First and Then Card Visual As I have spoken about previously here, we also used a First and Then card. This was a visual to help our children cope with a task they found particularly hard or we would use to try and get the next task done quickly/avoid meltdown. Once they completed the First, they could have the Then (the motivator). The Then side could change as many times as necessary but the First card could not, until it was achieved. This is how we used visuals and ro