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Consider a Spectrum 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


How to Write Neurodiversity-Affirming OT Goals
Thankfully, today many occupational therapists want to embrace a neurodiversity-affirming practice. But HOW do we do this exactly? We...

Dr. Lisa Marnell, OTD, MBA
Aug 28, 20242 min read


Repetitive Actions in Autism
Let's talk about REPETITIVE ACTIONS in autism.
Like OPENING and CLOSING doors.
Like looking through a book OVER and OVER and OVER again.

Dr. Lisa Marnell, OTD, MBA
Mar 27, 20245 min read


Intense Reactions in Autism . . . and How to Provide Support
"A jar of jam on the dinner table set him off." "Her chicken nuggets were cut in half and not whole." "The teacher wore a baseball hat...

Dr. Lisa Marnell, OTD, MBA
Dec 1, 20237 min read


The Very Excited Autistic Child
When it comes to supporting autistic children, one question I am often asked by occupational therapists is this: “How do I work with an...

Dr. Lisa Marnell, OTD, MBA
Nov 7, 20233 min read


ABA in Autism: Short-Term Changes and Long-Term Trauma
Research shows that ABA results in behavioral improvements, but only in the short term without long-term benefits or generalization of a child’s skills and competence.

Dr. Lisa Marnell, OTD, MBA
Sep 6, 20235 min read


Non-Speaking Versus Non-Verbal: What is the Difference in Autism?
The terms non-speaking and non-verbal may sound identical to many people. But there is a different and important distinction which is...

Dr. Lisa Marnell, OTD, MBA
Apr 24, 20232 min read


Black and White OR Categorical Thinking in Autism
As an autistic person, one of the most CHALLENGING concepts I deal with every day is the following: Things are not Black and White. There...

Dr. Lisa Marnell, OTD, MBA
Mar 25, 20232 min read


Support the Autistic Sensory Seeker with Dyspraxia
I often see children’s actions labeled as “sensory seeking” when in fact they are truly reflecting difficulties processing and...

Dr. Lisa Marnell, OTD, MBA
Dec 9, 20223 min read


3 Ways to Support Autistic Children as they Transition INTO School
Today I will address a challenging transition for many children, namely walking INTO school at the start of a new day. This transition...

Dr. Lisa Marnell, OTD, MBA
Sep 4, 20224 min read


"Special Interests" in Autism
An important topic is “special interests” in autism. A question frequently asked is about how school professionals, OT included, should...

Dr. Lisa Marnell, OTD, MBA
Jul 2, 20222 min read


A Strengths-Based Approach in Autism . . . for Auditory Sensitivity
Celebrating an autistic child’s strengths is key to develop their self-esteem and sense of agency. But how can we shift gears and see...

Dr. Lisa Marnell, OTD, MBA
Apr 10, 20222 min read


So . . . What Is Sensory Integration Therapy?
As a pediatric occupational therapist, this is one question I am asked frequently. Although people have often heard the term sensory...

Dr. Lisa Marnell, OTD, MBA
Jan 25, 20223 min read
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