3/10/14. Executive Functions
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1 Minimize the Madness- Taking the Mystery out of ADHD Medications Class #2 The Executive Function: The Source of ADHD Symptoms Presented by Laurie Dupar, Certified ADHD Coach and Nurse Practitioner Executive Functions 1. What is Executive Function 2. What happens in the Executive Function 3. The Many Faces of ADHD 4. How to maximize Executive Function Q & A Then 1
2 Now If the human brain were so simple that we could understand it, we would be so simple that we couldn't. ~.E. Pugh The executive functions are different, but overlapping, set of skills located in the frontal lobe of the brain With Executive Function Without Executive Function 2
3 Executive Functions " Organized/planning/starting " Working memory " Impulse control/inhibition " Emotional Control " Mental flexibility- shifting attention " Self-monitoring/self-awareness Sustained Attention Hold our attention on something less interesting " Distractibility " Zoning out blinks Careless mistakes " Difficulty following directions " Difficulty completing assignments/projects " Prioritizing/sequencing " Inconsistent performance Organizing/Planning/Starting " Trouble getting it done " Hard to get started " Tough to stay with it " Finishing up not easy " Gets stuck " Problem prioritizing " Can t making decisions " Messy, disorganized, stacker " Time Blindness " Procrastination 3
4 Working memory Able to hold information in the mind short term " Trouble remembering directions " Information overload " Difficulty sequencing " Learning challenges " May look irresponsible unmotivated inattentive " Challenged with conversations Emotional Control Ability to modulate emotional responses " Sensitive " Emotional " Easily overwhelmed " Impatient " Upsets easily " Up and down moods " Behavior problem, spoiled " Over the top emotions " Low frustration level Impulse Control/Inhibition The ability to stop our own thoughts and actions " Difficulty waiting " Interrupts conversations " Blurts " Over eating, over spending " Invades personal space 4
5 Mental flexibility Ability to move from one situation to another " Difficulty with transitions " Black and White Thinking " shy, emotional, stubborn " Perseverating Self-monitoring Ability to be aware of self compared to standard measurement " Difficulty seeing someone else s point of view " May seem not empathetic " Careless mistakes " Procrastination " Unaware of own behavior on others Executive Functions " Organized/planning/starting " Working memory " Impulse control/inhibition " Emotional Control " Mental flexibility- shifting attention " Self-monitoring/self-awareness 5
6 There are many faces of ADHD Co-existing Conditions Everyone with ADHD is different Bipolar 11% Depression 30% Oppositional Disorders 25% ADHD 5-8% Substance Abuse 20% Anxiety 50% Biederman J, Faraone SV, Spencer T, et al. Patterns of psychiatric co morbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. Am J Psychiatry. 1993;150:179 General Questions about Co morbid Conditions 6
7 Strategies to Maximize Executive Function Biological Medication Sleep Exercise Diet Environmental Planners, Calendars Clocks, alarms Learning styles Lists Rewards Other people Studies have shown that stimulant medication is effective for 70-80% of children with ADHD. Barbaresi, WJ et al. (2006) Medication levels the Neurobiological playing field, and allows adults with ADHD to learn and develop the skills they need to succeed. Biederman, J., & Spencer, T. (2002). Questions & Answers Next Class: Dopamine Boosters & other ADHD Medications 7
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