Executive Function Consultation, Education and Skills (EXCEL) Clinic
The EXCEL Clinic (Executive Function Consultation, Education and Skills Clinic) within CHOP’s Cancer Center provides services for children and adolescents who are at risk for executive function (EF) weakness. The EXCEL Clinic primarily supports children who have undergone cranial surgery, cranial radiation, intrathecal chemotherapy, intensive cancer treatment at a young age, or who have a cancer predisposition syndrome. Our executive function expert will recommend interventions that can help your child overcome his or her EF challenges.
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These interventions don’t just target the executive functions — they address the external environment, too. In very precise ways, they put more supports into the system to take the burden off what might not be working internally for your child. That might mean adjusting the environment so that its demands don’t bring out your child’s worst self. Or, it might mean tweaking a parent’s response so that your child can harness more of his cognitive strengths.
In what ways does your child struggle with schoolwork?
In what ways does your child struggle at home?
- Getting Ready in the Morning
- Following Instructions to Perform a Chore
- Doing What You Ask, When You Ask
- Avoiding Distraction on an Outing
- Losing Track of Belongings
- Remembering Multiple-Step Instructions
- Crying Over Little Things
- Accepting Alternative Options
Iris Paltin, PhD, is a pediatric neuropsychologist with the Department of Child and Adolescent Psychiatry and Behavioral Sciences, Cancer Center and Neuro-Oncology Program at CHOP.