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Executive Function Issues

Issues with executive functioning can manifest as having trouble managing or organizing tasks or even cause hiccups in decision-making among many other issues. The following questions about such problems with executive functioning can help determine when it is time to seek testing and evaluation to reach a professional diagnosis.


Do you or a loved one…


  1. Have trouble starting tasks?
  2. Feel overwhelmed with large projects?
  3. Feel disorganized?
  4. Struggle with time-management?
  5. Often find yourself late to appointments and events?
  6. Have difficulty multitasking?
  7. Often start multiple projects at one time and struggle to complete the initial task at hand?
  8. Struggle to plan and prioritize tasks?
  9. Have trouble with decision-making?
  10. Have difficulty following instruction?
  11. Have difficulty controlling your emotions?
  12. Find it difficult to adapt to changing circumstances?



If you answered yes to two or more of these questions, consider scheduling a neuropsychological evaluation. Call us at (847) 469-7537 to learn more.


Executive functioning refers to the higher order thinking that allows us to complete complex tasks and control our emotions and behaviors. Executive functioning skills also enable us to plan, organize, multitask, and sustain working memory. Executive functioning skills are mediated by the frontal lobe of the brain which continues to develop through early adulthood.  As such, these skills change across the lifespan and gradually develop throughout childhood, adolescence, and into adulthood.


Impaired executive functioning can occur for several reasons, including Attention-Deficit/Hyperactivity Disorder (ADHD; commonly referred to as ADD), dementia, pseudodementia, emotional distress (e.g., depression, anxiety), psychiatric disorders (e.g., schizophrenia, bipolar disorder), injury to the brain (e.g., traumatic brain injury, stroke), and Autism Spectrum Disorder (ASD). A comprehensive neuropsychological evaluation can help to understand the type of executive functioning problem and identify the underlying cause, which subsequently, can help with developing a treatment plan. Treatment used to improve executive functioning skills can include medication, therapy, and cognitive rehabilitation. Additionally, understanding the areas of weaknesses can help in developing effective accommodations and environmental changes at school, home, and within the workplace to reach optimal functioning. Thomson Memory & Attention, formerly Thomson Memory Center, can help.


Neuropsychology, and a comprehensive neuropsychological evaluation, will help explain and determine if an underlying condition, or perhaps multiple underlying conditions, exists. In some circumstances, the executive function difficulties may be better explained by other conditions. Understanding the patient’s strengths and weaknesses can help identify the reason for these issues and aid in creating a customized treatment plan to improve or manage the patient’s cognitive complaints. Early diagnosis and treatment can make a big difference in outcome. Our fellowship-trained doctors will be able to pinpoint the underlying cause for these issues.


Check out these pages to learn more: ADD - Adults, ADD - Pediatrics, ADHD - Adults, ADHD - Pediatrics, Anxiety, Autism Spectrum Disorder, Behavioral Difficulties, Concussion, Depression, Dyslexia, Epilepsy, Genetic Syndromes, Intellectual Disability, Learning Disorders, Multiple Sclerosis (MS), Neurological Disorders, Stroke, Traumatic Brain Injury (TBI), and Vascular Diseases

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