1
00:00:00,00 --> 00:00:04,700
Hello Brains! I was going to start this episode 
with me juggling a bunch of different tasks

2
00:00:04,800 --> 00:00:08,500
to demonstrate a situation that required 
way too much executive function.

3
00:00:08,600 --> 00:00:13,400
But I realized getting all the props for 
that and figuring out how to act it out and 
film it properly required...

4
00:00:13,500 --> 00:00:16,000
way too much executive function. [sigh]

5
00:00:16,100 --> 00:00:19,300
Did I use that term right? What is executive 
function?

6
00:00:19,400 --> 00:00:23,300
[Intro music]

7
00:00:23,400 --> 00:00:31,500
According to our "How to ADHD" dictionary, 
executive function; noun; is a set of cognitive 
processes that help us self regulate

8
00:00:31,600 --> 00:00:36,100
so we can effectively plan, prioritize and 
sustain effort toward our goals.

9
00:00:36,200 --> 00:00:42,800
Executive function is kind of like the CEO 
of the brain, it helps us go from wanting 
to do a thing, to actually getting it done.

10
00:00:42,900 --> 00:00:44,200
And there’s a lot that goes into that.

11
00:00:44,300 --> 00:00:51,200
The cognitive processes that make up executive 
function are things like response inhibition, 
which helps us not be impulsive,

12
00:00:51,300 --> 00:00:56,600
working memory, which helps us hold information 
in our head temporarily or remember it while 
we work with it,

13
00:00:56,700 --> 00:01:01,800
set shifting, which is what helps us with 
shifting between tasks that have different 
cognitive demands,

14
00:01:01,900 --> 00:01:10,100
and the ability to delay immediate gratification 
so we can achieve long term rewards. In ADHD, 
the research term for this is delay aversion.

15
00:01:10,200 --> 00:01:13,800
These functions help us with what people 
often call “being an adult”.

16
00:01:13,900 --> 00:01:18,700
Which makes sense, because executive function 
is located in the last part of the brain 
to develop,

17
00:01:18,800 --> 00:01:24,100
and doesn’t fully develop until around the 
age of 25. In ADHD brains, it takes even 
longer.

18
00:01:24,200 --> 00:01:30,900
According to ADHD researcher Dr. Russell 
Barkley, executive function in ADHD is up 
to 30% delayed.

19
00:01:31,000 --> 00:01:37,000
Which is why those with ADHD can seem immature, 
and even once it does fully develop, it’s 
still impaired.

20
00:01:37,100 --> 00:01:45,000
So some of the things parents do to support 
their kids executive function: make sticker 
charts, lists, put away distractions, create 
routines…

21
00:01:45,100 --> 00:01:51,200
They might have to do more of or for longer 
for their ADHD kids. And as adults, we often 
need to do this for ourselves.

22
00:01:51,300 --> 00:01:57,900
This is so critical for those of us with 
executive function challenges that Dr. Barkley 
compares it to building a ramp for someone 
in a wheelchair.

23
00:01:58,000 --> 00:02:01,200
It’s a necessary accommodation if we want 
to get to where we’re trying to go.

24
00:02:01,300 --> 00:02:06,200
Not everyone with ADHD has impairments with 
all of the cognitive  processes involved 
in executive function:

25
00:02:06,300 --> 00:02:13,900
for example, one brain's working memory might 
be just fine, but everyone with ADHD does 
have impairment in executive function overall.

26
00:02:14,000 --> 00:02:19,700
Often it’s not that we don’t know what to 
do, it’s that we don’t have the executive 
function to effectively do it.

27
00:02:19,800 --> 00:02:23,700
So, if you or someone you love is having 
a hard time getting things done, you might 
ask:

28
00:02:23,800 --> 00:02:27,200
Is this actually about effort, or is this 
an executive function issue?

29
00:02:27,300 --> 00:02:33,500
When trying to create an ADHD friendly environment, 
you might consider: What would make things 
easier on executive function?

30
00:02:33,600 --> 00:02:35,900
If there are behaviors you want to discourage, 
you might ask:

31
00:02:36,000 --> 00:02:40,300
What would require more executive function? 
How could I make doing this thing harder?

32
00:02:40,400 --> 00:02:43,900
And if you’re having a bad brain day because 
you didn’t sleep well last night, you could 
say:

33
00:02:44,000 --> 00:02:49,100
My executive function isn’t doing great right 
now, maybe I need to skip the complicated 
intro.

34
00:02:49,200 --> 00:02:55,400
Because, as my good friend Eric Tibbers(?) 
puts it, we can do hard things, but we don’t 
need to do them in the hardest way possible.

35
00:02:55,500 --> 00:02:59,300
You can check out some of our videos on ways 
to support executive function here,

36
00:02:59,400 --> 00:03:02,800
and we’re gonna be going deeper into different 
executive functions in future videos.

37
00:03:02,900 --> 00:03:07,500
Thank you to my Brain Advocates, and all 
my Patreon Brains for supporting content 
like this.

38
00:03:07,600 --> 00:03:11,100
Because of your support, I’ve been able to 
expand my very neurodiverse team,

39
00:03:11,200 --> 00:03:14,000
which is making it easier on all of our executive 
function.

40
00:03:14,100 --> 00:03:16,900
Like, subscribe, click all the things, and 
I will see you in the next video!

41
00:03:17,000 --> 00:03:18,200
Bye Brains!

42
00:03:18,300 --> 00:03:23,700
[Outro music]

