Child's Name ________________________________ Date __________ |
| ______ |
Difficulty handling transitions, shifting from one mindset or task to another (shifting cognitive set) |
| ______ |
Difficulty doing things in a logical sequence or prescribed order |
| ______ |
Poor sense of time |
| ______ |
Difficulty reflecting on multiple thoughts or ideas simultaneously |
| ______ |
Difficulty maintaining focus for goal-directed problem-solving |
| ______ |
Difficulty considering the likely outcomes or consequences of actions (impulsive) |
| ______ |
Difficulty considering a range of solutions to a problem |
| ______ |
Difficulty expressing concerns, needs, or thoughts in words |
| ______ |
Difficulty understanding what is being said |
| ______ |
Difficulty managing emotional response to frustration so as to think rationally (separation of affect) |
| ______ |
Chronic irritability and/or anxiety significantly impede capacity for problem-solving |
| ______ |
Difficulty seeing the “grays”/concrete, literal, black-and-white, thinking |
| ______ |
Difficulty deviating from rules, routine, original plan |
| ______ |
Difficulty handling unpredictability, ambiguity, uncertainty, novelty |
| ______ |
Difficulty shifting from original idea or solution/difficulty adapting to changes in plan or new rules/possibly perseverative or obsessive |
| ______ |
Difficulty taking into account situational factors that would suggest the need to adjust a plan of action |
| ______ |
Inflexible, inaccurate interpretations/cognitive distortions or biases (e.g., “Everyone’s out to get me,” “Nobody likes me,” “You always blame me, “It’s not fair,” “I’m stupid,” “Things will never work out for me”) |
| ______ |
Difficulty attending to and/or accurately interpreting social cues/poor perception of social nuances |
| ______ |
Difficulty starting conversations, entering groups, connecting with people/lacking other basic social skills |
| ______ |
Difficulty seeking attention in appropriate ways |
| ______ |
Difficulty appreciating how his/her behavior is affecting other people; often surprised by others’ responses |
| ______ |
Difficulty empathizing with others, appreciating another person’s perspective or point-of-view |
| ______ |
Difficulty appreciating how s/he is coming across or being perceived by others |
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©Center for Collaborative Problem Solving, 2007
All rights reserved |
