Services > Executive Function Clinic

Overview
Assessment & Coaching
Skill Building Groups
Services for Educators
FAQ

Executive function (EF) applies to you all day, every day. Careful decision-making, focusing on important tasks, using effective time-management and organization strategies, and tapping into memory are all part of the executive system and account for executive function.
 

When we complete activities of daily living, we execute schemas (mental, structural diagrams that help us to break these activities into steps and complete them in a timely manner). Schemas also give us the framework under which we can predict outcomes and use forethought to anticipate and resolve challenges.
 

Children and adults who struggle with EF often find it challenging to develop and/or recall schemas when they are needed. And, until they are able to adopt schemas in daily life, they will depend on their external environment (i.e., adults, teachers, consequences, etc.) for success, rather than experiencing success through self-activation of these skills.
 

We provide cutting-edge, research-based strategies in a fun environment to empower adults and children in developing a deliberate and purposeful repertoire of schemas. As a family-oriented practice, we also believe that by engaging parents, caregivers, educators and peers, we can better ensure success. Read more in "Is EF Coaching for Me?"
 

What we know about the brain and how we learn is changing at a mind-blowingly quick pace! But the strategies and tools we use in the classroom, occupational environments, and life-management settings have not evolved quite as fast. Executive function coaching can help you master everyday skills and remove obstacles in the way of success by providing you or your child with strategies for planning and using time effectively, sensing time and prioritizing, using technology effectively, breaking tasks into manageable parts, and effective preparation. To help, we offer assessments and 1:1 coaching services that are tailored to meet the needs of children, teens, college students, and adults.
 

During your assessment, our clinician will gather information and provide a comprehensive report detailing you or your child’s executive functioning strengths and deficits as well as executive skill deficits. Your report will also include recommendations for interventions at home/work/school and, if necessary, referrals to academic services, social skills groups, or other interventions specific to your needs.
 

If you choose to continue with 1:1 coaching after your assessment, our clinician will meet with you as your needs determine and continue building upon your skills and re-evaluating your progress until you feel confident in your executive function skills.
 

To schedule your assessment, please contact our office.

Executive Function Skill Building Groups use a combination of fun and practical hands-on learning to support participants as they learn strategies to tackle problems. Interventions are based on cutting-edge research in the neurosciences, assessment, and intervention strategy by George McCloskey, and the 360 ThinkingTM model by Sarah Ward, MS, CCC-SLP and Kristen Jacobsen, MS, CCC-SLP.
 

Our six-week children's, adolescent, and teen groups set the stage for success at home and in school. Your child will work on self-awareness and self-monitoring skills while parents and caregivers receive tools and recommendations for skills maintenance and continued learning. At the conclusion of the group, parents will receive a comprehensive report detailing individual assessment results, progress in group, and recommendations for continued intervention at home and at school.
 

Please note that an assessment must be completed at the time of enrollment to determine each child’s executive function and executive skill deficits. By understanding where your child needs help, our clinician can tailor activities incorporated into group sessions to meet your needs.
 

Our adult groups are designed to build time management and prioritization skills that will allow participants to experience a new relationship with time and accomplishment. Unlike our children's groups, adults are not required to complete an initial assessment.
 

For upcoming groups, please see our office calendar. If a group is currently not offered or if the group has already begun, please contact us so that we can coordinate interest.
 

Executive function (EF) is just as important as core subjects, like reading and writing. In the classroom, EF helps students to initiate goal-setting, implement or learn new skills, plan, and execute effectively.
 

Our services for educators can help you to:
 

  • Organize your classroom and workspaces to promote independent learning
  • Support your students with staying organized and managing materials in the classroom
  • Promote time management with strategies to teach students to self monitor
  • Help students sustain concentration, manage pace, and complete tasks in allocated time frames
  • Learn effective ways to help students submit assignments, access resources, and request support
  • Eliminate barriers associated with challenges to initiate
  • Develop an effective system of project/homework assignment and grade reporting
  • Build in strategies to prompt students to check their work for errors, make improvements, and reflect on similar/different performance when setting goals

We offer consultations with schools and can train educators to help implement classroom improvements that improve EF skills for all students. Workshops and in-services are also available. Contact us to discuss your needs.
 

About Executive Function (EF)
 

I’m not really sure I know about EF. Is it something that really applies to me?

Absolutely! As a matter of fact, EF applies to you all day, every day. The parts of your brain that help you do things like make careful decisions, focus on tasks that are important to you, use effective time-management, and tap into your memory are all part of your executive system and account for your EF. Researchers now know that the brain continues to change throughout adulthood, which is great news! This means kids and adults alike have the opportunity to improve their daily functioning.
 

Our Groups
 

What are EF Skill Building Groups?

Our groups are a fun way for adults, children, and adolescents to learn and practice strategies that target EF dysfunction. In a group setting, your child will have the benefit of seeing that they are not alone with their challenges while adults enjoy the sense of commonality and fellowship a group setting provides.
 

So, adults can benefit from EF Skill Building Groups?

Definitely. Adults spend a lot of time caring for others and tending to the environment, often running short on time for self-care. An increasing trend in research shows that adults are not meeting their potential in areas of productivity, efficiency, and overall impact. Enrolling in the Adult EF Skill Building Group is an invaluable and fun investment in self-care.
 

What benefits would my child get from attending group? Would I see an improvement in school?

Your child will learn the foundation for new ways of doing things. As the group session comes to a close, those brain-based, research-backed strategies can be implemented at home and school with enough frequency to actually change your child’s brain. Parents will be given information after each group session so that they can continue to support and practice these strategies with their children in between group sessions and upon the conclusion of group. Over time, with continued practice, you will see improvements in your child’s functioning at home, school, and in recreational activities.
 

Are EF Skill Building Groups like social skills groups?

No. EF Skill Building Groups focus on developing key skills required to self-activate for task completion and self-management (i.e., those skills that are going to eliminate the homework fight, calls home from school, hectic mornings trying to get out of the house, etc.) Technically, these are referred to as nonverbal working memory, future thinking, episodic future memory, temporal-spatial awareness/capacity, mimetic-ideational informational processing, situational intelligence, and visual time tracking. The intention is to strengthen targeted parts of the brain to influence ‘brain change,’ addressing and EF dysfunction ‘symptoms’ and the root cause. As such, we do not spend time on social self-awareness, social-emotional understanding, teaching, or practicing social skills such as perspective-taking. If you are interested in working on social skills with your child as well, please visit our social skills group page.
 

Who should enroll?

Children, adolescents, and teens who:
 

  • Often lose or misplace materials and assignments
  • Typically leave things to the last minute
  • Often require repeated warnings or prompts
  • Seem to struggle with summarizing orally or in writing
  • Appear to lose track of time or do not have a sense of time to begin with
  • Struggle to complete tasks, especially homework and school assignments, in a logical or efficient manner
  • Constantly negotiate for rewards and incentives and to avoid tasks or consequences
  • Are known to be impulsive or indecisive
  • Sometimes appear to lack a “social filter”

Or, adults who:
 

  • Feel scattered, stressed, and constantly overwhelmed
  • Feel as though the perfect time management strategy just doesn’t exist
  • Seem to always feel there are not enough hours in the day
  • Tend to delay happiness or content until success is achieved
  • Have trouble following through or keeping commitments
  • Have many responsibilities to juggle and want to learn how to effectively manage

Our Expert Team
 

Katherine Greenleaf, M.A., LPCC

Katie Greenleaf, M.A., LPCC
(Full Bio)