This capstone describes a Master’s level occupational therapy course about executive functioning, attention and motivation in children and adolescents. In this course, students will examine concepts regarding executive functioning (EF) skills, and learn assessment and intervention strategies of EF challenges, including issues with children with attention deficit hyperactivity disorder. Finally, students will explore Self Determination Theory; the three psychological needs of autonomy, relatedness and competence; and the Synthesis of Child, Occupational Performance and Environment model. This course brings together concepts in childhood development; performance skills needed for school, play and self-care; and psychological and mental health with a strong focus on occupation and participation. These constructs and approaches holistically support children in all of their various occupations, particularly those involving academic and learning. The aim of this course is to provide entry-level therapists with a broader theoretical and intervention “tool-kit” to use in client-centered pediatric practice.