Originally Posted by rudolphia
 

Mike, we haven't started yet, but I will certainly do so when we get into it. What the therapist told me was they use visual and audible cues to prepare the kids for transitions - "In 2 minutes we're going to clean up and do this instead," and they set a timer or show a picture of what the clock will look like, since kids this age don't have the listening comprehension skills of an older kid. They also practice transitions ad nauseum throughout the hour-long appointment until the child starts to get it. This kind of intensive reinforcement is something parents can't do at home, but the parent can use the tools at home to reinforce the work that's being done in therapy.