What is executive functioning? How Children Think

October 22, 2025

FAQ: Common Questions About Executive Functioning

  • What causes executive functioning difficulties?

    Executive functioning challenges can result from developmental delays, ADHD, autism, sensory processing differences, or brain immaturity. Every child develops these skills at their own pace.

  • How early can executive functioning skills be developed?

    These skills begin in early childhood. Even preschool-aged children benefit from activities that promote planning, turn-taking, and emotion regulation.

  • Can executive functioning improve with therapy?

    Yes. Through structured, individualized therapy and consistent support at home, children can significantly strengthen their attention, organization, and self-regulation skills.

  • What is the difference between executive functioning and attention?

    Attention is one part of executive functioning. Executive skills involve managing attention, emotions, and actions to achieve goals, while attention focuses on maintaining mental engagement.

  • How can schools support children with executive functioning challenges?

    Teachers can provide visual supports, movement breaks, clear expectations, and consistent routines—tools that promote focus and organization. Collaboration between school staff, parents, and therapists ensures the best outcomes.

How Children Hear, Listen, and Learn

Executive functioning refers to the set of mental skills that help children plan, organize, focus attention, manage emotions, and complete tasks. These skills are controlled by the brain’s prefrontal cortex and act as the “air traffic control system” for thinking and behavior.


When executive functioning skills are underdeveloped, children may struggle to stay on task, follow directions, control impulses, or transition between activities. Through occupational therapy and parent education, families can help children strengthen these essential skills for school, home, and everyday life.


Understanding Executive Functioning in Child Development


Executive functioning skills are foundational for learning, problem-solving, and independence. They begin developing in early childhood and continue into young adulthood as the brain matures.


Core components include:

  • Working memory: The ability to hold and manipulate information in the mind (e.g., remembering multi-step directions).
  • Cognitive flexibility: The capacity to adapt to changes and think from different perspectives.
  • Inhibitory control: The skill of managing impulses, emotions, and behaviors.
  • Planning and organization: The ability to set goals, create steps, and follow through with tasks.
  • Self-monitoring: Awareness of one’s own performance and the ability to make corrections.


When children have strong executive functioning skills, they can manage routines, problem-solve creatively, and approach challenges with resilience and focus.


Signs of Executive Functioning Challenges


Difficulties with executive functioning can look different depending on a child’s age and environment. Parents and teachers may notice that a child seems bright but struggles with organization, time management, or follow-through.


Common signs include:

  • Difficulty starting or finishing tasks
  • Forgetting instructions or losing materials
  • Trouble managing time or transitioning between activities
  • Emotional outbursts when routines change
  • Poor organization in schoolwork or play
  • Impulsivity or difficulty waiting for a turn
  • Overwhelm in multi-step assignments


These behaviors are not a lack of motivation or intelligence—they are signs that a child’s brain needs more support to manage complex thinking and self-regulation tasks.


How Executive Functioning Affects Learning and Daily Life


Executive functioning impacts nearly every aspect of a child’s daily life. In school, children with underdeveloped skills may struggle to complete assignments, plan projects, or stay seated during lessons. At home, they might forget chores, resist transitions, or become frustrated when routines change.


In addition to academic performance, executive functioning also influences social and emotional development. A child who has trouble regulating emotions or adapting to new situations may experience difficulties making friends or managing stress.


Strengthening these skills helps children:

  • Improve attention and focus
  • Manage time and routines
  • Build problem-solving strategies
  • Reduce frustration and emotional outbursts
  • Increase confidence and independence


How Occupational Therapy Supports Executive Functioning


Therapy for executive functioning focuses on improving self-regulation, organization, and problem-solving through structured, play-based activities. Occupational therapists help children practice these skills in ways that feel natural and engaging.


Therapy strategies may include:

  • Visual schedules and planners – to support time management and task sequencing.
  • Games and activities – that target working memory, impulse control, and flexibility (e.g., Simon Says, obstacle courses).
  • Sensory regulation exercises – to improve focus and emotional control.
  • Goal-setting activities – that teach planning and persistence through achievable steps.
  • Parent education – providing strategies to reinforce executive skills at home and school.


By addressing both cognitive and sensory foundations, occupational therapists help children develop strong, practical skills for real-world success.


The Link Between Sensory Processing and Executive Functioning


Executive functioning challenges often overlap with sensory processing differences. A child who is overstimulated by noise, movement, or touch may struggle to focus or control impulses. Conversely, a child who is under-responsive may appear distracted or disengaged.


Occupational therapy addresses these sensory needs first, helping children achieve the self-regulation necessary for higher-level thinking skills. Once a child feels calm and organized internally, they are better able to plan, focus, and problem-solve effectively.


Parent Education: Supporting Executive Functioning at Home


Parents are key partners in developing a child’s executive functioning skills. Small, consistent strategies at home can create structure, reduce frustration, and promote independence.


Here are some practical ways to support executive functioning:

  • Use visual aids: Calendars, timers, and checklists help children plan their day and stay on task.
  • Create predictable routines: Consistent daily schedules reduce anxiety and support organization.
  • Model planning skills: Talk aloud when organizing tasks (“First, I’ll make a list, then I’ll get my supplies”).
  • Break tasks into steps: Shorter, manageable goals prevent overwhelm and build success.
  • Encourage problem-solving: Ask open-ended questions like, “What could you try next?” or “How can we fix this together?”
  • Build self-regulation tools: Deep breathing, sensory breaks, or calm-down spaces help children manage emotions.


With guidance and encouragement, parents can foster independence and confidence in their child’s daily decision-making.


Helping Children Build Lifelong Thinking and Planning Skills


Understanding what executive functioning is helps parents recognize how children learn, organize, and regulate themselves. With the right support, these skills can be strengthened—helping children feel capable, confident, and ready to take on challenges.


At 40:31 Rehab & Wellness, we specialize in occupational therapy for executive functioning and self-regulation. Through engaging, individualized sessions and family collaboration, we empower children to grow in focus, flexibility, and independence—skills that support success in every area of life.

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