What's a typical scenario if your kid lacks executive function skills? Let me paint you a picture.
Meet Alex, a lively 10-year-old whose executive functioning skills are, well, a work in progress. Take a typical school morning: Alex's mom reminds him to pack his backpack five times, but he still manages to leave his homework on the kitchen table.
At school, his desk looks like a stationery store exploded – papers everywhere, missing pencils, and a lunchbox buried under a pile of notebooks. When the teacher gives a three-step math problem, Alex enthusiastically completes step one, gets distracted by a doodle on his desk, and forgets what he should do next.
Sounds familiar?
Executive function (EF) is a set of mental skills that help a person organize, and strategically plan for a future action or event. If a person lacks executive functioning skills, they may struggle with tasks requiring planning, organization, time management, and impulse control.
Kids with executive dysfunction often get labeled when instead, they have executive dysfunction symptoms or lack skill in self-regulation, organization, working memory, or strategic planning.
Understanding executive function skills, how they develop, and the neuroscience behind them is important for parents to help their children gain skills that will lead to greater success at school, at home, and in life.
The Role of the Brain in Executive Functions
Prefrontal Cortex and Executive Dysfunction
The prefrontal cortex, located at the front of the brain, is the part of the brain responsible for higher-level cognitive processes, including executive functions. Brain function develops gradually throughout childhood and adolescence, with significant maturation continuing into early adulthood.
This area of the brain plays a critical role in:
- Planning and Decision-Making: The prefrontal cortex helps individuals anticipate outcomes, set goals, and plan strategies to achieve them.
- Working Memory: It supports the ability to hold information in mind temporarily, manipulate it, and use it to guide behavior.
- Inhibition: The prefrontal cortex enables individuals to control impulses, resist distractions, and inhibit inappropriate responses.
- Flexibility: It allows for cognitive flexibility, enabling individuals to adapt to changing situations, switch between tasks, and solve problems creatively.
Children with executive function challenges often exhibit difficulties in one or more of these areas. These challenges can stem from various factors, including differences in cognitive development and mental processes, genetics, and environmental influences. For instance, mental health conditions such as ADHD, autism spectrum disorders, and certain learning disabilities can impact executive function abilities.
Learning EF Skills
The good news is that the brain exhibits plasticity, meaning it can change and adapt in response to experiences and interventions. Through targeted strategies, practice, and support, individuals can strengthen their executive function skills over time. This underscores the importance of early identification and intervention to help children and adolescents develop these critical cognitive abilities.
Understanding the relationship between executive functioning and the brain highlights how these skills are essential for success in school, work, and daily life. By supporting the development of executive function skills, we can empower individuals to navigate challenges, achieve goals, and thrive in their environments.
With patience and hope, parents can support kids and help them with task completion and improve their executive functions. To start, you can get my science-backed, step-by-step parent toolkit to help you understand executive dysfunction, help your children reset their behavior, and improve their organizational and task-completion skills.
What does the lack of executive function skills look like in children?
These often very bright kids aren't avoiding tasks on purpose; rather they often miss the why and how of tasks. That may be so confusing for most parents who see their kids have excellent skills during preferred interests but then struggle when they are bored. When younger children with executive function skills issues are interested and have skills in a task, they can often override their difficulties with concentrated effort.
The day-to-day tasks are challenging for kids who lack executive function skills because they don’t connect what they are learning or doing with a future event, goal, or end product. They can't “see” how the pieces connect to the big picture.
What are Good Executive Functioning Skills?
When we start thinking about what skills kids and teens need, then it is a lot easier to understand what skills they are missing to be successful. For those that have good executive functioning skills, they are able to start with visualizing the end goal or product and then work backwards strategically planning what they need.
Those with good executive function also have good self-awareness, meaning they can connect what they are doing and what actions they need to take with the environment around them. They don't rely on others to cue (or nudge) them; they have that internal awareness and clock to know what steps to take and in what order to get a task done in a timely manner.
Executive Functioning Skills Children and Teens Need To Be Successful at School and Home:
- Response Inhibition: The ability to think before you act.
- Working Memory: Holding information in memory while completing tasks.
- Emotional Control: Managing uncomfortable emotions.
- Flexibility: Ability to revise plans and adapt to change.
- Sustained Attention: Maintaining attention in spite of boredom, distraction or fatigue.
- Task Initiation: Starting projects in a timely manner.
- Planning/Prioritizing: Creating a roadmap to meet goals and one's ability to focus on what's important and what isn't.
- Organization: How one follows, creates and maintains systems.
- Time Management: Estimating time and also staying within limits and deadlines.
- Goal Directed Performance: Following through to completion of goal without distraction.
- Metacognition: Bird's eye view of situation and problem-solving.
- Stress Tolerance: How you view, manage, and recover from stress
How do Executive Functioning Skills Develop?
Executive functioning skills develop over time with practice at doing skills both independently and with guidance. When children learn to connect with what they are doing right now, it matters to some future outcome, and then, they can develop good executive functioning skills.
Executive functioning can be divided into foundational and advanced skills. Logically, advanced skills can't develop without building a solid foundation, but often, in schools, they are the focus of an IEP, and at home, parents understandably try to teach these skills in an effort to help their child or teen manage tasks independently.
Play is a powerful way to enhance learning and brain development and, more specifically, enhance executive function (EF) skills. Play is how children explore their world and learn in both an explicit and implicit manner. Research shows that young children with well-developed executive functioning skills are an important predictor for later academic and life success (Gibbs et. al, 2021).
How to Improve Executive Function
Executive functions can be learned and improved with practice and support. While some children may naturally develop these skills over time, others may need additional help and strategies to strengthen their weak executive function skills and abilities.
Here are some ways to support the development of executive function skills:
- Structure and Routine: Establishing a consistent daily routine helps children who lack executive functions know what to expect and reduces the cognitive load of figuring out what to do next.
- Visual Aids: Use visual schedules, create checklists and planners. These tools can help children keep track of tasks and manage their time effectively. You can go creative and have fun with creating these visual aids. Giving them an active role can help improve executive functioning skills.
- Breaking Tasks into Steps: Teaching children to break larger tasks into smaller, more manageable steps can make it easier for them to initiate and complete activities.
- Modeling and Role-Playing: Demonstrating and role-playing various executive functions and strategies can help children learn and apply them in real-life situations.
- Positive Reinforcement: Providing praise and rewards for using executive function skills effectively can motivate children to continue practicing these behaviors.
- Mindfulness and Self-Regulation Techniques: Teaching children mindfulness and regulation techniques can help them manage their emotions and stay focused on tasks.
- Interactive and Engaging Activities: Games and activities that require planning, problem-solving, and memory can be fun ways to build executive function skills.
- Professional Support: Working with teachers, school counselors, or therapists can provide children with tailored strategies and interventions to improve executive function issues.
With patience, consistency, and the proper support, children can develop and enhance their executive function skills, as well as cognitive flexibility, leading to improved performance in school and everyday life.
What Parents Can Do to Build Executive Functioning Skills in Their Kids
Parents should focus on working on behavioral regulation and impulse control first because, without emotional and behavioral regulation, kids will struggle to learn those higher level skills. When a child struggles with stress tolerance or emotional and behavioral regulation, clinical issues such as anxiety, OCD, ADHD, autism, and depression should always be considered. It is very common for individuals to have a primary mental health issue or neurodevelopmental disorder.
Calming the brain is the place to start, as every kid can benefit from a regulated nervous system. Mindfulness activities such as breathing exercises and somatically connecting to the body are easy and effective ways to help your child be more alert and engaged. Physical exercise is also a great way to help them regulate.
Is executive function disorder a clinical issue?
Yes, executive function disorder (EFD) is considered a clinical issue. Assessment and diagnosis of EFD typically involve evaluating an individual's performance across various cognitive tasks, behavioral observations, and gathering information from multiple sources, such as parents, teachers, and caregivers. Interventions may include educational accommodations, behavioral strategies, and sometimes medication to address underlying conditions affecting executive functions.
Overall, executive function disorder is recognized as a clinical concern that requires appropriate evaluation and support to help individuals have strong executive functioning skills and navigate daily life more effectively.
How do you assess executive function?
Assessing executive function involves using standardized tests that measure specific cognitive abilities like working memory and inhibition. Behavioral checklists gather information from parents, teachers, or caregivers about daily functioning, focusing on organization, managing time, and emotional regulation.
Direct observation in natural settings provides insights into how individuals plan tasks, staying focused, and adapt to changes. Interviews with individuals and stakeholders offer qualitative perspectives on executive function strengths and challenges.
Comprehensive neuropsychological assessments and performance-based tasks further evaluate cognitive functions in controlled environments. These methods collectively help professionals understand an individual's executive function abilities, guide interventions, and support improved functioning in academic, social, and personal domains.
How can executive dysfunction affect mental and physical health?
Executive dysfunction can profoundly impact both physical and mental health. Physically, it can lead to challenges in self-care routines like hygiene and nutrition, as well as safety concerns due to impulsivity and poor decision-making.
Mentally, executive dysfunction often manifests in difficulties with emotional regulation, heightened stress and anxiety levels, and lower self-esteem. Socially, it can hinder relationships and contribute to social isolation.
Overall, these challenges can affect academic performance and later on in life, occupational performance.
What can a school do with students with poor executive functioning?
Schools can effectively support students with executive dysfunction by establishing structured routines and visual supports to aid in task management and organization.
Utilizing assistive technology and providing executive function coaching sessions further enhances skill development.
Collaborating closely with parents and using positive reinforcement strategies helps maintain consistency and motivation in applying these skills across different environments.
These efforts collectively create a supportive educational environment where students can thrive academically, improve mental health, and develop essential life skills for everyday tasks.
Can executive dysfunction be a sign of attention deficit hyperactivity disorder?
Yes, executive dysfunction can be a significant characteristic of Attention Deficit Hyperactivity Disorder (ADHD). ADHD is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity. This includes difficulties in planning, organizing tasks, managing time effectively, and controlling impulses.
These challenges can manifest in everyday activities such as completing homework assignments, maintaining routines, or following instructions. Additionally, individuals with ADHD may struggle with working memory, emotional regulation, and adapting to changes in their environment.
Citations:
Gibb, R., Coelho, L., Van Rootselaar, N. A., Halliwell, C., MacKinnon, M., Plomp, I., & Gonzalez, C. L. R. (2021). Promoting Executive Function Skills in Preschoolers Using a Play-Based Program. Frontiers in psychology, 12, 720225. https://doi.org/10.3389/fpsyg.2021.720225
Dr. Roseann is a mental health expert in ADHD and executive functioning who frequently is in the media:
- Mom Brain Podcast Changing the Way We Treat and View Children's Mental Health
- The DShe Knows 11 Products Moms of Kids With ADHD Swear By to Maintain Order in the Chaos
- ave Pamah Show (Video) 4 steps to building better coping skills and resilience
- Wellness Wikis The #1 Way to Get Kids to Behave Better
- Helping Children Thrive Podcast Benefits of Neurofeedback for children with ADHD
Always remember… “Calm Brain, Happy Family™”
Disclaimer: This article is not intended to give health advice and it is recommended to consult with a physician before beginning any new wellness regime. *The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge, LLC does not guarantee certain results.
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