Blog

Michael Koffman Michael Koffman

Why Does My Child Behave at School but Fall Apart at Home?

If your child holds it together for six hours at school and dissolves the moment they walk through your front door, you are not imagining it and you are not doing something wrong. Clinicians have a name for this pattern: after-school restraint collapse.

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Michael Koffman Michael Koffman

Working Memory: The Hidden Skill Behind Following Directions

Working memory is the mental workspace that holds information just long enough to use it — the reason your child can hear “put your shoes on, and meet me at the car” and still be standing in the hallway holding one shoe. When a child chronically “doesn't listen,” the real issue is often not attention, or attitude. It is a working memory system that fills up faster than the world delivers instructions.

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Melissa McGraw Melissa McGraw

How Neuropsychological Testing Can Help You in the Workplace

If you've spent years feeling like you're working harder than your colleagues just to keep pace, missing deadlines despite genuinely trying, or hitting a ceiling you can't explain, the issue may not be effort, attitude, or fit. It may be a cognitive or attentional pattern that has never been identified — and one that a neuropsychological evaluation is specifically designed to uncover.

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Michael Koffman Michael Koffman

When Tutoring Isn't Working: What to Do Next

For some families, tutoring becomes a holding pattern rather than a solution. Month after month, session after session, the same gaps persist. The tutor is skilled. The child is putting in effort. The bills are adding up. And yet progress stays frustratingly out of reach.

If this sounds familiar, the issue may not be the tutor, the curriculum, or your child's effort. It may be that tutoring is the wrong tool for the actual problem.

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Michael Koffman Michael Koffman

When Sensory Sensitivities Affect Learning

Sensory sensitivities in children are more common than many parents and educators realize, and they are among the most frequently overlooked contributors to school-based struggles. When a child's sensory system is dysregulated, the cognitive bandwidth required for learning — attention, memory, processing, problem-solving — is simply not available in the way it needs to be.

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Michael Koffman Michael Koffman

Social Struggles vs. Social Anxiety: How to Tell the Difference in Kids

For some children, what looks like shyness or awkwardness runs much deeper. It gets in the way of friendships, schooling, and daily life in ways that don't simply resolve with time or encouragement.

So how do you know when your child's social struggles are typical development — and when they might signal social anxiety or another underlying challenge that deserves closer attention?

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Michael Koffman Michael Koffman

The Anxious Overachiever: When Doing Well Isn't Enough

Every parent's dream is a child who works hard, earns good grades, and takes their responsibilities seriously. So what happens when that same child can't sleep the night before a test? When they burst into tears over a B+? When they refuse to raise their hand in class unless they are absolutely certain they have the right answer?

Meet the anxious overachiever — a child who looks successful on paper but is quietly struggling underneath.

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Michael Koffman Michael Koffman

School Refusal: When “I Don’t Want to Go” Is More Than a Bad Morning

There is another kind of “I don’t want to go” — one that is louder, more persistent, and harder to explain. A child who cries every morning for weeks. Who complains of stomachaches that vanish by noon. Who begs, bargains, and falls apart at the threshold. Who, some days, simply cannot make it inside.

This is school refusal. And it is not a phase, a power struggle, or a parenting problem. It is a sign that something is genuinely wrong — and it deserves to be taken seriously.

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Michael Koffman Michael Koffman

When Anxiety Looks Like Defiance: Recognizing the Hidden Signs

For a significant number of children, what looks like defiance on the surface is anxiety underneath. And because anxiety in children rarely looks the way adults expect it to — quiet, tearful, visibly worried — it gets missed. Sometimes for years.

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Michael Koffman Michael Koffman

The Perfectionist Child: When High Standards Become a Barrier to Learning

From the outside, a child may look motivated, conscientious, and driven. Parents and teachers often admire the effort. But underneath that striving is something worth paying close attention to — because in many children, perfectionism is not a strength to be celebrated. It is a barrier quietly getting in the way of learning, growth, and wellbeing.

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Michael Koffman Michael Koffman

Burnout or ADHD? How Adults Can Tell the Difference

Burnout and ADHD share a striking number of surface symptoms, which makes distinguishing between them genuinely difficult — even for clinicians. But the distinction matters enormously, because the path forward looks very different depending on which one — or which combination — is actually driving your experience.

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