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I think my son has executive dysfunction..now what?



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amother
OP


 

Post Wed, May 03 2023, 8:04 am
Hi all,

I've had this feeling for a while but my husband has kept convincing me over the years that my ds (10 yo) will grow out of it. But he's starting middle school next year and I really don't see how he's going to manage.

First off, he is very bright and well behaved in school. But his backpack, his locker, his room, are in a constant state of insanity. He gets distracted at the drop of a hat. Tell him to go brush his teeth and you'll find him wandering the hall with a Rubik's cube. Tell him we have to leave in 10 minutes and with 30 seconds to go he'll remember he has no socks and doesn't know where his shoes are. He gets very very mad when things don't go his way, and refuses to see other sides of the coin. I could go on, but my question really is- now what? What can I do to help him? Is there some kind of service/evaluation I should be doing? Is there a book I can read? I want him to succeed but these habits will only hinder that, and he's skated by in school so far but I don't want to wait until it gets harder and he can't keep up. Ty!
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amother
Opal


 

Post Wed, May 03 2023, 8:18 am
Generally an OT helps with executive functioning skills. Find a good one and it should make a big difference, as long as he buys in and cooperates

Often, executive dysfunction goes hand in hand with ADHD, so it's up to you if you want to get him evaluated and consider treating that.
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amother
Babypink


 

Post Wed, May 03 2023, 8:20 am
amother OP wrote:
Hi all,

I've had this feeling for a while but my husband has kept convincing me over the years that my ds (10 yo) will grow out of it. But he's starting middle school next year and I really don't see how he's going to manage.

First off, he is very bright and well behaved in school. But his backpack, his locker, his room, are in a constant state of insanity. He gets distracted at the drop of a hat. Tell him to go brush his teeth and you'll find him wandering the hall with a Rubik's cube. Tell him we have to leave in 10 minutes and with 30 seconds to go he'll remember he has no socks and doesn't know where his shoes are. He gets very very mad when things don't go his way, and refuses to see other sides of the coin. I could go on, but my question really is- now what? What can I do to help him? Is there some kind of service/evaluation I should be doing? Is there a book I can read? I want him to succeed but these habits will only hinder that, and he's skated by in school so far but I don't want to wait until it gets harder and he can't keep up. Ty!



sounds like my 6 yr old... no words following this thread
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justforfun87




 
 
    
 

Post Wed, May 03 2023, 8:39 am
Executive functioning disorder as stated above. My sweetheart 11 year old has this side to side with ADD. He is medicated and works with an executive coach to learn routines for keeping locker clean/morning routine/homework routine. The first thing she worked on with him was a morning routine with a picture chart of 5 easy steps and gave him a gift card when he completed the task. If I remember it was get up, clothes, neger vasser, eat breakfast, pack snacks. Something like that. Once he did that for 30 days straight it became routine and he is my best morning kid.
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oneofakind




 
 
    
 

Post Wed, May 03 2023, 8:46 am
Smart but Scattered
Great book
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amother
Maize


 

Post Wed, May 03 2023, 8:54 am
There are many people who may or may not know they have executive functioning challenges.

I was one of these people, who when your child's age in ~1990, I was off the charts academically but a mess organizationally.

There wasn't a name for it, etc. but ultimately I had to learn good organizational habits and figure out what worked for me. I was also fortunately to be in schools that in junior high really had a whole prescriptive organization for school textbooks and notebooks (by color), etc. and other things that kept a lot of seder for me to function well within because it was predictable.

Thankfully, today, there are a lot of resources and a name, for tips and tricks, etc in books and online, under the header of both executive functioning skills as well as ADHD tips, etc. (I don't have ADHD, but I'm probably on the spectrum--but I've been apparently masking well enough for long enough that no one would guess unless they really really know me, and even then they might be surprised.)

FWIW, despite my lifelong struggles with executive functioning, I've been successful academically, personally, and professionally. I know my strengths and weaknesses and I know what habits help me---which is true for anyone, we all have our ways and know what we do better or what we need to remind ourselves about etc etc etc.

I still get decision overload--I'm an organized person but clutter builds up because dispositioning things is a challenge, but I take care of it eventually (think every 4-6 weeks not necessarily daily) and I'm NOT a de facto hoarder.

Don't panic! Many folks struggle with this stuff, especially some of the most academically bright folks--because our heads are often in the "stuff" not in logistics by default.
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amother
Honey


 

Post Wed, May 03 2023, 8:58 am
They don’t grow out of it , they need help to learn to live with it.
Read the book mentioned above.
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amother
OP


 

Post Wed, May 03 2023, 9:33 am
amother Maize wrote:
There are many people who may or may not know they have executive functioning challenges.

I was one of these people, who when your child's age in ~1990, I was off the charts academically but a mess organizationally.

There wasn't a name for it, etc. but ultimately I had to learn good organizational habits and figure out what worked for me. I was also fortunately to be in schools that in junior high really had a whole prescriptive organization for school textbooks and notebooks (by color), etc. and other things that kept a lot of seder for me to function well within because it was predictable.

Thankfully, today, there are a lot of resources and a name, for tips and tricks, etc in books and online, under the header of both executive functioning skills as well as ADHD tips, etc. (I don't have ADHD, but I'm probably on the spectrum--but I've been apparently masking well enough for long enough that no one would guess unless they really really know me, and even then they might be surprised.)

FWIW, despite my lifelong struggles with executive functioning, I've been successful academically, personally, and professionally. I know my strengths and weaknesses and I know what habits help me---which is true for anyone, we all have our ways and know what we do better or what we need to remind ourselves about etc etc etc.

I still get decision overload--I'm an organized person but clutter builds up because dispositioning things is a challenge, but I take care of it eventually (think every 4-6 weeks not necessarily daily) and I'm NOT a de facto hoarder.

Don't panic! Many folks struggle with this stuff, especially some of the most academically bright folks--because our heads are often in the "stuff" not in logistics by default.


Ty for posting! Part of my concern is that his school really isn't on top of it at all. He's well behaved and gets through his tests well enough, and that's enough for them. None of the teachers have feelings to spare for his illegible handwriting, or poor organization, or general untidiness. So I'm realizing I will have to step up to figure out how to help him.

I'm so happy for you that you were able to learn these skills..my fear (if this is left unaddressed) is that he never will. I grew up with parents that never did and like you said, decades ago there was no name for it or resources at all so I grew up in a home where the bills were never paid on time, important documents were constantly misplaced, there was never clean laundry when you needed it, etc etc.

So it's encouraging to hear that there's hope he can learn to manage Smile
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amother
OP


 

Post Wed, May 03 2023, 9:34 am
oneofakind wrote:
Smart but Scattered
Great book


ty! Will check it out
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amother
OP


 

Post Wed, May 03 2023, 9:34 am
justforfun87 wrote:
Executive functioning disorder as stated above. My sweetheart 11 year old has this side to side with ADD. He is medicated and works with an executive coach to learn routines for keeping locker clean/morning routine/homework routine. The first thing she worked on with him was a morning routine with a picture chart of 5 easy steps and gave him a gift card when he completed the task. If I remember it was get up, clothes, neger vasser, eat breakfast, pack snacks. Something like that. Once he did that for 30 days straight it became routine and he is my best morning kid.


Wow sounds amazing. Is an executive coach like an OT that another poster mentioned?
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amother
Lotus


 

Post Wed, May 03 2023, 9:42 am
I have been there!!! I urge you to read or take the smart but scattered course.

I had 4 consultations with OTs that helped me get rolling (Guttman sisters) and they recommended that I take this course as well. https://handsonapproaches.com/.....keap/

Gamechanger! Reach out if you need more information.
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amother
Strawberry


 

Post Wed, May 03 2023, 9:46 am
Sarah Ward. The best.
She gives courses sometimes so I don't know how you could access her stuff but check out her website for some background info.
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amother
Petunia


 

Post Wed, May 03 2023, 10:12 am
Read the book finally focused by dr James greenblatt it has a great easy to follow biomedical program that can address root causes for this kind of brain dysfunction.
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justforfun87




 
 
    
 

Post Wed, May 03 2023, 11:06 am
amother OP wrote:
Wow sounds amazing. Is an executive coach like an OT that another poster mentioned?

Yes! Here in Baltimore they offer someone through a subsidized Jewish educational group. Her wait list is LONG but yes, I believe she is officially an OT.
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amother
Maize


 

Post Wed, May 03 2023, 11:11 am
justforfun87 wrote:
Executive functioning disorder as stated above. My sweetheart 11 year old has this side to side with ADD. He is medicated and works with an executive coach to learn routines for keeping locker clean/morning routine/homework routine. The first thing she worked on with him was a morning routine with a picture chart of 5 easy steps and gave him a gift card when he completed the task. If I remember it was get up, clothes, neger vasser, eat breakfast, pack snacks. Something like that. Once he did that for 30 days straight it became routine and he is my best morning kid.


This! My child with diagnosed ADHD still struggles but we started giving her examples of setting up routines, etc. and she's in HS now and has more and more of her own routines (whether she realizes it or not) set up to be successful in her day to day life. Her having the habit of setting her own routines, etc. and realizing she benefits from that and what she needs herself is a HUGE step for her lifelong success of managing her strengths and challenges.
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