Okay so I see some posts about executive dysfunction that kinda misrepresent what it is, so I wanted to clarify.
Executive dysfunction is not: laziness, lack of motivation, lack of willpower, lack of self-control, bad attitude, an excuse to not do something
Executive dysfunction is: an actual deficiency in the function of the frontal lobe that can be seen and measured in an MRI scanner, associated with neurodivergencies such as autism and ADHD, and mental illnesses
When you canât do something because of ED, itâs not because you arenât motivated enough or lack self-control. Itâs because your brain literally isnât running the commands needed to make your body move and do the things you need to. You may be hella motivated and determined to do something and you still wonât be able to because you donât know where to start or how to proceed to the next step or what to do at all. You may be very hungry, know that you have a frozen pizza in your fridge, yet not be able to do the âfairly simpleâ steps to cook that pizza because of ED.
Executive dysfunction cannot be helped with more motivation, rewards, hard work or whatever. The part of your brain that is supposed to break the task into steps and guide you through them isnât working right now, and no amount of rewards or discipline will make it work. The only things you can do is accommodate for the lack of this function: either ask someone near you to guide you through the steps of your task, or have a list of steps prepared beforehand, while your frontal lobe was more merciful. Shouting, crying, blaming, punishing yourself, etc wonât do one bit to help it.
And for people who donât know what itâs like to have ED and have people around them who do have it, hereâs the thing: instructions have to be very precise. I know you never pay attention to this because you donât have to, but hereâs the deal - even the smallest steps have to be akwnoledged. For example you may think that an instruction to make tea looks like this:
1. Fill the kettle with water and boil it.
2. Put a tea bag in your cup.
3. Add sugar if you want
4. Pour hot water into your cup
5. Take the bag out after a minute or two
6. Enjoy your tea
But it has many, many intermediate steps that a typically functioning frontal lobe will figure out, but a person affected by executive dysfunction wonât be able to do. So instead that instruction will look more like this:
1. Open the kettle
2. Open a bottle of water/turn on tap water
3. Fill the kettle with water
4. Turn off the tap water/close the water bottle
5. Close the lid on the kettle
6. Push the button to turn it on
And so on. So that one step in the first instruction is actually six steps in the second instruction. And giving a person with executive dysfunction the first instruction probably wonât help them at all. And btw this is might be the reason that person in your life leaves the lights on or doors open or products out of the fridge all the time - their brain just doesnât guide them through it.
So, things to remember:
1) Executive dysfunction is a real thing and itâs not the personâs fault
2) It cannot be helped with motivation, self-control, discipline, rewards or punishments
3) It can be helped with careful, thorough instructions prepared by yourself beforehand or by someone else without ED
4) It is very difficult and frustrating for the person experiencing it first and foremost
5) If you have ED, be kind to yourself. Learn ways around it. Rest from time to time. Donât be afraid or ashamed to ask for help. And be honest to yourself about whether you can or cannot do the thing yourself. Trust me, it will help you in the long run.