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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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 are a set of brain-based skills that allow individuals to manage themselves and their environment effectively. These skills develop gradually, beginning in early childhood, but they don’t fully mature until the mid-twenties. In other words, there is no child, teen or young adult with a fully developed set of executive functions!

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

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 function 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.

ADHD and executive functions

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 functioning milestones


Preschool (3-5 years)

  • Begin to follow simple instructions with support
  • Engage in basic turn-taking and sharing
  • Transition between activities with reminders
  • Show emerging impulse control (e.g., waiting briefly for a toy)

Early School Age (6-8 years)

  • Complete small tasks with reminders (e.g., putting away toys)
  • Begin using simple organizational tools like a folder
  • Start understanding time concepts (e.g., “10 more minutes”)
  • Follow multi-step instructions with guidance

Middle Childhood (9-12 years)

  • Plan and complete longer tasks (e.g., school projects) with scaffolding
  • Use checklists or other tools to stay organized
  • Improve ability to delay gratification (e.g., saving money)
  • Begin to self-monitor work and check for errors

Teens (13-18 years)

  • Manage a daily schedule independently with occasional check-ins
  • Set and pursue long-term goals (e.g., studying for exams)
  • Make decisions based on potential outcomes
  • Use strategies to manage emotions (e.g., taking breaks)

Young Adults (19-24 years)

  • Handle complex tasks independently (e.g., college assignments, budgeting)
  • Develop advanced problem-solving strategies
  • Balance multiple responsibilities (e.g., work, social life)
  • Reflect on personal strengths and challenges to self-advocate

The role of self-management in daily life

Self-management relies on executive function skills to navigate life’s demands. When these skills are underdeveloped, it can lead to challenges socially, emotionally and academically. 

For kids, teens, and young adults with ADHD, these challenges in self-management can make everyday tasks like completing homework, managing friendships, or sticking to a routine feel challenging and overwhelming.

AttentionSustaining focus, avoiding distractions, and shifting attention between tasks
EffortStarting, maintaining, and completing tasks even when they feel difficult or boring
EmotionManaging feelings like frustration, disappointment, or excitement to make constructive choices
ActionThinking before acting and following through on plans without impulsivity
InformationOrganizing, remembering, and applying information effectively to manage responsibilities
Task ManagementSetting priorities, planning steps, and completing tasks on time

If your child or teen is struggling with executive function skills, we can help.

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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

Want to learn more about ADHD? Here are some of our favourite accessible ADHD resources.

Executive Functions

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