Due to a child’s life being very chaotic or overly structured before adoption, he/she may have a difficult time managing transitions or change. The smallest change in their environment may be overwhelming. Making the child’s life more predictable and alerting the child of upcoming events/ changes/transitions will help him/her feel more comfortable. If language is a barrier to effective communication, please consider using pictures or translators.


  • Someone coming or going from the home (child or anyone else)
  • Appointment (medical or other)
  • Starting child care or school
  • Moving too quickly from one activity to another