highlight how therapists’ words and co-regulation shape outcomes and encourage screening when “lazy” or “not trying hard enough” becomes a repeated description.Timestamps00:00 Welcome + Why This Series Matters: ADHD in Girls01:18 Katie’s Late ADHD Diagnosis & Looking Back With Clarity02:38 Why Girls Get Missed: Internal Hyperactivity, Perfectionism & Burnout07:07 What ADHD Really Is (Beyond the Name/DSM) + Dopamine Seeking Risks09:30 Girls vs Boys: Daydreamers, ‘Lazy’ Labels, and At-Home Meltdowns11:51 Social Expectations & Masking: Hygiene, Clothes, and Rejection Sensitivity13:38 Adult Reflections: Sensory Needs, College Struggles, Time Blindness19:13 OT Treatment Approach: Unmasking, Rapport, and Parent Coaching24:17 Goal-Setting Challenges: Decision Fatigue, Initiation, and Letting Kids Lead26:59 Language That Heals: Reframing, Backtracking, and the 5:1 Positivity Shift🎯 Resources Mentioned:📘 Integrating Primitive Reflexes Through Play and Exercise book series🔗 Learn more: ⁠r⁠⁠itp.info/books📱 RITP App – home and school tools for therapists and families🔗 Download the app: ritp.info/app📌 Other ResourcesLearn about our upcoming LIVE WEBINAR https://ritp.info/intro-courseLearn about the RITP Clinical Foundations 3-Day Intensive http://ritp.info/3-dayLearn more about the Reflex Integration Through Play Certification program: https://ritp.info/certificationPrevious episodes and resources: https://www.integratingreflexes.com/blog/
In this episode, we wrap up the 'Creating an At-Home Program' series by focusing on the importance of tracking progress and maintaining effective communication with your therapist.🧠 Discover simple ways to monitor your child’s growth, record progress, and maintain communication with therapists. Learn how tracking and collaboration strengthen outcomes in your reflex integration journey.Tune in for practical tips on enhancing your child's development through effective, engaging, and fun home exercises.Timestamps00:00 Introduction to Visual Feedback and Communication00:32 Welcome to the Final Episode00:40 Tracking Progress and Effective Communication01:35 Simple Record Keeping01:59 Using Visual Tools for Motivation02:28 Recording Videos for Growth03:48 Sharing Updates with Your Therapist04:57 Celebrating Progress and Building Confidence05:21 Key Takeaways and Final Thoughts05:58 Resources and Encouragement06:13 Closing Remarks🎯 Resources Mentioned:http://ritp.info/family📘 Integrating Primitive Reflexes Through Play and Exercise book series🔗 Learn more: ⁠r⁠⁠itp.info/books📱 RITP App – home and school tools for therapists and families🔗 Download the app: ritp.info/app📌 Other ResourcesLearn about the RITP 3-Day Intensive http://ritp.info/3-dayLearn more about the Reflex Integration Through Play Certification program: https://ritp.info/certificationPrevious episodes and resources: https://www.integratingreflexes.com/blog/
In this episode, we explore step six of the 'Create an At Home Program' series, focusing on tailoring your child's home exercise program to their unique needs and preferences. Emphasizing brief, focused activities over prolonged, frustrating sessions, we provide actionable advice on breaking down tasks, using rhythmic tools like a metronome, and incorporating creativity and play.🧠 Every child is unique. Learn how to customize exercises to your child’s interests, abilities, and learning style. Discover how play-based movement can make therapy enjoyable and more effective at home.Tune in for practical tips on enhancing your child's development through effective, engaging, and fun home exercises.Timestamps00:00 Focused Activities vs. Frustration00:29 Introduction to Step Six: Tailoring the Program00:46 Understanding Your Child's Unique Needs01:48 Personalizing Your Child's Home Program01:54 Breaking Down Instructions02:34 Using Rhythm and Metronomes03:22 Shortening and Simplifying Exercises04:01 Making Exercises Playful04:56 Celebrating Small Wins06:01 Adapting Based on Response06:59 Key Takeaways and Flexibility08:07 Resources and Tools in the RITP App08:49 Preview of Final Episode: Tracking Progress09:03 Final Encouragement and Conclusion🎯 Resources Mentioned:📘 Integrating Primitive Reflexes Through Play and Exercise book series🔗 Learn more: ⁠r⁠⁠itp.info/books📱 RITP App – home and school tools for therapists and families🔗 Download the app: ritp.info/app📌 Other ResourcesLearn about the RITP 3-Day Intensive http://ritp.info/3-dayLearn more about the Reflex Integration Through Play Certification program: https://ritp.info/certificationPrevious episodes and resources: https://www.integratingreflexes.com/blog/
In this episode, we dive into step five of the 'Create an At-Home Program' series, emphasizing the crucial role of consistency for lasting progress. The episode explores practical strategies like substituting activities, integrating exercises into daily routines, keeping sessions short, and establishing predictable structures.🧠 Consistency is key to your child’s success. Find out how to build daily routines, integrate exercises into play, and make progress sustainable through repetition, structure, and positive reinforcement.These methods help to seamlessly incorporate movement into your child's daily life. Tune in for actionable insights on building consistency that boosts brain-body communication and fosters long-term developmental success. For additional help, visit the RITP for parents website for home program templates, videos, and guides.Timestamps00:00 Introduction to Consistency in Home Programs00:58 Making Consistency Easy: Substitute Before Adding01:56 Integrate Exercises into Daily Activities03:03 Keep It Short and Consistent03:34 Create a Predictable Structure04:47 Family Connection Time05:55 Key Takeaways and Final Thoughts07:19 Next Episode Preview: Tailoring Exercises🎯 Resources Mentioned:📘 Integrating Primitive Reflexes Through Play and Exercise book series🔗 Learn more: ⁠r⁠⁠itp.info/books📱 RITP App – home and school tools for therapists and families🔗 Download the app: ritp.info/app📌 Other ResourcesLearn about the RITP 3-Day Intensive http://ritp.info/3-dayLearn more about the Reflex Integration Through Play Certification program: https://ritp.info/certificationPrevious episodes and resources: https://www.integratingreflexes.com/blog/
In this episode, we dive into step four of the 'Create an At Home Program' series, focusing on the significance of creating a safe environment for your child's learning and development. Emphasizing both emotional and physical safety, this session provides practical advice on how to manage your own emotions, stay present and supportive, and prioritize quality over quantity in exercises.📘 Learn strategies to create a calming environment that promotes learning, connection, and successful reflex integration.🧠 Understand why emotional and physical safety are essential for your child’s progress.Key takeaways include the importance of your calm presence, the foundational role of safety, and the encouragement of small wins to boost your child's confidence and motivation. Tune in to learn how to foster a secure and supportive atmosphere that facilitates true learning and integration for your child.Timestamps00:00 Understanding Child Safety in Learning Environments00:14 Introduction to Creating a Safe Environment01:00 Emotional and Physical Safety02:19 Practical Tips for Ensuring Safety03:52 Encouragement and Support Strategies04:52 Key Takeaways and Next Steps🎯 Resources Mentioned:📘 Integrating Primitive Reflexes Through Play and Exercise book series🔗 Learn more: ritp.info/books📱 RITP App – home and school tools for therapists and families🔗 Download the app: ritp.info/app📌 Other ResourcesLearn about the RITP 3-Day Intensive http://ritp.info/3-dayLearn more about the Reflex Integration Through Play Certification program: https://ritp.info/certificationPrevious episodes and resources: RITP Podcast
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