ADHD Therapies & Assessments
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We support families navigating anxiety, learning challenges, OCD, and more — with or without an ADHD diagnosis.

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Learn more about the different types of Psychological Assessments.

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Did you know?

ADHD often occurs alongside a number of related conditions. Learn about ADHD comorbidities.

No ADHD? No problem.

We support families navigating anxiety, learning challenges, OCD, and more — with or without an ADHD diagnosis.

What are executive functions?

Executive functions (EFs) are the brain’s self-management skills — the mental abilities that help us plan, focus, organize, remember, and regulate ourselves. Executive functions help us to meet goals, manage time, follow routines, and adapt when things don’t go as expected.

Executive functions are a set of interconnected skills that develop gradually throughout childhood and adolescence.

Key executive function skills

Task Initiation and CompletionStarting and following through on tasks without procrastination
Emotional RegulationManaging emotions to control and direct behaviour
Attention RegulationStaying focused despite distractions or fatigue; shifting focus from one task to another
Cognitive FlexibilityAdjusting plans or thinking in response to new information or challenges
Response InhibitionPausing to think before acting or speaking impulsively
Planning and OrganizationCreating and maintaining systems to prioritize and complete tasks
Time ManagementAccurately estimating time and meeting deadlines
Working MemoryKeeping information in mind to perform multi-step tasks
MetacognitionBeing self-aware and reflecting on one’s thinking and behaviour

Executive function deficits

We are not born with executive function skills, and they develop gradually over time.  In fact, executive functions continue to grow well into young adulthood — around age 25. That means no child or teenager has a fully developed set of executive functioning skills, and differences between children’s and teens’ executive functioning are often completely normal. For example, children are naturally organized but often struggle with time management. Others might stay calm under pressure but struggle to get started on tasks.

Everyone has a unique profile of executive strengths and weaknesses, and these skills can fluctuate from day to day depending on factors like sleep, stress, and hunger.

For people with executive functioning deficits, these challenges tend to be more consistent, noticeable, and impactful. They’re not just occasional struggles that show up during busy or stressful times — they’re ongoing patterns that affect daily life across home, school, and social situations.

These challenges are not about motivation or effort. They reflect real differences in how the brain’s self-regulation systems develop and function (Wang et al, 2025). With understanding, structure, and targeted support, children and young adults can strengthen these skills and build systems that help them succeed in everyday life.

ADHD and executive function deficits

ADHD can be understood as a delay or deficit in executive functioning (Barkley, 2024). These difficulties affect how the brain manages attention, behaviour, and emotions. In other words, ADHDers often know what to do but have trouble doing what they know — especially when tasks are boring, complex, hard or emotionally charged.

Executive function deficits can impact every aspect of daily life—let us help you find the right support for your child’s needs.

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Examples of executive function deficits

Preschool (ages 3–5)

Executive Function AreaExamples of Challenges
Task Initiation and CompletionAvoids clean-up or needs repeated reminders to start simple tasks
Emotional RegulationHas big reactions to small problems or trouble calming after frustration
Attention RegulationStruggles to stay focused during circle time or games
Cognitive FlexibilityUpset by changes in routine or switching activities
Response InhibitionGrabs toys, interrupts, or acts before thinking
Working MemoryForgets simple directions (“Put on shoes, then coat”)

Early school age (ages 6–9)

Executive Function AreaExamples of Challenges
Task Initiation and CompletionNeeds help to start homework or independent work
Planning and OrganizationLoses materials or forgets what to bring home
Time ManagementHas little sense of how long tasks take
Emotional RegulationCries or gets angry easily when things are hard
Attention RegulationNeeds frequent redirection to stay on task
Working MemoryForgets steps in math problems or classroom routines

Middle school (ages 10–13)

Executive Function AreaExamples of Challenges
Task Initiation and CompletionProcrastinates or avoids starting longer assignments
Planning and OrganizationMisses instructions, loses papers, or forgets due dates
Cognitive FlexibilityBecomes rigid when plans change or struggles with new teachers’ styles
Emotional RegulationOverreacts to feedback or minor social conflicts
Time ManagementUnderestimates how long homework will take
MetacognitionHas difficulty recognizing when they need help or support

High school (ages 14–18)

Executive Function AreaExamples of Challenges
Task Initiation and CompletionWaits until the last minute to study or submit work
Planning and OrganizationOverwhelmed by multi-step projects or exams
Time ManagementFrequently late or misses deadlines
Working MemoryForgets test content even after studying
Emotional RegulationExperiences stress, frustration, or self-criticism when overwhelmed
MetacognitionHas trouble identifying effective study habits or strategies

Young adulthood (ages 18–25)

Executive Function AreaExamples of Challenges
Task Initiation and CompletionStruggles to start tasks without external pressure
Planning and OrganizationDifficulty balancing academics, work, and personal life
Time ManagementMisses appointments, underestimates how long tasks take
Emotional RegulationFeels easily discouraged or anxious under stress
Cognitive FlexibilityFinds transitions (e.g., to college or work) especially hard
MetacognitionUncertain how to assess performance or adjust strategies

Explore Our Services

Executive Function Coaching

We help kids, teens and young adults build strong executive function skills, which are essential for effective, efficient, and independent learning.
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Occupational Therapy

Our registered occupational therapists help kids and teens develop the skills necessary to thrive at home, school, and in the community.
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Psychology

Our clinical psychologists help children, teens and families navigate a wide range of emotional, behavioural, and mental health challenges.
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Psychological Assessments

We offer a range of assessments to help you understand your child’s unique social, emotional, and cognitive profile.
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Social Communication Therapy

We help kids, teens and young adults build the skills they need to navigate social situations in a way that feels authentic, respectful, and empowering.
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Educational Consulting

Our educational consultants can help you better understand, evaluate and navigate school options.
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Group Therapy

Our facilitated group sessions are a way for children and teens to practice key skills with their peers, in a supported environment.
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Intake Sessions

Our intake sessions offer a soft landing with a knowledgeable, compassionate practitioner who will help you clarify your child’s needs and map out the best next steps.
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Parenting Support

We support your involvement in your child’s therapy and teach effective parenting strategies to help you better understand and support your child.
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Speech-Language Pathology

Our registered speech-language pathologists help children and teens find their voice by developing their communication skills.
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ADHD Symptoms

What does ADHD look like? Learn about the signs and symptoms of ADHD and how they can evolve over time.

ADHD Resources

Looking for trusted ADHD resources? Explore some of our favourite videos, articles and books.

Executive functions

What are executive functions? Learn how they affect daily life, including attention, emotional control, and learning.
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