Challenges with executive function skills go hand-in-hand with ADHD. These difficulties can impact a chid’s ability to organize resources and information, manage time and tasks, and maintain focus and attention. As a result, many kids with these issues are labeled as “lazy,” “scattered,” or a “space cadet,” when in fact they are doing the best they can but simply need more support.
Given that nearly 10% of kids have ADHD, these challenges impact 1-in-10 kids and families. That’s why Braintrust CEO and Co-Founder, Mara Koffmann, was so excited to speak with psychologist, Dr. Ami Norris-Brilliant, about ADHD and executive function skills. Dr. Norris-Brilliant, the Clinical Director at the Center for ADHD, LD, and Related Disorders at Mount Sinai Medical Center, discussed the connection between ADHD and executive function skills, the cause of these challenges, and strategies for supporting children who struggle with these skills.
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Key Takeaways:
Approximately 9.4% of children in the United States have ADHD. Boys are far more likely to be diagnosed than girls. That is because ADHD presents differently in these two populations.
Boys with ADHD are more likely to be hyperactive and struggle with self-control. This causes them to act in school and at home in ways that are more disruptive.
Girls with ADHD are less likely to be disruptive and hyperactive. Instead, they tend to be described as “dreamers” or “absent-minded.” Because they don’t have any problematic behaviors, girls with ADHD tend to be overlooked more often.
Difficulty with executive function skills is a part of the ADHD profile, but these struggles also impact kids who do not have a disability. Some common signs with this area of learning include distractibility, careless errors, and forgetfulness.
The frontal lobe controls executive function skills, and this area of the brain doesn’t fully begin to develop until age 8. It then continues to develop well into early adulthood. Accordingly, parents often begin to see signs of ADHD and challenges with executive function skills at specific developmental junctures. It is recommended to seek the support of a specialist when these difficulties interfere with a child’s safety, confidence, or academic success.
In early childhood, children with ADHD can make decisions that create cause for concern around safety. They act impulsively and have difficulty following directions on a regular basis.
Around 3rd grade, when kids are 8-9 years old, they are expected to complete more complex tasks with greater independence. Kids with executive function challenges and/or ADHD often begin to struggle to make this transition in school.
In 5th or 6th grade students transition to middle school where they have to keep track of more complex schedules, materials, and classroom expectations. This juncture is often a challenging one for students who struggle with ADHD and executive function skills.
With the transition to high school, students once again have to learn to manage an even more complicated collection of materials, information, expectations, and responsibilities. This is also a point in time when many kids need a new level of support in order to be successful.
Recommendations for remote learning:
Create a visual schedule to support younger students with expectations for what to expect each school day.
Schedule breaks for your child during the day that create opportunities for movement and activity away from the screen. The possibilities are endless, but some ideas to explore include building with Legos or Magna-Tiles, movement games like Simon Says or a scavenger hunt, any sort or arts and crafts activity, a dance break or yoga session, or even a movement game.
Schedule time to complete work. Many kids need support and direction when it comes to understanding when to complete work and what needs to be done. Parents can help by printing out assignments and creating set times for completing independent work.
Use rewards charts! Set experiential rewards that are motivating to your child and directly linked to behavioral expectations.
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