Transcript for:
Understanding and Improving Executive Function Skills

It's almost like you're in the ocean, and you're  swimming, and waves just keep crashing, and you   just keep getting stuck, and you can't get out,  right? You're just like swimming against these   waves, and you just keep getting crushed.  That's how people are experiencing the   day-to-day life without executive function skills.  Hey, everyone. I'm Emma McAdam. I'm a licensed marriage   and family therapist. So here's the thing: you or  someone you know might have been diagnosed with   ADHD, depression, PTSD, or anxiety because like  30% of the US has had a diagnosis like this.   Or, even more likely, you might struggle with  impulse control or procrastination or getting   stuff done. Or maybe you feel overwhelmed or  like you're not reaching your goals. And both   the internet and professionals are quick to  give a big diagnosis like ADHD or anxiety   or PTSD. But what if it might be more helpful  to think of it differently? What if we could   describe the cause of your symptoms in a much  more specific, actionable way? Now I cannot say   it loudly enough how important it is to learn  about executive function because when you do,   you might be amazed to find out that you have a  specific name for a specific problem that has a   specific set of skills that actually solve that  problem. So this is why we're going to talk about   what the heck is executive function and six things  you can do to improve your executive functioning skills. Executive function is a set of mental  skills coordinated in the brain's frontal   lobe that sorts through information, it delays  gratification, it manages thoughts and emotions,   and it decides what is most important. It helps  you take action toward your goals instead of just   what you feel like doing. So yeah. It's pretty darn  important. But when you have specific deficits in   executive function - and this can include um a full  diagnosis like ADHD, or it can be more discreet   like learning disabilities or other neurodiversity - and maybe this hasn't been diagnosed or identified,   um and maybe you don't have the skills to deal  with it, you might look lazy or selfish or stupid   or impulsive or otherwise bad. You might have  a pile of unfolded laundry, or you might have   dishes in the sink that you just keep avoiding, or  your email inbox is overflowing and you and you   don't know where to start. Or you can't seem to get  places on time, no matter how how hard you try, or   you can never pay that credit card off or finish  your homework. So it's is not that you don't care.   You're not lazy or stupid. It's not that you're  not trying. You're probably exhausted from trying.   It's that you struggle with executive functioning.  So a deficit in executive functioning underlies a   bunch of mental health disorders and a bunch of  like adulting challenges, and this can lead to a   lot of shame and to feeling like you're broken,  and that can lead to you feeling really anxious   or depressed. But there is hope because you can  develop skills to address your specific executive   function issues. So so first, I will acknowledge  that executive function is somewhat hardwired into   our brains. So people are born with differences in  their inherent executive function. Uh Dr. Russell   Barkley has said that ADHD is essentially a  disorder of executive function. And ADHD is one   of the most biologically predisposed mental health  conditions, with a heritability estimate of upwards   of 80%. But even without issues of hyperactivity  or attentiveness, some people have deficits in   executive function that seem practically invisible.  Uh they might not be able to manage time, or one   part of the brain might process information super  fast and the other part is average, so that leaves   these like huge gaps in understanding that a  regular IQ test won't even identify. And this   can make it hard to organize tasks or delay  gratification or hold and process thoughts in   your mind. But even though executive function  is somewhat hardwired into our brain biology,   you don't have to just accept that this is the  way things always have been or always will be.   There really is a lot you can do to develop  executive functioning skills. So when we can   identify specific executive function needs, we can  tailor specific executive function interventions,   supports, and accommodations. And this is really  important to productivity and functioning and   mental health. So basically what I'm saying is  that when you learn about this, life can be easier.   You can get stuff done, and you can be happier. So  let's explore what executive function skills are,   why they're so important, and what you can do to  strengthen them. And then, in the next video, we're   going to talk about how deficits in executive  function can directly contribute to other mental   health conditions like anxiety and depression. So  what are executive function skills? To learn more   about this I talked to with Sean McCormick. He's  an executive function coach. So your executive   function skills are the skills or tools that help  you reach your goals, and executive functions are   a set of cognitive processes that you can develop  by working on those skills. So what he's saying is   that executive function is your ability to plan,  organize, start, and finish tasks. It's like the air   traffic controller for your brain. Your executive  function takes a big-picture view of all the   things going on, decides which ones are most urgent,  which ones are most important, and how to solve any   problems that come up. It's a super important  part of your ability to function, to regulate   emotions, and to succeed. And then the processes  of your executive function can be managed by   various skills. So Sean has an acronym for these  skills. Because there's so many different skills,   I've come up with this acronym, POSITIVE, to help  people understand some of the skills you can work   on. So POSITIVE stands for Planning, Organization,  Self-management, Inhibition, Time management is the   T, the next I is Initiation of difficult tasks, V  is Visualizing outcomes or using your non-Verbal   working memory, and then E is Evaluating priorities  so can you actually identify what the next most   important thing is in your kind of domain of  things that feel like they're priorities. Okay.   Why is executive function so important? There's a  major study done on executive function skills by   this lady named Dr. Adele Diamond. And if you Google  her there's videos of her teaching the Dalai Lama   about executive function skills. And she did this  study called "Executive Functions," and it's one of   the most cited studies across all research  disciplines. And basically what she found in   it were that executive function skills improve  your quality of life. They reduce the potential   of divorce. They improve societal mental health  outcomes. And for students, they actually predict   uh better long-term success in school, higher  rates of graduation. So executive function skills   are highly critical for a high quality of life. So  that's the kind of fact. In the research, that's   what it tells us. But then as an executive function  coach I've worked with so many students and adults   who their lives were significantly impaired by a  lack of executive function skills. It's almost like   if you're in the ocean, and you're swimming,  and waves just keep crashing, and you just keep   getting stuck, and you can't get out, right? You're  just like swimming against these waves, and you   just keep getting crushed. That's how people are  experiencing the day-to-day life without executive   function skills. Developing executive function  skills is like getting that surfboard and being   able to ride those waves and actually have a good  time, knowing that you can't ride every wave at the   same moment but you can ride one, have a good day,  and then paddle out the next day and catch another   good wave and make progress towards your long-term  goals. Now, most of us know that we struggle in one   of these areas, but most people also just assume  that they are lazy or undisciplined or stupid or   that they just need to try harder. And usually this  isn't a very helpful strategy. Um the problem isn't   that you don't care or that you aren't trying;  it's that you don't know what you're lacking   and what you need. So we give it a name, and then  we can tailor specific accommodations or support   strategies to help fill that gap. Um so let me give  you an example. I was working with someone who was   super smart and very talented and hardworking, but  he had a hard time finishing his projects. So he   would work longer hours and do more research  and work harder and harder and still struggle   to finish his projects. Uh finally I gave him an  assignment to write an article on time blindness,   uh which relates to a specific executive function  deficit in your ability to keep track of time. So   after he researched it he came back to me and said,  "Wait a minute. I have time blindness." He had never   heard of that term, but for once he had a word for  it, and then he could learn a bunch more about it   and learn a bunch of strategies to help him, like  setting visual reminders and alerts and timers, um   using a visual calendar and an app specifically  designed for time blindness. And because he had a   name for it, he started being more productive. So  with each of the areas of executive functioning,   there are specific strategies and interventions  we can use to help ourselves. Um so for example,   if we have a hard time prioritizing, that's an  executive function skill. We can use strategies   like making lists, using visual trackers or apps  like ClickUp to manage tasks. Um if we have a   hard time initiating tasks we can use things like  Pomodoro timers or uh specific routines and cues   associated with like incentives and rewards or  things like body doubles, which is really common   in the ADHD Community. Um here's another example:  if we get super overwhelmed by things that we need   to do, we can use brain dumps, coaching, physical  organizers, planners, calendars, and mind mapping to   break tasks down into small, manageable chunks. So  so it really is possible to improve your executive   functioning. But before we jump into strategies  you can do on your own or with a coach, let's   talk about testing for a second. So you can get  psychological and academic testing to learn more   about your executive functioning. Um it's often  pretty expensive, unfortunately, and it's often also   unfortunately not covered by Insurance a lot of  times. Um but if you're a student they'll sometimes   do it for free. And these tests can be really  valuable in helping you get a better understanding   of your strengths and deficits, but they can also  be used to help you get the accommodations at work   or school that you need to be able to use these  skills to manage those deficits. So you can talk   with an academic counselor or a psychologist  who specializes in these assessments to come   to understand what your baseline is. And then  after you understand what your specific needs   are, then you can develop skills um to help you  out. And there are a ton of small, simple executive   functioning skills that can make a huge difference.  Um as Sean says, "Small tweaks can lead to big peaks."   So let's talk about how. Number one: get super  clear on your big-picture goals. Like why do   you care about this? You could have the best skills  in the world, but if you don't have a direction, you   won't arrive at your destination. And then next we  want to help you explore specific areas where you   struggle. And again, get as specific as possible. So  if your problem is, "I can't get my homework done,"   replace it with um, "I don't know where to start  with my homework, so I avoid it by watching a   bunch of TikToks." Um and you might think that your  problem is having Instagram on your phone, and and   you might not be wrong, but the executive function  issue is an organizational skill deficit. Or you   might say something like um, "After a brainstorm I  get overwhelmed and I don't know how to select the   best idea for the paper." Or you might identify  a problem by saying, "Oh, I can draft the paper,   but I hate editing it" or "After I finish it I  forget to turn it in um and I lose it" or "I miss   the deadline." So you've got to make it concrete. So  you might need to write down your problem or talk   it through with someone like a coach to help you  figure out what you're missing. And that takes us   to getting coaching. So there are people trained in  helping people develop executive function skills.   And these might be coaches uh like Sean or school  counselors, tutors, therapists, and ADHD specialists.   And I would say just don't be ashamed to ask for  help. Uh the highest-performing athletes and CEOs   use coaching to help them, so you can too. And then  once you've kind of identified your problem, you've   had someone maybe give you a second opinion on  it or their outside perspective on it, the next   thing you want to do is kind of explore executive  functioning skills for that specific area. So you   probably don't know what you don't know, but you  can find out what you're missing. So take the time   to make an executive function playlist on YouTube  and learn from others, or read a book or   two. Uh there are a gazillion executive function  skills, and I I can't cover them all in this video,   um so the third video in this series, I'm making a  big video with a huge list of executive function   skills. And you could watch for that to learn more.  And then it's also just really important to build   out systems and test those out and try them and  see how they worked. Um and and this includes only   making one change at a time. Like I - like Atomic  Habits, people. Like I love it. If you haven't   read it, read it. Um so for example, let's say um  every time I do my homework I'm going to do it   at my desk. And when I finish my homework I have  a place to put that homework in, the red folder,   and that folder goes in my backpack. And that  that that's a system, right? Now, this may sound   too simple, but seriously, like systems work. Uh so  for me I used to lose my keys all the time, like   multiple times a day. I thought this was normal.  Um I just got used to it. But when I got, when I   got married, it drove my husband crazy. So we worked together to figure out a system where   every time I walk in the door I just hang my keys  on a hook by the door. And this has worked really   well. So I probably lose my keys now like once a  week instead of 10 times a day. So systems can be   really important. And once you build out good ones,  the systems turn into routines, and they they can   become almost automatic. They require less and  less energy over time. And then, um you know, if   if we are looking at executive functioning, there's  the big three for brain health: sleep, exercise, and   good nutrition. Anything that can help your brain  uh health can improve your executive functioning.   Okay. So just to summarize: executive function is  your brain's ability to start and finish tasks,   remember things, think flexibly, delay impulses, and  organize and prioritize things. Um some people have   biological deficits in their executive function,  and most people also need to learn and develop   executive functioning skills to really be able  to get stuff done and and to live the life that   you value. So with coaching and practice you can  develop stronger executive function skills, and it   can help you improve your emotional regulation,  your relationships, and your productivity. Okay.   Hope you found that helpful. Um links to Sean's  channel and his coaching program are down in   the description too, if you'd like to learn more  about that. Thanks for being here, and take care. [Music]