Struggle Care

44: Best of Executive Functioning with Lesley PsyD

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Today, we are diving into executive functioning, which is a popular term being bounced around in mental health communities. I want to take a closer look at what it means and how it shows up in people’s lives. Join me to learn more from today’s guest!


Dr. Lesley Cook is a psychologist who does a lot of work with ADHD and other neurodivergencies. Born and raised in Hawaii, she now lives in Virginia and works with children, adolescents, adults, couples, and families. Dr. Lesley and I met on TikTok, and I’m happy to have her here today!


Show Highlights:


  • A common-language definition and explanation of executive functioning
  • How executive function deficits show up in someone’s life
  • How shame, guilt, and inconsistent performance are clues to executive function problems
  • The difference between motivation and task initiation
  • Why the underlying issue with lack of motivation is more about what a person values
  • How a person’s sense of self is affected when they believe their authentic self is “bad”
  • Why external supports are necessary when an internal system is down
  • Why rhythm is better than routine for those with executive function disorder
  • How neurotypical people experience interruptions with executive functioning on a regular basis because of overload and anxiety
  • How blips in executive function occur in neurotypical people with predictability and response to intervention—as opposed to someone with a diagnosis
  • How someone with ADHD can have incredible deficits in executive function on days when everything is going their way–and won’t respond reliably to normal interventions
  • How to build into each day differing levels of acceptable outcomes–and give yourself permission to choose what fits your needs at that moment
  • Lesley’s advice to those who think they have executive functioning issues



    • Resources: 


    Connect with Dr. Lesley: TikTok and Instagram

    Connect with KC: TikTok and Instagram

    Get KC's Book, How to Keep House While Drowning

    Find great resources about executive functioning: 

     www.understood.org, www.psychologytoday.com, and https://chadd.org/

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