Using Therapy to Improve Executive Functioning

For those struggling with executive functioning deficits, talk therapy can be an invaluable part of treatment. Certain therapeutic approaches are well-suited to address issues with planning, focus, organization, working memory and impulse control.

What is Executive Dysfunction?

Executive dysfunction refers to impairments in higher-order cognitive skills needed to regulate thoughts, behaviors and emotions. These executive functions help us with things like managing time, completing tasks, making decisions, concentrating, regulating emotions, and controlling impulses. Executive dysfunction affects learning, productivity and independence.

Finding the Right Therapeutic Approach

There are several evidence-based talk therapy options that can enhance executive functioning abilities:

Cognitive Behavioral Therapy: CBT focuses on modifying unhelpful thought and behavior patterns. This can help improve organization, planning, impulse control and emotional regulation. CBT also teaches new coping strategies.

Dialectical Behavior Therapy: DBT emphasizes mindfulness, distress tolerance, emotion regulation and interpersonal skills. This can benefit those with executive dysfunction and mental health conditions like depression, PTSD or borderline personality disorder.

Coaching and ADHD Skills Training: Working with an ADHD coach or skills trainer focuses directly on cultivating executive functioning abilities like time management, task initiation, planning and organization.

Talk Therapy Techniques

Specific therapeutic techniques that can strengthen executive function skills include:

  • Learning to break bigger tasks into smaller steps

  • Creating planning checklists, reminders and calendars

  • Identifying and modifying unhelpful thought patterns

  • Practicing mindfulness and relaxation skills

  • Developing routines and organization systems

  • Role playing real-life situations

  • Tracking progress and setting achievable goals

By directly targeting executive function deficits, psychotherapy can help clients better regulate their thoughts, emotions and behaviors. This leads to noticeable improvements in productivity, learning and overall quality of life.

In conclusion, if you or a loved one struggles with executive dysfunction, consider exploring therapy options like CBT, DBT or ADHD coaching. Consistent practice of therapeutic techniques provides tools to better manage executive functioning challenges. Relief from frustration and a clearer path forward await.


Julie Kolzet, Ph.D.