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Support Autistic Students Through Transitions
As an Autistic adult, with my own OT clinic and a lot on my plate with speaking and delivering school district professional development, I face the same challenge every day. And it is this: I struggle with transitions. The stress I feel typically (always) disappears once I am inside a new task, especially when this task is something I enjoy and that I am drawn toward. Once I start the task, I remember how I LOVE to engage deeply and I do engage. Then, I am fine. I suspect all
Dr. Lisa Marnell, OTD, MBA
2 days ago5 min read


Different Types of Breaks for Autistic Students
As the school year moves forward, I find myself thinking about the word break. It is a word that shows up in classrooms, IEPs, and behavior plans, yet it is rarely examined closely. We talk about breaks as if they are one thing: A pause. A reward. A moment away from work. But when you respectfully try to understand Autistic students, it becomes clear that breaks are not interchangeable. A break that supports one child’s nervous system may dysregulate another. And a break that
Dr. Lisa Marnell, OTD, MBA
Feb 65 min read


ABA and Autism in Colorado: A Step in a Better Direction
🌱Last month I visited a school where a little boy, Mateo, was working with a behavior technician who had been hired to deliver Autism “therapy.” She was kind, patient, and clearly wanted to help. But as I watched her try to manage his overwhelm with a laminated token board and a series of rehearsed prompts, something became painfully clear. She had never been taught how to understand what his nervous system was trying to communicate. ➡️ No one had taught her about sensory ov
Dr. Lisa Marnell, OTD, MBA
Dec 7, 20253 min read


Thanksgiving: Supporting Autistic Kids in Dr. Lisa’s OT Clinic
As Thanksgiving approaches, I am thinking about simple meaningful moments in my clinic. They remind me why our work matters and how powerful small, attuned and affirming interactions can be.
Dr. Lisa Marnell, OTD, MBA
Nov 26, 20254 min read


The October Crash: Why Autistic Students May Struggle More Now
The first few weeks of school often go smoothly. Everyone is fresh, polite, and hopeful. But for many Autistic students, that “honeymoon” depends on masking—suppressing natural regulation needs and social communication differences to blend in.
Dr. Lisa Marnell, OTD, MBA
Oct 21, 20255 min read


What Office of Special Education (OSEP) Layoffs Happened Friday and Why This Matters to Autistic Students
With Department of Education layoffs in the news over the past few days, I thought it might be helpful to share my understanding and interpretation of what this means to many people
Dr. Lisa Marnell, OTD, MBA
Oct 14, 20254 min read


Hand-Over-Hand: Why It’s Unethical — and Ineffective — for Autistic Students
Sometimes I think how lucky I was that my handwriting came easily. Because if my teacher had ever tried to place her hand over mine — or under it — to guide my pencil, the very thing meant to help would have unsettled me.
Dr. Lisa Marnell, OTD, MBA
Oct 8, 20254 min read


Skip the Worksheet: Cultivate Safety, Trust, and Rapport in Autistic Learners
When I walked into the classroom, something was deeply off — I felt it in my bones.
Dr. Lisa Marnell, OTD, MBA
Sep 28, 20255 min read


Why Wandering Isn't "Avoidance" in Autistic Students
But as I reflect on this now —both as a neuroaffirming OT and as an Autistic person—I see something different. I see a child whose nervous system is communicating . . . something.
Dr. Lisa Marnell, OTD, MBA
Sep 17, 20254 min read
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