The hours between pickup and bedtime are where many families struggle. Kids hold it together at school, then explode at home. Tantrums, refusals, and sibling conflicts spike when everyone is tired and hungry. For young children and those with attention deficit hyperactivity disorder ADHD, these after-school storms can become daily patterns. Parent Child Interaction Therapy (PCIT) meets this moment with practical tools. In live coaching sessions, PCIT therapists coach parents through skills they can use that day, in their home, with their child.
If you need a clear plan for afternoons and evenings, our team offers PCIT across Manhattan, Brooklyn, Queens, and surrounding areas.
Why after school is so hard
After a long day, kids are fatigued, hungry, and overloaded. Transition demands pile up: leave school, commute, snack, homework, activities, dinner, bath, bed. Weak emotional regulation and lagging parenting skills collide with big expectations. The result is avoidant or disruptive behaviors that drain the whole household.
Research shows that predictable routines, effective commands, and high-quality positive attention reduce behavioral problems. That is exactly what PCIT builds for parents and children.
What PCIT is and how it runs
Parent Child Interaction Therapy is an evidence based, short-term treatment program for children ages 2–7 with significant oppositional behavior, tantrums, or aggression. In session, a therapist observes parent–child play from behind a one-way mirror or via telehealth and provides real time coaching through a small earpiece. We teach parents simple, repeatable strategies, then help them apply those strategies to the hardest parts of the afternoon.
PCIT has two structured phases:
- Child Directed Interaction CDI. Strengthens connection and attention through warm, precise praise and responsive play.
- Parent Directed Interaction PDI. Builds consistent follow-through with clear commands, choices, and predictable consequences.
Together they improve the parent child relationship and the child’s capacity to follow directions, wait, and shift between tasks.
(You may also see PCIT referred to as “child interaction therapy PCIT” in some materials.)
CDI in real life: Reconnect first, then redirect
After school, start with five minutes of CDI “special play.” Follow the child’s lead. Use PRIDE skills:
- Praise the behavior you want: “Thank you for sharing the blocks.”
- Reflect speech to show you are listening.
- Imitate appropriate play to join, not control.
- Describe actions: “You’re putting the red piece on top.”
- Show Enthusiasm to make your attention the best reward.
This short burst of CDI fills the connection tank, lowers arousal, and eases the shift into routine. It is not negotiable screen time or a bribe. It is targeted attention that makes the rest of the evening smoother.
PDI in real life: Calm, clear, consistent
Once connection is in place, move to PDI during play.
- State one clear command. “I want to build a new tower. Please hand me the blue block.” One step, calm tone, eye level.
- Wait 5–10 seconds. If your child complies, give labeled praise: “Thank you for listening right away!”
- If not, give a brief choice with a known consequence. “If you don’t hand me the blue block, you will need to sit in the time out chair.”
- Follow through. Keep words few, tone steady, and consequence brief.
Repeat this sequence across during play. Gradually, with the therapist’s support, parents learn to generalize these steps to more challenging times of the day. Consistency teaches that directions mean the same thing every time.
A simple after-school map
Use this template and adjust to your home.
- Arrival and CDI special play (5 minutes)
- Snack and water
- Homework start cue with a one-step PDI command
- Short work block, short movement break
- Free play or activity
- Cleanup with first–then visual
- Dinner, bath, bedtime routine
Add visual aids at each step. A first–then card and a simple picture schedule reduce arguing and help kids stay focused.
When ADHD is in the mix
For people with ADHD, inhibition and working memory are inconsistent. They may know the rule but cannot execute it in the moment. PCIT does not shame lagging skills. It sets the environment to help the brain succeed. Commands are shorter. Steps are single and multi step tasks are broken down. Praise is immediate and specific. Consequences are predictable and quick. The structure supports the prefrontal cortex systems that manage attention, flexibility, and self-control.
What PCIT looks like
- Session 1–4: Baseline observation, goals, CDI teaching, and first coaching sessions.
- Session 5–8: CDI practice, daily home “special play,” PDI introduction on one routine (often homework start or cleanup).
- Session 9–15: Generalize PDI to other hot spots. Add simple visual aids.
- Session 15+ : Troubleshoot specific behavioral problems, fine-tune consequences, and plan for school handoffs.
Between sessions, families complete short home practices. We review progress data and adjust in real time.
Common roadblocks and fixes
- “My child escalates with commands.” Return to CDI for five minutes to reconnect, then give one calm command with a small, immediate reward for success.
- “They ignore me unless I raise my voice.” Lower the word count. Stand close. Use one-step commands and deliver praise within two seconds of compliance.
- “Transitions are the worst.” Preview with a two-minute warning and a first–then card. Start with only one or two required transitions, then expand.
- “Siblings set each other off.” Run CDI 1:1 with each child during the week. Use PDI commands per child to prevent cross-talk and confusion.
What changes first
Most families notice faster task starts, shorter tantrums, and more “yes” moments within a few weeks. Parents and children argue less because the pattern is predictable. Kids get better at emotional regulation because they know what happens next. Parents report lower stress because decisions get simpler.
How we support parents
Our goal is to support parents, not judge them. We coach parents to use scripts that work under pressure and to keep commands brief and neutral. We build simple data sheets so progress is visible. We collaborate with teachers and caregivers so gains carry into aftercare and class.
If you have an IEP or are navigating special education, we can share PDI language and routines with school staff to align expectations.
Getting started in NYC
Our PCIT therapists deliver parent child interaction therapy in person and via telehealth. We tailor CDI and PDI to your home layout, your schedule, and your child’s triggers. We also coordinate with other services when needed.
- PCIT for children ages 2–7
- Live coaching sessions with clear take-home plans
- Collaboration with schools and caregivers
We serve families across Manhattan, Brooklyn, Queens, and nearby communities.
Ready to turn after-school chaos into a manageable evening routine?
Schedule Parent Child Interaction Therapy with Manhattan Psychology Group. We will teach parents CDI and PDI that work in real life, reduce disruptive behaviors, and strengthen the parent child relationship. Support is available in Manhattan, Brooklyn, Queens, and surrounding areas.
When school is busy and time is short, families and educators need a simple plan for using ABA in the classroom. The goal is not to add more work. It’s to make the learning environment calmer, clearer, and more predictable so students succeed—academic and social. Below is a practical guide for partnering with teachers using manageable steps that fit real classrooms.
If you want hands-on support, our team partners with NYC schools—including board certified behavior analysts (BCBA)—to streamline plans for families in Manhattan, Brooklyn, Queens, and surrounding areas.
Start with a shared purpose
Open with the why: a better educational experience for the student and smoother days for staff. Keep the focus on functional goals that matter in classroom settings (following instructions, task initiation, group work, transitions). For students with autism spectrum disorder and other learners who benefit from structure, clarity creates a supportive path to participation.
Spell out a one-sentence success statement: “By October 1, the student starts independent work within two minutes after instruction in three of four opportunities.”
Build the team and the communication loop
Effective school ABA is a team sport. That team can include teachers, related service providers, and your clinical partners—including Board Certified Behavior Analysts (BCBA). Agree on regular meetings (15 minutes every two weeks) and keep open communication channels with one shared doc or quick check-in email template. Prioritize regular communication that is brief, consistent, and focused on what’s working.
This structure reduces guesswork and supports tailored interventions that match the classroom flow.
Turn goals into manageable steps
ABA works best when goals are broken down. Convert big skills into teachable components:
- Task initiation: cue, materials ready, first action started
- Sustained attention: work block length, quiet hands, eyes on materials
- Communication skills: asking for help, requesting a break, self-advocacy script
For children with Autism Spectrum Disorder (ASD), this approach transforms abstract expectations into clear, doable actions. We use strategies ensuring consistency across staff and periods so skills generalize.
Classroom-friendly ABA strategies teachers actually use
Keep tools simple and teach staff how to run them in under five minutes.
- Visual supports. Schedules, first–then boards, and checklist cards reduce verbal load and help the student track steps independently.
- Positive reinforcement. Define the target behavior, select meaningful reinforcers, and deliver quickly. Use specific praise: “You opened your notebook within two minutes. Nice start.”
- Token systems. Five tokens earn a pre-agreed reward (choice time, classroom job). Fade as skills stick.
- Prompting and fading. Start with the least intrusive prompt. Plan the fade to protect independence.
- Behavior momentum. Start with two easy tasks, then the tougher one.
- Self-management. Student marks their own work blocks and earns a brief break.
These are core aba strategies from applied behavior analysis aba therapy adapted for school routines.
Make data your ally (without drowning in it)
Decisions should be guided by data collected, not hunches. Keep it light:
- Choose 1–2 behavior definitions (e.g., “starts work within two minutes”).
- Use quick tallies or a 0/1 per period sheet.
- Review data during regular meetings and adjust: increase cues, tweak reinforcers, or change task length.
When the plan is clear and the data collected is simple, staff buy-in goes up and changes are faster.
Build a predictable routine that fits the room
A good plan respects the teacher’s reality. Align supports to natural moments:
- Before work: check the visual supports, state the goal, confirm the reinforcer.
- During work: brief, specific praise and a token when criteria are met.
- After work: quick reflection—what worked, what to try next—then back to instruction.
This flow creates a supportive rhythm that doesn’t derail instruction.
Solve common sticking points
- “Rewards are disruptive.” Move to quieter reinforcers (choice of seat, job, brief computer time with headphones) and deliver at natural breaks.
- “Too many prompts.” Plan prompt fading each week; reinforce independent steps more than prompted ones.
- “It works with one teacher, not others.” Share the one-page plan and run a brief huddle—regular communication builds consistency.
- “Behavior spikes during transitions.” Add a mini-schedule, assign a transition role, and pre-cue the next step.
Keep families in the loop
A single page home–school note with two metrics (e.g., “work start time” and “break requests”) keeps everyone aligned. Families can mirror supports at home for homework, strengthening communication skills and generalization.
When to bring in extra support
If progress stalls, ask for a brief observation and plan review by your clinical team—including board certified behavior analysts bcbas. They can refine tailored interventions, model strategies in real time, and adjust reinforcement or prompting. This collaboration often unlocks gains in both academic and social participation.
How we can help
Manhattan Psychology Group partners with schools to implement practical ABA in classroom settings without overwhelm. Our clinicians coordinate with teachers, run quick trainings, streamline data collected, and coach plans that fit busy rooms. We also align ABA with speech, OT, and counseling goals so the whole educational experience points in the same direction.
If your student needs a clear, doable plan, we can help you map manageable steps, set up visual supports, and establish regular communication routines that stick. Services available across Manhattan, Brooklyn, Queens, and nearby communities.
Ready to collaborate without the chaos?
Connect with our team to set up a school plan that creates a supportive path for students with Autism Spectrum Disorder (ASD) and other learners. We’ll bring the team, the tools, and the coaching—so your classroom uses ABA that works and lasts in New York City.
Planner skills are not just about homework. They are core life skills that drive academic success, independence, and confidence. This six-week playbook will help you teach executive functioning in a way students will actually use. It targets time management, planning organization, working memory, study skills, and problem solving for grades 3–12, with quick adaptations by age.
If you want a custom plan, our executive function coaches work with students across Manhattan, Brooklyn, Queens, and surrounding areas.
Week 1: Set up the system students will use
Goal: make the planner a daily tool that lightens working memory.
- Choose one capture tool. Paper planner, digital calendar, or pages from an executive functioning workbook.
- Daily capture routine. Record homework, tests, projects, practices, and commitments during last period or right after school.
- Two anchors. Morning glance before school and evening 3-minute review.
- Format by grade:
- Grades 3–5: one-page daily view with checkboxes.
- Grades 6–8: weekly view with subject columns.
- Grades 9–12: weekly view plus a monthly calendar.
Coach script: “Write it down first to stay focused later.” The planner is the brain’s external hard drive.
Week 2: Time management and time estimation
Goal: connect tasks to realistic minutes.
- Estimate time next to each task. Train a quick guess, then check actual time to calibrate.
- Set a fixed wake up time and homework start time. Consistency reduces friction.
- Use 20–30 minute work blocks with short movement breaks.
- Color code by subject or priority.
Adaptations:
- Grades 3–5: use stickers for each finished block.
- Grades 6–8: teach a simple 3-tier priority (must, should, could).
- Grades 9–12: add weekly time budgets for each class.
Week 3: Planning organization for projects
Goal: break big tasks into steps you can see.
- Backward plan from due dates. List milestones and schedule each one.
- Use a one-page project sheet. Title, materials, steps, dates, and a teacher check-in.
- Add a visible parking lot for questions and obstacles to build problem solving.
Adaptations:
- Grades 3–5: teacher signs the plan.
- Grades 6–8: attach rubrics and highlight must-have criteria.
- Grades 9–12: include research tasks and source check deadlines.
Week 4: Study skills that actually boost recall
Goal: replace rereading with retrieval.
- Two-pass review rule. Short retrieval practice the day you learn it and again two to five days later.
- Use tested executive functioning activities:
- Retrieval cards: question on the front, answer on the back.
- Brain dumps: write everything you remember, then check gaps.
- Mix and match: practice two subjects in one session to improve transfer.
- Build a test map one week out. Identify units, formats, and point values.
Adaptations:
- Grades 3–5: teacher-made question cards.
- Grades 6–8: student-made flashcards with weekly quizzes.
- Grades 9–12: past tests for spaced practice plus self-grading.
Week 5: Routines that protect attention
Goal: help students stay focused without constant reminders.
- Start-up checklist. Open planner, list top three, set timer, start.
- Distraction plan. Phone in another room, closed tabs, one notebook out.
- End-of-day reset. Pack bag, check tomorrow’s entries, set clothes, sleep alarm.
- Build executive habits slowly. Tie each new step to an existing routine like brushing teeth to literally build executive capacity.
Adaptations:
- Grades 3–5: visual checklist on the desk.
- Grades 6–8: timer plus movement break every two blocks.
- Grades 9–12: self-monitoring log of distractions and fixes.
Week 6: Problem solving and self-advocacy
Goal: students troubleshoot and communicate before things slide.
- Weekly review meeting. Ten minutes on Sunday to scan the week, adjust time budgets, and flag risk areas.
- Email template to teachers. One paragraph that states the task, the barrier, and the plan, then a clear question.
- Data check. Compare time estimates to actuals and adjust the next week.
Adaptations:
- Grades 3–5: parent prompts the Sunday meeting.
- Grades 6–8: student writes the plan, parent reviews.
- Grades 9–12: student leads, parent only audits for gaps.
Quick troubleshooting
- Planner is blank. Move capture to a set class or homeroom and have a teacher initial for two weeks.
- Tasks take twice as long. Shrink blocks and add more retrieval methods.
- Meltdowns with big projects. Return to Week 3’s project sheet, then schedule the first 10-minute starter step.
- Avoidance spikes. Use a 2-minute rule to initiate, then extend to 10 if momentum builds.
What to expect
Most students show gains in two to three weeks when the routine is daily. Families notice less nagging, fewer late assignments, and better time management. Over time, these planner skills generalize to chores, sports, and other life skills.
If your child needs more structure, our team can teach executive functioning with targeted coaching or use ABA-informed routines for task initiation. We also integrate strategies with therapy when anxiety or ADHD is in the mix. Sessions available in Manhattan, Brooklyn, Queens, and nearby communities.
Ready to build lasting executive functioning skills
Manhattan Psychology Group offers 1:1 coaching, small groups, and school collaboration to build executive routines that stick. We provide templates, an executive functioning workbook approach when helpful, and coaching that meets students where they are. Contact us to set up a plan that fits your child and your family in Manhattan, Brooklyn, Queens, and surrounding areas.
Resetting Sleep for School: Evidence-Based Strategies Kids Actually Use
When school starts, late summer nights collide with early alarms. For many school aged children, that means cranky mornings, daytime sleepiness, and slow starts. The fix is not luck. It is a plan that rebuilds the child’s sleep schedule before the first bell and protects sleep health all year.
If you want support tailoring a plan, our clinicians see families across Manhattan, Brooklyn, Queens, and surrounding areas.
How much sleep do kids need
Target hours of sleep each night:
- Ages 6–12: about 9–12 hours
- Teens: about 8–10 hours
Use these ranges to set a realistic child’s bedtime and wake up time for the school year.
Start the reset 10–14 days out
Shift in small steps to move sleep schedules earlier.
- Nudge bedtime and wake time 10–15 minutes earlier every 1–2 days.
- Keep changes daily rather than just on weekdays.
- Protect consistent bedtimes on weekends. One late night can undo progress.
If you need coaching to sequence the shift, our executive function specialists can help families in NYC build morning and evening checklists.
Anchor the body clock
Your body’s internal clock runs on cues. Use them.
- Morning light. Open blinds within 10 minutes of waking. Natural light advances the circadian rhythm and helps kids feel alert.
- Movement. A brisk walk or quick play session in the morning stabilizes energy.
- Meals. Serve breakfast soon after waking and set a regular dinner time. Meal timing reinforces the sleep-wake signal.
These basics improve both physical and mental readiness for the school day.
Build a bedtime routine kids will follow
A predictable bedtime routine reduces arousal and helps kids fall asleep on time.
- 60 minutes before bed: dim lights, stop homework, power down bright screens.
- 30 minutes: warm shower or bath, light snack if hungry.
- 15 minutes: the same quiet sequence nightly, like brush teeth, pajamas, read together, lights out.
Keep it short. If your routine drifts, write it down and post it where your child can see it.
Behavioral sleep tools that work
Use simple behavioral sleep strategies to boost success:
- Bedtime fading. If a child lies awake for long stretches, temporarily set bedtime closer to the time they actually fall asleep, then move it earlier by 10–15 minutes every few nights once they are falling asleep quickly.
- The bedtime pass. For kids who pop out of bed repeatedly, give one pass per night to use for a quick question or bathroom break. Praise staying in bed when the pass is unused.
- Response plan. If your child calls out, keep responses brief and calm. Repeat the same script each time.
For younger children, our PCIT clinicians coach parents in real time to reduce protest at bedtime and strengthen cooperation. Ask about sessions in Manhattan, Brooklyn, and Queens.
Set the room for sleep
Small environment tweaks pay off:
- Cool, dark, quiet bedroom. Consider blackout shades and a simple sound machine.
- Keep beds for sleep, not gaming or streaming.
- Remove visible clocks that prompt clock-watching.
These adjustments support healthy sleep habits and reduce daytime sleepiness.
Handle naps, caffeine, and late activities
- Limit naps after 3 p.m. for elementary students and avoid naps for teens unless sick.
- Skip caffeine after noon. Watch sports drinks and teas.
- If practices end late, offer a protein-forward snack and begin the shortened routine as soon as you get home.
Morning cues matter
Mornings set the next night’s sleep:
- Get out of bed at the planned wake up time even after a rough night.
- Build a quick activation routine: light, water, movement, and eating breakfast with protein.
- Walk or bike part of the commute when possible to reinforce the circadian rhythm.
Our team can help design realistic morning systems for NYC families juggling tight schedules.
Watch for red flags
Consult a pediatrician or sleep specialist if you see:
- Loud snoring, gasping, or very restless sleep
- Frequent night terrors or sleepwalking
- Persistent insomnia, severe daytime sleepiness, or mood changes
- Suspected health conditions like asthma, allergies, or reflux that disrupt sleep
If anxiety is driving bedtime battles, or if ADHD complicates routines, our therapists can integrate sleep work into treatment. We coordinate care across Manhattan, Brooklyn, Queens, and nearby neighborhoods.
Troubleshooting common hurdles
My child isn’t tired at the new time. Increase morning light and activity, pull screens earlier, and use bedtime fading for a week.
They wake at 3 a.m. and cannot return to sleep. Keep lights low, guide one brief reset strategy such as a breathing exercise, then back to bed. If it persists, check for pain, allergies, or stress.
Homework pushes bedtime late. Use executive function strategies: start earlier, chunk tasks, use timers, and set a hard stop to protect pediatric sleep. Reach out for coaching if evenings feel out of control.
Sports end at 8 p.m. Prioritize a compressed wind-down and consistent lights out. Consistency beats length.
Make a realistic plan
- Choose your target wake up time for the first day of school.
- Count back to set a target child’s bedtime that meets the needed hours of sleep each night.
- Map a 10–14 day step-down.
- Post the routine and practice it nightly.
- Track progress for one week, then adjust.
If you want a customized plan or help with follow-through, our clinicians provide sleep-focused visits, PCIT for younger children, ABA-informed routines for kids who need more structure, and executive function coaching for students. We serve families across Manhattan, Brooklyn, Queens, and surrounding areas.
A steady sleep reset is possible. With consistent cues, a simple routine, and the right behavioral sleep strategies, kids start the school year sharper and calmer. If your family needs extra support, contact Manhattan Psychology Group to build a plan that fits your home and your child. We are here for NYC families in Manhattan, Brooklyn, Queens, and nearby communities.
School readiness is more than letters and numbers. For young children, it’s the ability to follow directions, shift between activities, and manage big feelings. When those skills lag, mornings melt down and drop-off drags. Parent Child Interaction Therapy (PCIT) is an evidence based treatment program that targets these foundations for children ages 2–7. Delivered with live coaching, PCIT reduces tantrums, strengthens the parent child relationship, and builds cooperation that holds up in classrooms.
If your family needs a clear plan before or during the school year, our clinicians provide PCIT and PCIT training across Manhattan, Brooklyn, Queens, and surrounding areas.
What PCIT Is and Why It Works
PCIT is a short-term, behavioral, evidence based approach designed for children with behavioral challenges and behavior problems like defiance, aggression, or severe tantrums. Sessions take place with your child present while a therapist coach[es] parents in real time through a small earpiece. You practice specific skills while your child plays or completes simple tasks. The result is fewer problematic behavior patterns, better emotional regulation, and more positive behaviors tied to school success.
PCIT is an evidence based treatment backed by strong research for preschoolers and early elementary students, including those who struggle with transitions, sharing, waiting, and following directions.
The Two Phases: CDI and PDI
PCIT has two structured parts. Each phase targets a different component of school readiness.
1) Child Directed Interaction (CDI)
In Child Directed Interaction (CDI), you follow your child’s lead during play and use PRIDE skills:
- Praise specific actions: “You’re lining up the blocks so carefully.”
- Reflect speech to boost language and listening.
- Imitate appropriate play to join, not control.
- Describe behavior like a sportscaster to keep attention anchored.
- Show Enthusiasm to make positive attention the strongest reinforcer.
CDI calms the parent–child loop, grows attention span, and strengthens the parent child relationship. It also builds early communication and emotional regulation that children need for circle time, centers, and peer play.
2) Parent Directed Interaction (PDI)
In Parent Directed Interaction (PDI), you teach compliance and follow-through with:
- Effective commands: one step at first, calm voice, clear words.
- Choices and consequences that are brief and predictable.
- Consistent follow-through so directions mean the same thing every time.
PDI maps directly onto school demands: lining up, cleaning up, starting work, and shifting between tasks. The sequence is taught, rehearsed, and coached in real time until it is fluent.
How PCIT Prepares Kids for School
PCIT targets the exact moments that derail mornings and classrooms:
- Morning routine: get dressed, backpack check, out the door without power struggles.
- Separation: a short, predictable goodbye lowers protest at drop-off.
- Transitions: shift from play to cleanup to table work with fewer protests.
- Following directions: start tasks the first time, then expand to two-step directions.
- Waiting and sharing: practice tolerating delays and taking turns, essential for centers and group work.
Because the therapist coach[es] parents during these scenarios, gains generalize from in session to home and to school.
What Sessions Look Like
- Assessment and goal setting: we define target behaviors tied to school readiness.
- Weekly sessions: 45–60 minutes where we practice CDI or PDI while you receive real time prompts.
- Homework: 5–10 minutes of daily “special play” during CDI and short practice rounds of PDI routines.
- Progress tracking: brief metrics on compliance, tantrum length, and transition success guide pacing.
Most families notice fewer meltdowns and smoother transitions as skills consolidate. Many also report lower parenting stress because scripts are clear and disciplinary decisions become simpler.
The Skills You Learn
PCIT focuses on specific skills that turn chaos into structure:
- Positive parenting sequences that make attention a tool, not a trap
- Labeled praise that outcompetes nagging
- Ignoring minor off-task behaviors to starve it of fuel
- Giving effective commands and following through with them
- Staying calm and predictable even when your child escalates
These skills are teachable, rehearsed, and strengthened with PCIT training until the parent can run them independently without coaching.
When PCIT Is a Fit
Consider PCIT if your child:
- Has daily tantrums that last longer than you’d expect for their age
- Refuses transitions like leaving the house, getting in the stroller, or moving to table work
- Hits, throws, or screams when frustrated
- Struggles with teacher directions or peer play
- Needs a school readiness plan tied to behavior, not just academics
PCIT pairs well with other services. For some families, our team coordinates with speech, OT, or ABA so positive behaviors are reinforced across settings. We can also align with preschool or elementary staff to carry skills into the classroom.
Why Parents Feel Better Too
A big driver of parental stress is uncertainty. PCIT replaces guesswork with a clear treatment program and a coach in your ear. You will know exactly what to say, when to praise, when to ignore, and how to reset. Families often describe evenings that used to spiral as predictable and calmer within weeks.
Getting Started in NYC
Manhattan Psychology Group provides Parent Child Interaction Therapy (PCIT) for children ages 2–7 and coach[es] parents through PCIT training until gains hold at home and school. We deliver sessions in person and via telehealth adaptations, with measurable goals tied to school readiness.
- In-person and telehealth options across Manhattan, Brooklyn, Queens, and surrounding areas
- Collaborative planning with schools to carry CDI and PDI strategies into class routines
- Parent handouts and quick-reference cards to keep CDI and PDI skills top of mind
A Simple Plan for Fewer Tantrums and Better Transitions
PCIT is practical, structured, and built for the moments that matter before and during school. This evidence based approach helps young children learn to cooperate, regulate, and follow directions while giving caregivers the tools to respond with confidence.
If your family is ready for calmer mornings and smoother drop-offs, reach out to schedule PCIT training with our team in Manhattan, Brooklyn, Queens, and nearby communities. We’ll help you apply CDI and PDI to your child’s day so that school can begin easier and stay on track.
October is ADHD Awareness Month, a good time to focus on the skills that consistently improve daily life for people with ADHD. Executive function skills sit at the center. When they work, kids and teens can plan, organize, start, and finish tasks. When they lag, executive dysfunction shows up as missed assignments, impulsive actions, and chronic stress at home and school.
If your child needs a targeted plan, our clinicians provide executive function coaching, ABA-informed routines, and therapy across Manhattan, Brooklyn, Queens, and surrounding areas.
Why executive function matters:
Executive function lives largely in the prefrontal cortex. It drives three core abilities:
- Inhibition. Pause and choose before acting, which reduces impulsive actions.
- Working memory. Hold information in mind while doing something else, like following multi-step directions.
- Cognitive flexibility. Shift strategies when a plan is not working, a key part of problem solving.
Weakness in any area can look like attention deficits, slow starts, emotional blowups, or losing track of materials. These executive function deficits are not laziness. They are skills that can be taught and strengthened.
What actually moves the needle:
Below are field-tested strategies that improve executive functioning for students in grades 3 through 12. They are simple, repeatable, and designed to stick.
1) Externalize time to build time management
Goal: Make time visible so the brain can plan.
- Use a large analog clock or visual timers during homework and morning routines.
- Estimate task time, then check the actual duration. Calibrate daily.
- Set fixed start times for homework and bedtime. Consistency beats motivation.
Why it works: the brain cannot manage what it cannot see. External time supports the ability to recognize how long tasks take, so students can prioritize and stay focused.
2) Map tasks into steps to reduce overload
Goal: Turn vague demands into doable actions.
- Break assignments into three to five multi-step chunks. Start with the first tiny action.
- Use a one-page project sheet: materials, steps, and dates.
- For long readings, preview headings and write a simple target like “finish pages 1–6 and write 3 notes.”
Why it works: smaller steps reduce avoidance and protect working memory. Students start sooner and finish more often.
3) Build a daily planning routine
Goal: Staying organized without constant reminders.
- Capture all tasks in one planner. Morning glance and 3-minute evening reset.
- Color code by class or priority. Keep the same system all year.
- Sunday preview. Scan the week, set targets, and block time for heavy nights.
Why it works: predictable routines free the body and mind from decision fatigue and support time management.
4) Use visual aids to anchor attention
Goal: Keep the plan in view so behavior follows.
- Post a short visual checklist at the desk: open planner, top three, timer on, start.
- Use “first, then” cards for younger students and quick cue cards for older students.
- Keep a visible “parking lot” for questions to ask teachers.
Why it works: visual aids reduce verbal load and help students reorient quickly after distractions.
5) Train start-up and shutdown routines
Goal: Reduce friction at the two hardest moments.
- Start-up: open planner, list top three, set timer for 20–25 minutes, begin.
- Shutdown: pack bag, check tomorrow’s entries, set clothes and materials, lights out.
Why it works: strong bookends contain the day. Students stay focused better when the beginning and end are automatic.
6) Upgrade study skills with retrieval, not rereading
Goal: Learn in ways that stick.
- Use retrieval practice. Cover notes and explain from memory, then check gaps.
- Spaced review. Short sessions two to five days after learning beat cramming.
- Mix subjects in one session to strengthen problem solving and flexibility.
Why it works: retrieval strengthens the neural pathways the prefrontal cortex relies on for on-demand recall.
7) Pair emotion regulation with task demands
Goal: Prevent meltdowns and quitting when work feels hard.
- Teach a two-step reset: name the feeling, then one action like five slow breaths or a short walk.
- Use “effort praise” tied to process, not outcomes.
- Set a 2-minute start rule. Begin for two minutes, then decide to continue or switch strategies.
Why it works: emotion regulation skills lower threat responses so students can engage the thinking brain.
8) Make materials management automatic
Goal: Less searching, more doing.
- One home base for school supplies. One notebook or folder per class.
- End-of-day two-minute sweep of the backpack and desk.
- Keep chargers and tech in a fixed spot.
Why it works: every lost item taxes working memory and derails time management.
Troubleshooting common hurdles
- “My child knows what to do but cannot start.” Shrink the first step and use a visual timer. Add a brief countdown and immediate praise for starting.
- “Explosions during homework.” Reduce task size, add a reset strategy, and move heavy subjects earlier in the evening.
- “They forget directions constantly.” Ask teachers for written cues and permission to photograph board instructions. Teach the child to repeat directions back to check understanding.
- “Planner stays blank.” Tie capture to the same class daily. Have a teacher initial for two weeks, then fade.
If these patterns persist, consider a deeper look at executive function deficits, anxiety, or learning differences. Our team can coordinate with schools to align plans across settings.
How coaching helps
Effective coaching does more than share tips. It builds habits and self-awareness.
- We assess strengths and gaps, then target two or three high-yield behaviors.
- We practice routines in session and assign short at-home drills.
- We teach students the ability to recognize early warning signs like fidgeting, blank staring, or endless “set up” rituals, then use quick resets to return to task.
For younger children, ABA-informed strategies help shape routines. For older students, we focus on independence and self-advocacy.
What to expect
With daily practice, most families see gains within two to three weeks. Mornings run smoother. Homework time shortens. Grades improve as students apply executive function skills that support academic success. The goal is not perfection. The goal is steady progress in how students plan, organize, follow multi step tasks, and recover when they get stuck.
We’re For You
If your child is struggling with time management, staying organized, or regulating impulsive actions, we can help improve executive functioning with a plan that fits your home and school. Manhattan Psychology Group offers executive function coaching, therapy, and collaboration with teachers across Manhattan, Brooklyn, Queens, and nearby communities. Contact us to build a targeted routine your child can use today, this semester, and beyond.
The return to school can stir up worry for many kids. New classrooms, changing routines, and social pressures can trigger school anxiety, separation anxiety, and even school refusal. The goal is to help your child feel steady, supported, and ready. Use this therapist-built checklist to reduce stress and help your child feel more in control as the school year begins.
If you want guidance tailored to your child, our team serves families across Manhattan, Brooklyn, Queens, and surrounding areas. Reach out to schedule with one of our clinicians.
1) Reset routines weeks before school starts
Start small, then build.
- Shift bedtime and wake times 10–15 minutes earlier each day in the weeks before school starts.
- Rehearse the morning routine. Dress, pack, and leave the apartment at practice time.
- Front-load regulation. Include movement, water, and eating breakfast with protein.
Tip: Preview the commute. A quick dry run can cut first-day jitters.
2) Name the worry and normalize it
Kids need language for feeling anxious.
- Use simple scripts: “Lots of kids feel nervous before the school season.”
- Teach a calm breathing drill your child can do anywhere.
- Pair feelings with a plan: “When I notice my stomach flip, I press my feet to the floor and take three slow breaths.”
If anxiety persists or escalates, our mental health professionals can help. We see families in Manhattan, Brooklyn, Queens, and nearby neighborhoods.
3) Practice goodbyes to reduce separation anxiety
Predictable rituals lower stress at drop-off.
- Create a short goodbye routine. Hug, mantra, go.
- Use a transitional object for younger kids, like a small token.
- Avoid long, uncertain exits. Consistency reduces separation anxiety and lowers the risk of school refusal.
For toddlers and preschoolers, PCIT strategies can strengthen cooperation and soothe transitions. Ask about in-person and telehealth options in NYC.
4) Build a support team at school
Open communication makes a difference.
- Email the teacher before the first day with two strengths and two triggers.
- Introduce your child to the school nurse, counselor, or dean. Identify a safe space for quick reset breaks.
- Share any coping plans so staff can model and prompt them.
If your child has struggled with avoiding school in the past, set up a morning check-in routine with a trusted adult for the first two weeks.
5) Create a simple coping toolkit
Keep tools accessible and teach when to use them.
- Breathing card with steps.
- Fidget that is quiet and teacher-approved.
- A grounding list: five things I can see, four I can touch, three I can hear.
- A small snack and water bottle to steady energy.
Practice after dinner, not just in the moment of stress.
6) Use exposure, not escape
Avoid the trap of rescue routines that accidentally reward staying home.
- If your child is feeling anxious, break down the school demand into small steps. Get dressed. Walk to school. Step inside, even briefly.
- Praise effort over outcome. “You walked in even though it was hard. That is brave.”
If morning battles are taking over, our clinicians can coach you through graded exposure. We offer sessions across Manhattan, Queens, and nearby communities.
7) Tighten sleep and screen habits
Sleep supports emotion regulation and attention.
- Set screens to off one hour before bedtime.
- Keep wake time consistent, even on weekends.
- Pair bedtime with a short, predictable routine. Read, stretch, lights out.
Poor sleep can mimic anxiety and depression symptoms and intensify school anxiety. Address sleep first, then reassess.
8) Fuel the brain
Blood sugar dips can look like worry or irritability.
- Prioritize eating breakfast with protein and complex carbs.
- Pack snacks that sustain energy.
- Hydration matters.
If your appetite is low in the morning, try portable options like yogurt drinks or egg bites.
9) Plan the first two weeks
Front-load structure while new habits form.
- Use a visual schedule for mornings and after school.
- Keep afternoon plans lighter the first 10 school days.
- Practice the backpack routine at night to reduce morning decisions.
Executive function challenges often flare in September. Our executive function coaching teaches planning, time management, and task initiation to reduce morning stress. Coaching available across NYC.
10) Script social starts
Uncertainty with peers fuels worry.
- Role-play three openers for recess or lunch.
- Set one specific social goal per day, like greeting a classmate or asking to join a game.
- Celebrate attempts, not perfection.
11) Watch for red flags that warrant extra support
Call your pediatrician or a therapist if you notice:
- Persistent school refusal beyond a few days.
- Daily stomachaches or headaches without a medical cause.
- Panic-level distress at drop-off.
- Sleep disruption, ongoing irritability, or signs of anxiety and depression.
- Escalating avoidance, like hiding, barricading, or refusing to leave the home.
Our team coordinates with schools and mental health professionals to build a clear plan. We provide therapy, ABA support for school routines, PCIT for younger children, and executive function coaching for students. Appointments available in Manhattan, Queens, and surrounding areas.
12) Partner with the school nurse and counselor
Make supports visible.
- Share your child’s coping card with the school nurse.
- Set a brief check-in after the first week.
- Ask about a quiet space for short regulation breaks, then plan how to return to class.
13) Keep communication simple and steady at home
- One instruction at a time.
- Specific, labeled praise for brave behavior.
- End the day with a two-minute “rose, thorn, bud” check-in to keep open communication flowing.
A steady start is possible
With preparation, collaboration, and consistent routines, most kids settle in. If your family needs extra support, we are here to help. Schedule a consultation with Manhattan Psychology Group in Manhattan, Queens, and nearby areas. Together we can make the first weeks smoother and help your child feel more in control of the school year ahead.
If you’ve ever wondered how therapy actually works to change how you feel or act, Behavioral Therapy 101 is a good place to start. One of the most widely used, evidence-based approaches in mental health care today is Cognitive Behavioral Therapy (CBT)—a structured, goal-oriented treatment that focuses on the connection between your thoughts, feelings, and behaviors.
At Manhattan Psychology Group, our experienced CBT therapists work with children, teens, and adults across New York City, including the Upper West Side, Upper East Side, and Downtown Manhattan. We help clients understand and shift patterns that contribute to emotional distress—and build strategies that support healthier coping and everyday functioning.
What Is Behavioral Therapy?
Behavior therapy is a treatment approach that focuses on observable actions. It’s rooted in the idea that behaviors are learned—and therefore can be unlearned or modified through specific strategies and reinforcement.
Cognitive Behavioral Therapy (CBT) takes it a step further by addressing how thoughts influence both emotions and actions. It helps clients identify unhelpful thinking patterns, challenge distorted beliefs, and build skills to respond differently to stress or emotional discomfort.
CBT emphasizes:
- Cognitive processing: Becoming aware of how your thinking impacts your mood and behavior
- Problem solving: Learning to break challenges down into manageable steps
- Action-based goals: Practicing new behaviors and thought patterns between sessions
Interested in learning how CBT works for your specific concerns? Manhattan Psychology Group offers individualized treatment plans across NYC, tailored to fit your needs and goals.
Who Can Benefit from CBT?
CBT is a versatile and research-supported therapy. It’s been proven effective for a range of mental health conditions, including:
- Anxiety and depression
- Obsessive-compulsive disorder (OCD)
- Post-traumatic stress disorder (PTSD)
- Panic disorder
- Social anxiety
- Eating disorders
- Sleep issues
CBT is also useful for stress management, anger issues, and improving relationships. In fact, many people without a formal diagnosis benefit from learning CBT tools to better understand themselves and manage life’s challenges.
What Happens in a Therapy Session?
In a typical therapy session using CBT, your therapist will work with you to identify current patterns of thought and behavior that may be contributing to distress. Together, you’ll:
- Set specific goals
- Learn skills to challenge negative thought patterns
- Practice behavioral strategies to face fears or break old habits
Between sessions, your therapist may assign “homework” to reinforce new skills—because real change often happens between appointments, not just during them.
There are also different forms of CBT to meet different needs. For example:
- Exposure therapy (often used for phobias or PTSD)
- Dialectical behavior therapy (DBT), which adds mindfulness and emotional regulation techniques
- CBT for insomnia (CBT-I)
Why CBT Works
One of the reasons CBT works so well is that it’s focused on what’s happening now. It doesn’t ignore the past, but it emphasizes building tools you can use today to feel and function better. The skills learned in CBT are portable and durable—meaning you can continue to use them long after therapy ends.
It’s also collaborative. Your CBT therapist isn’t just a sounding board; they’re a coach, helping you try new strategies, evaluate what’s working, and adjust your approach in real-time.
Getting Started
Whether you’re facing a specific issue like anxiety and depression, or you simply want to understand your behavior and thinking better, behavior therapy offers a structured, practical path forward.
If you’re ready to explore CBT, reach out to Manhattan Psychology Group today. We offer comprehensive behavioral therapy services across New York City, serving clients in the Upper East Side, Upper West Side, Downtown, and beyond.
Therapy doesn’t have to be open-ended or unclear. With CBT, you get a roadmap—and a partner—to help you make meaningful, lasting changes in your life.
Your twenties are often described as the “best years of your life.” But for many young adults, this period can feel more like a stretch of uncertain years than a highlight reel. Between career pressure, relationship changes, identity exploration, and financial stress, it’s no surprise that many in this age group report feeling lost, stuck, or emotionally overwhelmed.
At Manhattan Psychology Group, we work with young adults every day who are navigating this critical stage of life. If you’re in your twenties and struggling—whether you feel anxious, are feeling depressed, or are simply questioning what’s next—you’re not alone. In fact, the emotional highs and lows you’re experiencing are a recognized and important part of adult development.
Let’s talk about why your twenties matter, why you may be facing a mental health low point, and how you can take steps toward a happier and healthier future.
The Truth About Early Adulthood
Your twenties are not just a waiting room for real adulthood—they are real adulthood. The choices you make, the skills you build, and the emotional habits you form during this time lay the foundation for how you relate to work, relationships, and yourself for the long term.
Research shows that the brain continues developing well into the mid-to-late twenties, particularly in areas that govern decision-making, impulse control, and emotional regulation. That means this is a prime window for growth, but also a time when mental health disorders often first emerge or intensify.
It’s common during this time to:
- Reevaluate your identity and goals
- Struggle with transitions in relationships and family roles
- Feel uncertain about career direction
- Experience financial stress or instability
Many young people experience anxiety, depression, or burnout as they try to find their footing—and some experience a full-blown mental health crisis during this decade.
Why Mental Health Often Declines in Your 20s
While older adults may have more established routines and support systems, young adults in their 20s are still building those foundations. You might be living away from family for the first time, juggling multiple jobs, or navigating new romantic relationships. You may also feel immense pressure to “figure everything out” by age 25.
That pressure can be crushing, especially when paired with:
- Social comparison through social media
- Job instability or post-graduation uncertainty
- Lack of access to reliable mental health care
- Minimal education around emotional wellness
If this sounds familiar, the good news is that these experiences are valid—and support is available.
At Manhattan Psychology Group, we specialize in therapy for young adults across New York City, including the Upper East Side, Upper West Side, and Downtown Manhattan. Our team includes licensed therapists and developmental clinical psychologists who understand the unique challenges of early adulthood.
Signs You May Need Support
Not all stress or sadness points to a diagnosis—but chronic or intense symptoms shouldn’t be ignored. Common signs that therapy could help include:
- Persistent feelings of sadness or emptiness
- Trouble sleeping or sleeping too much
- Difficulty concentrating at work or school
- Avoiding social events or feeling disconnected from others
- Increased substance use or unhealthy coping strategies
Some young adults may be managing a formal anxiety disorder, depression, or another clinical issue. Others may not meet criteria for a diagnosis but still feel stuck or overwhelmed. Both deserve care.
What Therapy Can Offer
Working with a therapist in your 20s doesn’t mean you’re broken. It means you’re investing in your emotional toolkit—learning how to regulate emotions, communicate clearly, and build resilience during a difficult time.
Therapy for young people in early adulthood often focuses on:
- Managing anxiety and mood swings
- Navigating identity and life direction
- Improving relationships and boundaries
- Building confidence and decision-making skills
- Preventing burnout and improving work-life balance
Whether you’re in crisis or just know something feels off, our clinicians are here to help. Manhattan Psychology Group provides specialized services for young adults in the NYC metro area, including Midtown, Chelsea, and surrounding neighborhoods.
Why Getting Help Now Matters
Too often, mental health conditions in young adulthood go unaddressed until they escalate. But getting support early—before patterns become deeply ingrained—can make a significant difference in both short-term relief and long-term well-being.
The skills you build now won’t just help you today. They’ll shape how you approach your 30s, 40s, and beyond. Therapy now can help you become more self-aware, emotionally grounded, and confident—traits that benefit every stage of life.
Final Thoughts: It’s Okay to Need Help
If you’re feeling stuck, directionless, or emotionally overwhelmed, know this: It’s okay to need support. Seeking therapy isn’t a sign of failure—it’s a sign that you’re serious about showing up for yourself and your future.
If you’re ready to take that step, reach out to Manhattan Psychology Group today. We offer personalized, research-backed therapy for young adults throughout New York City, including services in Manhattan, Brooklyn, and beyond.
Your twenties matter—not because you have to have everything figured out, but because this is a powerful time to invest in your emotional health. Let’s navigate it together.
Even in the healthiest relationships, communication doesn’t always go smoothly. Partners may misread each other’s tone, make assumptions, or fall into familiar arguments. Over time, these communication traps can create frustration, resentment, and emotional distance—even when both people want to feel connected.
At Manhattan Psychology Group, we help couples across New York City—from the Upper West Side to Midtown—recognize unhelpful communication patterns and replace them with tools that support effective communication and emotional closeness. Whether you’re in a new relationship or have been together for decades, awareness and practice can go a long way in building stronger connections.
Common Communication Traps
Let’s explore a few of the most frequent pitfalls that couples encounter—and what to do instead.
- The Blame Game
When a conversation begins with blame (“You always…” or “You never…”), it often puts the other person on the defensive. This shuts down open dialogue and leads to a cycle of accusation and withdrawal.
Break the trap: Use “I” statements instead. Focus on how a person feels rather than what the other person did wrong. For example, “I felt hurt when I didn’t get a response to my message” invites discussion, not defense.
- Mind Reading
Assuming you know what your partner is thinking (“I know what you’re going to say” or “You don’t care about how I feel”) can shut down curiosity and breed misunderstanding.
Break the trap: Ask questions. Clarify rather than conclude. Real understanding begins with curiosity, not certainty.
- Stonewalling
Sometimes, one partner shuts down to avoid conflict or overwhelm. While this may feel protective, it often creates more emotional distance and leaves issues unresolved.
Break the trap: Take a break if emotions are high, but make a plan to return to the conversation. Let your partner know you need space—not that you’re checking out.
- Fixing Instead of Listening
Trying to solve your partner’s problems too quickly (“You should just…” or “Why didn’t you…”) can make them feel unheard or dismissed.
Break the trap: Practice active listening. Reflect back what you hear. Say, “That sounds really frustrating. Do you want support or advice right now?” This helps your partner feel understood before you move into problem-solving.
Why Communication Traps Happen
Communication issues aren’t just about words—they’re about emotion, timing, and habit. Many of us bring communication habits from childhood or past relationships. Under stress, we default to familiar patterns that may no longer serve us.
Communication in your relationship is less about being perfect and more about being present. Are you listening? Are you pausing before reacting? Are you giving your partner the benefit of the doubt?
At Manhattan Psychology Group, our therapists help couples in Manhattan—including the Upper East Side and Downtown—explore these questions in a supportive, nonjudgmental space. Through couples counseling, we help partners rebuild trust and connection through effective communication.
Practical Tools for Better Communication
Here are several strategies couples can use to improve how they communicate:
- Set a Regular Check-In
Weekly conversations without distractions can help couples address concerns before they escalate. Use this time to ask, “How are we doing?” or “What do we need more of right now?”
- Mirror Back
When your partner shares something vulnerable, repeat it back in your own words. This shows you’re listening and helps your partner feel heard.
- Avoid Absolutes
Phrases like “always” or “never” can make your partner feel boxed in. Instead, describe specific situations and how they made you feel.
- Stay on Topic
Don’t let one disagreement become an inventory of everything that’s ever gone wrong. Stay focused and respectful.
- Use Repair Attempts
Humor, affection, or a simple “Let’s try again” can de-escalate tension. The goal isn’t to win—it’s to reconnect.
If you’re noticing repeated communication traps in your relationship, couples therapy can help. Manhattan Psychology Group offers relationship support across NYC, including Midtown, Chelsea, and the Financial District.
When to Seek Help
Every couple hits rough patches, but if arguments are escalating or communication feels consistently strained, outside help can make a meaningful difference. Signs it might be time for couples counseling include:
- Frequent miscommunication
- Feeling distant or disconnected
- Ongoing resentment or unresolved conflict
- Avoiding important conversations
Couples communicate better when they feel emotionally safe and supported. Therapy provides that foundation and offers concrete tools to build trust, clarity, and closeness.
Final Thoughts: Change Is Possible
Improving communication in your relationship doesn’t require a total overhaul—just a willingness to pause, reflect, and try something new. The right skills can transform not just how you talk, but how you relate to each other.
If you’re ready to improve your communication and deepen your connection, contact Manhattan Psychology Group today. We provide expert couples therapy throughout New York City, serving the Upper West Side, Upper East Side, Downtown, and beyond.
You don’t have to stay stuck in the same arguments. With support, you can break the cycle and build a relationship where both partners feel understood, respected, and connected.