Executive Function Treatment

  • Have you tried timers, lists, etc. and found that they don’t help your child?
  • Are you constantly prompting him to do routine tasks?
  • Has tutoring or “talk therapy” not been effective in helping to build executive function skills? 
  • Do you feel like school doesn’t truly understand your child’s executive functioning challenges?
  • Do you want your son to be more independent and for you to stop acting as his executive functioning?
  • You are not alone!

Does this describe your son?

  • Struggles with feeling the passage of time or seems to have no sense of time
  • Has difficulty getting ready in the morning without constant prompts/reminders
  • Appears to lack situational awareness (ability to “read a room”)
  • Requires constant supervision to complete non-preferred tasks
  • Lacks motivation for anything that is not interesting to him
  • Over or under-estimates how long homework will take
  • Has difficulty transitioning off of video games/computers
  • Struggles to tell a story in a narrative format (clear beginning, middle, end)
  • Leaves belongings at various places
  • Struggles during less structured times (gym, recess)
  • Does homework but forgets to turn it in
  • Carries around too much in his backpack and never cleans it out 
  • Cannot do homework without constant supervision
  • Becomes angry when asked to do tasks that involve multiple steps
  • Gives too many details or irrelevant details when talking or writing

The root of executive functioning challenges has to do with three main areas: 
1. Using self-directed talk (inner dialogue)
2. Utilizing non-verbal working memory (the ability to visualize the future and create a plan to complete a future task)
3. Learning how to “feel” time as a concrete concept

Our approach to teaching executive functioning is about getting to the root of executive functioning weaknesses and building skills that have not developed naturally.  

We teach simple, kid-friendly skills and strategies which are not taught in schools or in traditional counseling/”talk therapy” including:

  • Developing self-directed talk (our inner dialogue required to get things done)
  • Learning how to visualize the future and create a goal-directed plan (improving non-verbal working memory)
  • Improving situational awareness (being on the “timeline” of what’s happening at a particular time & place and understanding next steps)
  • “Feeling” the passage of time to estimate how long tasks will take as well as how to self-monitor one’s use of time  
  • Doing homework in a time-efficient manner, based on one’s tolerance level for particular subjects
  • Develop a goal-setting approach to homework, motivating oneself to get through non-preferred tasks 
  • Become less prompt-dependent on parents/teachers and more independent

Executive function treatment is done in individual sessions with Ryan Wexelblatt, LCSW-Director.  Parents are present for all or a portion of the session, depending on age.  

Executive functioning weaknesses do not just go away with maturity.  Contact us below so we can help your son move from being “prompt-dependent” to independent.

Please contact us below to discuss next steps