Purpose 🎯

Help clients prepare for changes without treating a preference for predictability as a problem to eliminate.

Let’s Talk About It 🗣️

Choose an upcoming transition and map:

What Is Changing?

• Routine
• Location
• People
• Expectations
• Timing

What Do I Know?

• What will stay the same?
• What information can I get ahead of time?

What Might Be Hard?

• Sensory demands
• Uncertainty
• Task switching
• Social expectations

What Would Help?

• Visual schedule
• Advance notice
• Written instructions
• Transition object or routine
• Break
• Support person

Ask:

• What part of this transition feels most uncertain?
• What information would make it easier to prepare?
• What support would help you move through the transition?

If the Conversation Gets Stuck 💡

• What usually helps when plans change?
• What is one thing that will stay the same?
• What would make the first step easier?

Telehealth / Whiteboard Version ⚖️

Create a four-box transition map and fill it in collaboratively. Use icons or colors for predictable parts, uncertain parts, challenges, and supports.

Why This Works 🌱

Transition planning supports predictability, reduces cognitive load, and helps clients identify practical supports before changes occur.

Clinical Pearl 🧠

The goal is not to eliminate the client’s need for predictability. The goal is to build supports that respect that need while increasing flexibility when possible.

Documentation Language 📝

Therapist utilized a transition planning intervention to help client identify anticipated changes, areas of uncertainty, potential barriers, and supportive strategies.

Clinical Focus: Transition Support, Predictability, Coping Planning