Executive Functioning

Attention

Some challenges:

  •  Selective attention: Choosing to focus on one task, object, or person and focus on it despite distractions.

  • Sustained attention: Continuously focusing on one task, object, or person despite distractions.

What does this look like?

  • Struggling to start focusing on an assignment, project, or task (like cleaning) or what someone is saying.

  • Struggling to stay focused on that assignment, project, task, or person.

  • Trouble following directions

  • Struggling to stay still at school, work, or other times when it’s expected. 

Possible Diagnoses:

  • Attention Deficit Hyperactivity Disorder (ADHD)

  • Dyslexia

  • Obsessive Compulsive Disorder (OCD)

Planning, Prioritizing, and Time Management

What are some challenges?

  • Organizing: Putting resources in an order that makes it easy to complete a task or understand information.

  • Prioritizing: Ranking tasks, thoughts, events, concepts, or people in order of importance.

  • Planning and decision making.

  • Time management: Planning how to best divide your time between activities and sticking to that plan.

  • Switching tasks

What does this look like?

  • Struggling to balance work, school, social, and home life.

  • Struggling to break down long-term projects and goals into smaller steps.

  • Struggling to prioritize short-term and long-term projects and goals and use that to make a daily schedule.

  • Struggling to make both small (what to eat or breakfast) and big decisions (where to go to college).

  • Struggling to stick to a schedule.

  • Becoming so intently focused that it’s hard to transition to new activities.

  • Often late to class, work, appointments, and social events.

  • Often misplacing objects.

Possible diagnoses:

  • Attention Deficit Hyperactivity Disorder (ADHD)

  • Nonverbal Learning Disability (NVLD/NLD)

  • Obsessive Compulsive Disorder (OCD)

Memory

What are some challenges?

  • Poor working memory: The ability to remember information and use it to complete a task. 

  • Poor visual memory: Helps recall information such as situations, objects, places, animals, or people.

  • Delayed verbal recall: The ability to remember specific information after a period of rest or distraction.

What does this look like?

  • Challenges multi-tasking.

  • Challenges temporarily holding information in the mind like what someone just said.

  • Challenges remembering people’s faces.

  • Getting lost because you don’t remember your surroundings or copying the necessary information takes more time.

Possible diagnoses:

  • ADHD

  • Nonverbal Learning Disability (NLD/NVLD)

  • Dyslexia (only #2)

  • Dyscalculia (only #4)

  • OCD

Possible Interventions

  • Work and school accommodations

  • ADHD/Executive Functioning Coaching

  • Medication for ADHD and/or anxiety when appropriate

  • Practicing mindfulness

  • Cognitive/Behavioral Therapy


Click on these links for references on interventions and conditions.

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