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Executive Function Coach Approach Intervention

Executive functions comprise of complex brain functions that everyone needs to achieve, and accomplish goals, filter distractions, prioritise tasks and control impulses that are predominantly in the prefrontal cortex. There are 11 Core Executive Functions that are controlled and distributed by the Prefrontal Cortex in the brain. The Prefrontal Cortex works with other brain functions such as the Limbic System to optimise Executive Function Skills.

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Cognitive Skills:

  1. Working Memory

  2. Planning/Prioritisation

  3. Organisation

  4. Time Management

  5. Metacognition

 

Behavioural Skills:

  1. Response Inhibition

  2. Emotional Control

  3. Sustained Attention

  4. Task Initiation

  5. Goal Directed Persistence

  6. Flexibility

 

The Importance of Developing Executive Function Skills

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Infant research has shown that Response Inhibition, Working Memory, Emotional Control and Attention all develop in the first 6 to 12 months of life.  This development continues until about age 25, that is when the prefrontal cortex is fully developed. An interesting fact to know is that this is the last part of the brain that reaches maturity.

 

Therefore, Executive Functions can be trained. When we practice Executive Function Skills new neural pathways can be developed as connections are made and strengthened over time.

Executive Function Coaching

Examples of Executive Function Progression and How it May Look

Response Inhibition

The capacity to think before you act—this ability to resist the urge to say or do something allows the time to evaluate a situation and how the behaviour might impact it.

Example: A young child can wait for a short period without being disruptive. An adolescent can accept a referee’s call without an argument. During conversation an adult is able to wait their turn and speak when socially appropriate.

Working Memory

The ability to hold information in memory while performing complex tasks. It incorporates the ability to draw on past learning or experience to apply to the situation at hand or to project into the future.

Example: A young child can hold in mind and follow one- or two-step directions. The upper primary child can remember the expectations of multiple teachers. An adult is able to hold several priorities in mind.

Emotional Control

The ability to manage emotions to achieve goals, complete tasks, or control and direct behaviour.

Example: A young child with this skill can recover from a disappointment in a short time. A teenager can manage the anxiety of a game or test and still perform. . An adult is able to manage their emotions rather than act on them.

There are 8 more Executive Function Skills.
 

Brain Training

When is Executive Function Coaching and Intervention Needed?

Children

When they are not meeting milestones in school specifically when it affects their ability to learn, interact and socialise.

Youths/Young Adults/Adults

When they struggle to initiate and stay on task. Planning/prioritisation/organisation are difficult. Reaching goals are impossible and can be met by frustration and other emotional interferences. It is often not possible to consider options and/or reflection on thoughts and behaviour.

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The above are just some of the more common occurrences and within the 11 Executive Functions, everyone has their  strengths and weaknesses.  

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It is important to take note that Executive Function Challenges are prevalent in both neurotypical and neurodivergent individuals. In neurodivergent individuals  with ADHD/ADD, Executive Function (EF) Coaching and Intervention can be effective for long-term management of ADHD/ADD. In individuals with Dyslexia, ASD and Learning Disorders, EF Coaching and Intervention can work in tandem with other therapy, remediation and support.

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How The NICE Movement Can Help?

Assist with Accessing Executive Function

  • Conduct an Executive Function Assessment: Evaluate the client's executive function skills, considering factors such as time management, organisation, task initiation, and impulse control.

  • Identify Areas for Improvement: Collaboratively identify specific areas where clients want to enhance their executive function skills. Utilise a strengths-based approach to identify existing strengths as well as weaknesses.

Suggest Recommendations for Change and Goal Attainment

  • Set Clear Goals: Work with the client to establish clear and achievable goals for improving their executive function. Ensure these goals are specific, measurable, and aligned with the client's values.

  • Develop Action Plans: Assist clients in creating actionable plans to reach their goals. Break down larger objectives into smaller, manageable steps.

Apply The NICE Approach 8-Step Model

  • Nurture a Supportive Relationship: Build a strong coaching relationship with the client, fostering trust and open communication.

  • Identify and Clarify Goals: Continuously revisit and refine the client's goals, ensuring they remain relevant and motivating.

  • Create and Explore Options: Encourage clients to explore strategies and approaches to enhance their executive function. Use open-ended questions to facilitate their insights.

  • Empower and Encourage Progress: Support the client's efforts by providing positive reinforcement and constructive feedback. Keep them accountable to their action plans and goals.

Work Collaboratively with Clients

  • Engage in Active Listening: Practice active listening to understand the client's challenges and perspectives fully. Validate their experiences.

  • Co-create Solutions: Collaborate with the client to generate potential solutions to executive function challenges. Encourage their input and ownership of the process.

Support Clients with Encouragement, Feedback, and Practical Suggestions

  • Offer Practical Strategies: Provide the client with practical tools and techniques to address specific executive function challenges. Ensure these strategies align with their unique needs and preferences.

  • Continuous Feedback: Offer regular feedback on progress, celebrating successes, and adjusting strategies when necessary.

Promote Reflection and Self-Discovery through Curious, Open-Ended Questions

  • Encourage Self-Reflection: Use open-ended questions to prompt the client to reflect on their executive function strengths and areas for growth. Help them gain a deeper understanding of themselves.

  • Personalised Approach: Assist the client in developing a customised approach to improving executive function skills, tailoring strategies to their preferences and circumstances.

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