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How Can Occupational Therapy Practitioners Integrate Social Stories Into Practice?

Aditi Mehra, DHSc, OTR/L

June 1, 2026

Question

How can occupational therapy practitioners integrate social stories into practice?

Answer

Social Stories serve as a therapeutic bridge between a client's understanding of social cues and their functional performance in daily routines. While often associated with psychology, OTs can use these stories to reduce cognitive load and promote independence in tasks like self-care, transitions, and classroom participation. Research indicates that the highest efficacy is achieved when these stories are individualized, written in the first person, and maintain a 2:1 ratio of descriptive to directive sentences. For the best results, OTs should treat the story as an adjunct tool within a holistic, multidisciplinary plan rather than a standalone intervention.

 

This Ask the Expert is an edited excerpt from the course, Social Stories For Occupational Therapy Practitioners, presented by Aditi Mehra, DHSc, OTR/L.

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aditi mehra

Aditi Mehra, DHSc, OTR/L

Dr. Aditi Mehra is a pediatric occupational therapist with over 25 years of experience across school, clinical, and educational settings. She holds a Bachelorʼs degree in Occupational Therapy from Western Michigan University and a Doctorate in Health Sciences from Midwestern University. During her doctoral studies, she also completed certification training in Behavior Analysis to further deepen her understanding of learning and behavior.

Dr. Mehra is the Director of the Chicago Fit Learning lab, where she integrates Precision Teaching and data-driven learning methodologies to support academic and developmental growth. She is also an Adjunct Professor at Lewis University and develops continuing education trainings for therapists and educators, with a focus on neurodiversity, learning, and AI-supported educational practices.

In addition to her clinical and educational work, Dr. Mehra is currently preparing her first published continuing education presentation and educational resources focused on innovative, evidence-based approaches in therapy and learning. 

 


Related Courses

Social Stories For Occupational Therapy Practitioners
Presented by Aditi Mehra, DHSc, OTR/L
Video

Presenter

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Course: #6942Level: Introductory2 Hours
  'There were a lot of examples on why this tool works, but also explained why it also doesn't work with other situations/clients'   Read Reviews
This session introduces occupational therapy practitioners to the core principles and structure of Social Stories™ based on Gray’s framework. Participants will review current evidence on their effectiveness, limitations, and factors that influence outcomes. We will highlight when Social Stories are most useful—such as for social behaviors, transitions, and self-regulation—and when other strategies may be more appropriate. Attendees will learn a clear step-by-step process for developing individualized stories and see how they can be paired with modeling, visual supports, and prompting to support generalization. The session concludes with a brief look at emerging digital and AI-enhanced social narrative tools shaping future OT practice.

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Positive reinforcement is an underused yet highly valuable strategy known to motivate students and expedite the learning process. TAGteach is an acoustic form of positive reinforcement utilized to expedite the learning curve in gymnasts, medical students, golfers, etc. Discover how this simple auditory cue can be applied to address handwriting goals faster in OT.