It's been a week since I went through the results of some testing H had done when I saw his Psychologist on Monday. And it's taken me that long to process the (extremely helpful) information.
I learned that H has poor Executive Functioning - which is often seen in children on the Autism Spectrum and in those with ADHD. But what does that MEAN?
Impaired Executive Functioning - Time to ditch the briefcase?
What IS "Executive Functioning"?
Executive Functioning is a set of mental processes that helps connect past experience with present action.
It is used to perform activities such as planning and organising, paying attention to and remembering details, and managing time and space.
If you have trouble with executive function, these things are more difficult to do. You may also show a weakness with working memory, which is like visualising problems and planning in your head. This is an important tool in guiding your actions.
As with other learning disabilities, problems with executive function can run in families. It can be seen at any age, but it tends to become more apparent as children move through the Primary Years.
How does this impact on our son?
I have to admit I have a healthy scepticism for psychologists. Too-brief encounters invariably based on a subset of assumptions brought to the meeting on their part have led in the past to half-baked notions which rarely apply to my child. But THIS one is Gold. She
gets him/us and took a whole hour chatting to learn more about what makes him, and his family tick. Not in a nosy "how deep can I dig" way but in a profoundly sensible, academic and purposeful way and very quickly saw a route through to possibly help him, hence the testing.
It's not unexpected with Autism or ADHD - so when both are present impaired executive functioning will likely be an issue to some degree. But no one had ever mentioned it to us before. Interestingly
sometimes it can be confused with ADHD or ADD and may be the real issue which prompts an incorrect diagnosis.
As "
ADDitude" website says:-
"Children and adults with executive function disorder (EFD) have problems with organizing and schedules. They may also have attention deficit hyperactivity disorder (ADD/ADHD) and/or learning disabilities, but not always. ADHD is a common misdiagnosis for those who are actually living with EFD."
The Tests
H had to plan a route through a zoo with a few key requirements. He just couldn't do it - it took several tries and every time he rushed through and got in a muddle. Then he had to work out how to release something locked in via a series of puzzles - which he found very easy individually but the sequencing and planning really stumped him. There were several other similar tests in which he performed much the same.
So no career in business then?!!
So maybe we could be ditching the briefcase as a diagnosis of Impaired Executive Functioning has been given but not as you might expect - do we ditch the ADHD diagnosis?