What Assessments Really Look Like!

What Assessments Really Look Like!

Spent the morning assessing a student for dyslexia. 

This is what the office looks like – high energy, high impulsivity, and a strong need for sensory input in full effect.

Assessment isn’t just about scores. It’s about meeting each child where he or she is, supporting regulation in real time and creating a space for his or her best effort to shine through!

Are you looking for testing for your child to better understand his or her learning profile? Reach out to us today:
drliz@psychedconsult.com

 

 

 



From Resolution to Reality: Turning Intentions into Daily Action

From Resolution to Reality: Turning Intentions into Daily Action

written by Dr. Liz Nissim, posted on Psychology Today

When you think about it, we have no difficulty creating a long list of resolutions. We know exactly what we want to change, improve, or leave behind. We can clearly picture the outcome we’re aiming for. The challenge doesn’t lie in desire or even motivation but rather in the space between intention and execution.

The real obstacle is often a lack of direction. We know what we want, but not how to translate that desire into actions that fit into real life. Big goals can feel abstract and overwhelming, especially when they aren’t broken down into steps that can be practiced daily or weekly. Without a clear path forward, resolutions stay stuck as ideas rather than becoming behaviors. Progress doesn’t come from good intentions alone; it comes from consistent, repeatable actions that are small enough to actually do.

The Power of Habit Stacking

Once you’ve identified what you want to accomplish, the next step is finding the system that will support it. A system is not about willpower or perfect conditions—it’s about small, repeatable behaviors that fit into your current life. Not an ideal life. Not a future version of yourself with unlimited time and energy. This life. This week. Today.

One of the simplest and most effective systems is habit stacking. Habit stacking works by attaching a new behavior to something you already do consistently. Because the original habit is already established, it acts as a natural reminder and anchor for the new behavior. Instead of relying on motivation, you rely on routine.

For example, you might say:

  • After I brush my teeth, I stretch for two minutes.
  • After I pour my morning coffee, I journal one sentence.
  • After I shut down my laptop, I prepare my gym clothes for tomorrow.

The key is clarity and simplicity. The action should be so small that it feels almost too easy. These behaviors may seem insignificant on their own, but they create forward movement in a way that is realistic and sustainable. The goal isn’t intensity but, rather, frequency. Repetition is what creates change.

Over time, those small actions compound. A little progress each day adds up to meaningful movement after one week, two weeks, three weeks, and beyond. When the plan is already decided and built into your routine, you don’t waste mental energy deciding if or when you’ll act. Fewer decisions mean less friction, which makes consistency far more likely.

Executive Function Coaching at PEC!

Executive Function Coaching at PEC!

Do you/does your child struggle to get started on tasks? Is it tough to stay motivated and complete projects? Is time management a huge challenge? Do you lose your personal belongings, and forget important meetings? Are you easily distracted while trying to complete important tasks?
Executive Function Coaching can really help!
Reach out to us today:
973-400-8371
drliz@psychedconsult.com
www.psychedconsult.com
Psychological & Educational Consulting, LLC, Livingston NJ

Why is Getting Started So Difficult with ADHD?

Why is Getting Started So Difficult with ADHD?

written by Dr. Liz Nissim, posted on Psychology Today

Do you or your child, teen, or young adult struggle with ADHD? If you answered yes, then you know that getting started can be the hardest part of getting a task or assignment done. Getting started is also known as initiation, and it is a genuine challenge. It’s not about being lazy or lacking motivation, but rather a true struggle that is linked to how the ADHD brain processes time, motivation, and execution.

If you’re a teenager, young adult, adult with ADHD, or a parent who is raising a child with ADHD, the struggle with initiation can be very frustrating and is often misunderstood.

What Is Initiation?

Initiation is the ability to begin a task or activity independently. For people with ADHD, there’s a gap between wanting to start and actually starting. This is not caused by a lack of desire, but rather by neurological differences that affect dopamine regulation. Dopamine regulation impacts time perception and prioritization, which are the precursors to initiation, or getting started (MacDonald, Kleppe, Szigetvari, Haavik, 2024).

What does that end up looking like?

  • Feeling “stuck” even when you know what you need to do and how to do it.
  • Staying away from tasks that feel or look too large or boring, or that will take a long time.
  • Needing an absolute deadline or that “last-minute rush” to actually get things done.
  • Getting overwhelmed by having to make decisions.
  • Not knowing how or where to start.

This can result in procrastination, low self-esteem, and a cycle of shame. From the outside, it looks like nothing is getting done. On the inside, there is a battle being fought.

What is Non-Verbal Learning Disability?

What is Non-Verbal Learning Disability?

Excerpts taken from The NVLD Project

People with Non-Verbal Learning Disability (NVLD) struggle with a range of conditions that include social and spatial disabilities. Often they are marginalized and isolated; consequently, they can experience social barriers throughout their lives.

Nonverbal Learning Disability describes a well-defined profile that includes strengths in verbal abilities contrasted with deficits in visual-spatial abilities.

Individuals with NVLD often have trouble with some of the following: organization, attention, executive functioning, nonverbal communication, and motor skills.

 

 

 

Executive Function Coaching at PEC!

Executive Function Coaching at PEC!

Does your teen procrastinate and have difficulty getting organized?

Are you a college student who struggles with breaking down projects?

Are you an adult with difficulties creating and maintaining a schedule?

EF Coaching at PEC can help! Reach out to us:

973.400.8371

drliz@psychedconsult.com

www.psychedconsult.com

Does My Child Have NVLD?

Does My Child Have NVLD?

posted on NVLD Project

For Parents

People with Non-Verbal Learning Disability (NVLD) have trouble understanding spatial concepts, but have good language skills. NVLD impairs a person’s life skills and affects his or her social, academic, professional and emotional experiences.

The NVLD Project is a nonprofit organization that aims to establish NVLD as an official diagnosis and raise awareness of the disability. Through our research at Columbia University, the University of Southern California, and Children’s Hospital Los Angeles we are seeking to define NVLD as a valid and distinct diagnosis. This will allow people with NVLD to receive accurate assessment, appropriate education, and supportive interventions.

How Do I know If My Child Has NVLD?

It is often undiagnosed or misdiagnosed. NVLD affects aspects of school performance and the development of social skills, including the ability to form meaningful friendships.

Please take a look at the questions below. If you answer “yes” to the first question and some of the others, and/or if these descriptions “feel” like your child, we recommend you speak to a professional who is knowledgeable about NVLD, such as a child psychiatrist, neuropsychologist, developmental psychologist, school psychologist or learning specialist.

Does your child have poor spatial skills, such as difficulty building with blocks, but strong language abilities, such as a good vocabulary?

Poor spatial skills paired with good language skills is the essential feature required for a diagnosis of NVLD.

Additional features often occur in children with NVLD:

Does your child…

  • Have an easy time recalling facts and details, but trouble grasping the “big picture” or main idea when they read a story or see a movie?
  • Have poor handwriting, difficulty tying their shoelaces, or problems using utensils and small tools?
  • Often seem “spacey”?
  • Have difficulty understanding humor or sarcasm?
  • Lack meaningful friendships, despite craving them?
  • Have trouble dealing with new situations?
"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Julie C.
"Dr. Matheis has a remarkable ability to understand the unique needs of her patients and address them constructively. She builds strong, meaningful relationships with patients and their families, encouraging trust and collaboration. When working with my son who struggles with autism-related anxiety, she created an environment in which he was able to calm down and open up to her in ways I had not seen before. She was able to reach him and helped him work through his crisis/problem. Most importantly, she empowered him to move forward."
- N.L.
"Dr. Matheis is amazing. She has tremendous resources and loads of energy. She is not willing to accept anything less than the most effective results for her clients. She made me feel as if my son was her top priority throughout the entire process. I would, without reservation, give her my highest recommendations.  Thank you, Dr. Matheis!"
- Anonymous
"Dr. Matheis has an amazing ability to read kids and connect with them. She has been an invaluable resource for our family over the past several years and has helped us with everything from educational consulting, to uncovering diagnoses as well as family therapy. Working with Dr. Matheis never feels clinical and most importantly, our children love and trust her. We can not thank you enough Dr. Liz!"
- Anonymous
"My teenage son had been seeing Dr. Matheis through his senior year of high school, as he was only diagnosed with ADHD at 16 years old.  Dr. Matheis came highly recommended from our pediatrician and she has done wonders for our son as well as our family, navigating new ways for him to deal with his diagnosis without the use of medication.  She taught him ways to organize himself and even when something did not work for him, she patiently continued teaching him new ways to keep himself on track.  She has also helped us as parents to understand how his mind works so that we did not continue to blame his lack of focus on him, rather on his unique way of thinking.  Thank you Dr. Matheis!!!!"
- LG
"Dr. Liz is the best! Our family was directed to her by our Pediatrician to assist with figuring out severe mood changes, severe anxiety, strange new fears and food aversion that had come onto one of our children literally overnight. After just a couple of visits, she suggested that the issues may actually be rooted in a physical issue and suggested we immediately take our child to be swabbed for strep, because Dr. Liz suspected PANDAS (a pediatric autoimmune disorder brought on by strep). The same Pediatrician that suggested Dr. Liz would not do the swab (they do not believe in PANDAS and we no longer go there) but I took my child to my doctor who did the swab and it was positive for strep. When our child went on antibiotics, within 24 hours all symptoms went away and our child was back :-) Dr. Liz then recommended a PANDAS specialist who helped us and our child is in complete remission and is happy and healthy. We are incredibly grateful to Dr. Liz for her knowledge of all things, even the most remote and unusual and for helping us so much! Thank you!"
- Anonymous
"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Anonymous
"Thank you, Dr. Liz. Although we have told you countless times, it will never feel enough. You have listened when J could barely speak and continued to listen when he was sad, angry and confused. You've challenged him and directed us in our roles as parents. You've helped J face his fears while the list evolved and changed, and yet you've stayed committed to 'the course.' We pray that your children realize that time away from them is spent helping children learn and that vulnerability is a sign of strength and bravery."
- June I
"My son was admitted to an Ivy League school when only 2 years ago, you assessed him and saw his struggles, his Dyslexia. We are grateful that he no longer has to carry that deep feeling of inadequacy or shame that must have kept him so self conscious and from reaching his potential. He has the PERFECT program for him. He has A's in high math and economics. He became a Merit Scholar, a Boys State legislature, the HEAD captain of the football team and help a job ALL while studying and managing his classes and disability. I am PROUD of you, a young doctor, who knows and sees the vulnerability of children and helps them recognize "it's NO big deal" God bless."
- Anonymous

Learn More About Dr. Liz!

Subscribe to our Mailing List
Psychological and Educational Consulting Logo

513 W Mt Pleasant Ave, Ste 212,
​Livingston, NJ 07039