Description

What if that child’s “attention problem” isn’t ADHD or behavior at all—but a hidden vision challenge that’s been overlooked? In this episode of the Reflex Integration Through Play™ podcast, pediatric OT Kokeb McDonald uncovers the surprising link between visual skills, primitive reflexes, and attention, sharing research, real-life examples, and strategies every therapist and educator should know.

While many children (and adults) are referred for self-regulation or sensory issues, underlying visual skills—rather than vision clarity—may be the real culprit. Kokeb shares research linking visual problems to ADHD-like symptoms, explains how primitive reflexes impact vision and attention, and outlines what therapists should look for in holistic screenings. You’ll also learn practical ways to identify signs of visual fatigue, task avoidance, and postural challenges so interventions can be more effective from the start. This episode encourages therapists to consider vision as part of the “whole child” approach and provides resources to help you sharpen your clinical skills.

Episode Highlights -

01:00 – Why “visual” is different from “vision”

03:00 – Attention as a whole-body skill, not just cognitive

05:00 – How postural control and vestibular input affect focus

06:00 – Signs of visual attention challenges: gaze shifts, fatigue, distractibility

08:00 – Task avoidance and fine motor impacts

09:00 – How retained reflexes interfere with vision and attention

11:00 – The role of peripheral vision and spatial awareness in safety and anxiety

12:00 – Research linking visual problems to ADHD-like symptoms

14:30 – Why vision screening is part of RITP’s holistic approach

16:00 – Case example: attention challenges tied to visual deficits

17:00 – Importance of screening across all developmental domains

18:30 – Collaborating with specialists and educating parents

19:30 – Whole-child approach to attention: integrating vision screening into treatment plans