What are Executive Functioning Skills Anyway?

​Executive functioning skills (EF) are the cognitive processes that assist us in regulating our emotions and behavior, making decisions, as well as setting and achieving goals. They can be viewed as our “air traffic control tower” in everyday life. They are our ability to think, plan, and prioritize.

Think about EF as the skills that we want our children to begin to develop in different phases of their development. These skills are also referred to as:

  • self-regulation
  • inhibition of impulses
  •  performance monitoring
  • working memory
  • planning/organization
  • task initiation.

Looking closer at our children’s EF skills will help us better understand our child’s areas of strength and weakness, which will ultimately help us as parents to better be able to effectively communicate and advocate for our children in school. In the book, Smart but Scattered, Dr. Peg Dawson and Dr. Richard Guare beautifully outline 11 sub-skills of executive functioning:

Response Inhibition
the ability to think before we act.

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.

Emotional Control
the ability to manage emotions in order to achieve goals and complete tasks.

Flexibility
the capacity to revise plans in the face of obstacles, setbacks, new information or mistakes. It relates to adaptability to changing conditions.

Sustained Attention
the capacity to maintain attention to a situation or a task in spite of distractibility, fatigue, or boredom.

Task Initiation
the ability to begin projects without undue procrastination, in an efficient or timely fashion.

Planning/Prioritization
the ability to create a roadmap to reach a goal or to complete a task. It also involves being able to make decisions about what’s important to focus on and what’s not important.

Organization
the ability to create and maintain systems to keep track of information or materials.

Time Management
the capacity to estimate how much time one has, how to allocate it, and how to stay within time limits and deadlines.

Goal‐directed persistence
the capacity to have a goal, follow through to the completion of the goal and not be put off or distracted by competing interests.

Metacognition
the ability to stand back and take a birds‐eye view of oneself in a situation. It is an ability to observe how you problem solve. It also includes self-monitoring and self‐evaluative skills. This is a higher-level skill that we try to build with our teens and young adults.

Stress Tolerance
the ability to thrive in stressful situations and to cope with uncertainty, change, and performance demands.

Let’s be very clear – children are not born with these skills, nor do they develop as part of regular growth and maturation. These skills are learned and develop with practice.

As their parents and teachers, we can set the framework to help build these skills by setting routines, breaking big tasks into smaller, attainable chunks, and creating activities to improve impulse control and emotional regulation.

Children with delayed executive skills may display challenging behaviors and parents may find themselves in a reactive pattern. Executive functioning coaching can help families better understand their child’s unique profile as well as develop a plan to strengthen these capacities in order to build self -esteem and raise independent thinkers capable of regulating their emotions and reaching their fullest potential across environments.

Dawson, P., & Guare, R. (2009). Smart but scattered: The revolutionary “executive skills” approach to helping kids reach their potential. New York: Guilford Press.

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by Rachael Berringer
"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Julie C.
"Dr. Matheis has a remarkable ability to understand the unique needs of her patients and address them constructively. She builds strong, meaningful relationships with patients and their families, encouraging trust and collaboration. When working with my son who struggles with autism-related anxiety, she created an environment in which he was able to calm down and open up to her in ways I had not seen before. She was able to reach him and helped him work through his crisis/problem. Most importantly, she empowered him to move forward."
- N.L.
"Dr. Matheis is amazing. She has tremendous resources and loads of energy. She is not willing to accept anything less than the most effective results for her clients. She made me feel as if my son was her top priority throughout the entire process. I would, without reservation, give her my highest recommendations.  Thank you, Dr. Matheis!"
- Anonymous
"Dr. Matheis has an amazing ability to read kids and connect with them. She has been an invaluable resource for our family over the past several years and has helped us with everything from educational consulting, to uncovering diagnoses as well as family therapy. Working with Dr. Matheis never feels clinical and most importantly, our children love and trust her. We can not thank you enough Dr. Liz!"
- Anonymous
"My teenage son had been seeing Dr. Matheis through his senior year of high school, as he was only diagnosed with ADHD at 16 years old.  Dr. Matheis came highly recommended from our pediatrician and she has done wonders for our son as well as our family, navigating new ways for him to deal with his diagnosis without the use of medication.  She taught him ways to organize himself and even when something did not work for him, she patiently continued teaching him new ways to keep himself on track.  She has also helped us as parents to understand how his mind works so that we did not continue to blame his lack of focus on him, rather on his unique way of thinking.  Thank you Dr. Matheis!!!!"
- LG
"Dr. Liz is the best! Our family was directed to her by our Pediatrician to assist with figuring out severe mood changes, severe anxiety, strange new fears and food aversion that had come onto one of our children literally overnight. After just a couple of visits, she suggested that the issues may actually be rooted in a physical issue and suggested we immediately take our child to be swabbed for strep, because Dr. Liz suspected PANDAS (a pediatric autoimmune disorder brought on by strep). The same Pediatrician that suggested Dr. Liz would not do the swab (they do not believe in PANDAS and we no longer go there) but I took my child to my doctor who did the swab and it was positive for strep. When our child went on antibiotics, within 24 hours all symptoms went away and our child was back :-) Dr. Liz then recommended a PANDAS specialist who helped us and our child is in complete remission and is happy and healthy. We are incredibly grateful to Dr. Liz for her knowledge of all things, even the most remote and unusual and for helping us so much! Thank you!"
- Anonymous
"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Anonymous
"Thank you, Dr. Liz. Although we have told you countless times, it will never feel enough. You have listened when J could barely speak and continued to listen when he was sad, angry and confused. You've challenged him and directed us in our roles as parents. You've helped J face his fears while the list evolved and changed, and yet you've stayed committed to 'the course.' We pray that your children realize that time away from them is spent helping children learn and that vulnerability is a sign of strength and bravery."
- June I
"My son was admitted to an Ivy League school when only 2 years ago, you assessed him and saw his struggles, his Dyslexia. We are grateful that he no longer has to carry that deep feeling of inadequacy or shame that must have kept him so self conscious and from reaching his potential. He has the PERFECT program for him. He has A's in high math and economics. He became a Merit Scholar, a Boys State legislature, the HEAD captain of the football team and help a job ALL while studying and managing his classes and disability. I am PROUD of you, a young doctor, who knows and sees the vulnerability of children and helps them recognize "it's NO big deal" God bless."
- Anonymous

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​Livingston, NJ 07039