A Resource for Teachers, Clinicians, Parents, and Students by the Brain Injury Association of New York State.
 
Problem: The student appears to have difficulty paying attention (focusing, maintaining attention, shifting attentional focus, dividing attention) in academic or other domains.
Please review the list of possible explanations to the problem. Click on a possibility to learn about relevant observations and experiments to further determine the source of the problem There are 4 categories: General Medical, Cognitive/Self-Regulatory, Behavioral, Social-Emotional

Click on "MORE" after any of these possible explanations to view suggestions for exploring that possible explanation.


General Medical Possibilities:

Medical #1: Medication side effect: Some students may have difficulty attending as a side effect of medication. MORE...

Medical Possibility #2: Medication interactions: Some students may have difficulty attending as a result of medication interactions.
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Medical Possibility #3: Hearing impairment: Some students may have difficulty attending as a result of hearing impairment. MORE...

Medical Possibility #4: Chronic pain. Some students may have difficulty attending as a result of being in chronic pain. MORE...

Medical Possibility #5: Fatigue: Some students have difficulty attending as a result of fatigue (e.g., insufficient sleep) MORE...

Medical Possibility #6: Seizures: In rare cases, impaired attending may be a result of subclinical seizures that may or may not be diagnosed. If seizures have not been diagnosed, but are suspected, a seizure evaluation should be recommended. When students with TBI evidence cognitive problems that are unpredictable and incompatible with the student’s normal behavior, consultation with a physician or neuropsychologist may help staff understand the source of the problem. If seizures are diagnosed, the prescribed medication regimen should be followed along with environmental management. MORE...

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Cognitive/Self-Regulatory Possibilities:

Cognitive/Self-Regulatory Possibility #1: Specific attention deficit: Some students may have a specific and isolated problem with components of attention. (See Tutorial on Attention.) MORE...

Cognitive/Self-Regulatory Possibility #2: Initiation impairment: Some students may have difficulty attending as a result of initiation impairment (frontal lobe injury). (See Tutorial on Initiation). MORE...

Cognitive/Self-Regulatory Possibility #3: Generally impaired self-regulation: Some students may have difficulty attending as a result of general difficulty with other aspects of self-regulation. (See Tutorials on Self-Regulation, Self-Awareness, Organization, Planning, Inhibition, Problem Solving.) MORE...

Cognitive/Self-Regulatory Possibility #4: Weak orientation to task: Some students may have difficulty attending as a result of uncertainty regarding what is required of them. (See Tutorials on Language Comprehension; Organization.) MORE...

Cognitive/Self-Regulatory Possibility #5: Organizational impairment: Some students may have difficulty attending as a result of organizational impairment. (See Tutorial on Organization.) MORE...

Cognitive/Self-Regulatory Possibility #6: Generally weak cognitive functioning: Some students have difficulty attending as a result of excessive demands placed on their memory, organizational ability, academic skill, or other cognitive ability. (See Tutorials on Cognition, Memory, Organization.) MORE...

Cognitive/Self-Regulatory Possibility #7: Inflexibility: Some students may have difficulty attending as a result of difficulty with change; they may be rigid and inflexible; they may have particular difficulty with novel versus routine tasks. (See Tutorial on Flexibility.) MORE...

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Behavioral Possibilities:

Behavioral Possibility #1: Oppositionality: Some students may appear to have difficulty attending as a result of oppositional behavior (See Tutorials on Oppositional Behavior; Behavior Management: Prevention Strategies). MORE...

Behavioral Possibility #2: Manipulativeness: Some students may appear to have difficulty attending as a form of manipulation (other than oppositional behavior). (See Tutorials on Manipulation; Behavior Management: Prevention Strategies.) MORE...

Behavioral Possibility #3: Attention seeking: Some students may appear to have difficulty attending as a way to seek adult and/or peer attention. (See Tutorials on Attention Seeking; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management) MORE...

Behavioral Possibility #4: Task avoidance: Some students may appear to have difficulty attending as a way to avoid specific tasks. (See Tutorials on Task Avoidance; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management.)
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Social-Emotional Possibilities

Social-Emotional Possibility #1: Depression: Some students may have difficulty attending because they are upset, depressed, and/or lack positive relationships with peers and/or adults. (See Tutorials on Depression; Peer Relationships.) MORE...

Social-Emotional Possibility #2: Anxiety: Some students may have difficulty attending as a result of anxiety. (See Tutorial on Anxiety.) MORE...

Social-Emotional Possibility #3: Frustration: Some students may have difficulty attending as a result of feeling frustrated. (See Tutorial on Frustration.) MORE...

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