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10 Shocking Facts About Executive Function Every Therapist, Parent, and Educator Should Know



Executive function is often described as the control center of the brain, but the truth is far more complex, surprising, and counterintuitive. For therapists, educators, and parents who support children with attention, behavior, or learning differences, understanding the real foundations of executive function can transform how we guide kids toward independence, confidence, and regulation. The Executive Function Express Program separates the complex skills of executive function into thinking skills (see the image below).


If children (and adults) don't feel comfortable or regulated, they simply cannot access the higher-level thinking skills. It's NOT THEIR FAULT, their body is wired for safety and they are doing the best they can to access the skills!


This is one of the MOST IMPORTANT points in the Executive Function Express Model.








Today, I’m sharing 10 shocking, science-informed facts about executive function that challenge outdated ideas and help us support children in neuro-affirming, developmentally aligned ways.



And good news, this blog post comes with a free downloadable guide, perfect for clinicians, teachers, and families. Grab it below!


🔥 #1: Executive function begins in the body, not the brain.


Sensory regulation, interoceptive cues, and bodily awareness create the stable foundation children need before they can problem-solve or focus. Kids think better when their bodies feel safe and predictable. When the body sends signals of safety, the brain finally has permission to shift from survival mode into learning mode.



🔥 #2: Dysregulated brains cannot access executive function skills.


When a child is overwhelmed or distressed, blood flow moves away from planning and reasoning areas of the brain. You can’t teach cognitive skills during fight/flight/freeze. This is why co-regulation and emotional safety are the true starting points for attention, impulse control, and flexible thinking.



🔥#3: More instructions make EF skills worse, not better.



Long verbal directions overload working memory and increase frustration. Clear, simple, and visual steps support success. When directions are chunked and predictable, children conserve cognitive energy for actual problem-solving.



🔥 #4: Planners do NOT build executive function.


A planner only works for a child who already understands planning; it’s a tool, not a skill. It must be paired with modeling and guided practice. Treat planners and checklists like bridges, supports that help a child cross the gap while their internal skills continue developing.



🔥 #5: Movement is an executive function intervention.



Movement activates neural pathways linked to attention, working memory, and flexible thinking. Wiggling and fidgeting often improve, not disrupt, focus. When children move, they regulate their nervous systems, making higher-level thinking more accessible.



🔥 #6: Kids don’t “grow out” of EF challenges, they grow into them with support.



Executive function develops through repeated co-regulation, modeling, and opportunities to practice, not age alone. Without supportive experiences, children simply get older… not more skilled.



🔥 #7: Many 'behaviors' are actually signs of executive function overload.



Avoidance, impulsivity, “not listening,” or meltdowns often reflect skills that are not yet developed, not defiance. When adults look beneath behavior and identify the lagging skill, intervention becomes compassionate, effective, and child-centered.



🔥 #8: Children cannot use strategies when stressed.


During distress, children lose access to their coping tools, even if they learned them well. They need safety and grounding first. A calm, connected adult is often a child’s most powerful strategy when their system is overwhelmed.



🔥 #9: The environment often teaches EF better than direct instruction.



Predictable routines, sensory-friendly spaces, clear expectations, and visual supports create powerful EF change. When the environment reduces cognitive load, children finally have the space to practice planning, shifting, and organizing.



🔥 #10: Strengths, not weaknesses, activate EF systems.



Interest-driven learning boosts motivation, persistence, and problem-solving. Confidence fuels executive function growth. When children experience success, their brains become more willing to take risks, try new tasks, and push through challenges.




🎁 Download Your Free Guide: “10 Shocking Facts About Executive Function”



Use this free, beautifully formatted printable to:

✔ Educate families

✔ Support IEP and 504 teams

✔ Train staff or colleagues

✔ Enhance your therapy sessions

✔ Share at professional workshops






🔍 Why This Matters


We are so quick to hand children planners, strategies, or behavioral systems without checking whether their bodies, and brains, are ready. When we understand that executive function is deeply connected to regulation, interoception, sensory processing, and relationships, we stop expecting skills a child does not yet have. And when we shift from compliance to capacity-building, everything changes.



Full steam ahead!






Dr. Cara Koscinski, OTD, MOT, OTR/L, CAS is a seasoned pediatric occupational therapist, certified autism specialist, author of seven books, and founder of the Executive Function Institute. Known for her practical, strengths-based approach to neurodiversity, she specializes in helping children build executive function through sensory-aware, visual, and body-based strategies. Creator of the Executive Function Express program and a frequent speaker at national conferences, Dr. Koscinski brings warmth, clarity, and decades of clinical expertise to every tool she creates.



📚 References


Camarata, S., Miller, L. J., & Wallace, M. T. (2020). Evaluating sensory integration/sensory processing treatment: Issues and analysis. Frontiers in Integrative Neuroscience, 14, 556660. https://doi.org/10.3389/fnint.2020.556660


Mahmood, A., & Golden, C. J. (2024). Executive function in children: Neurocognitive foundations and developmental pathways. Child Neuropsychology, 30(2), 181–196. https://doi.org/10.1080/09297049.2023.2245724


Shields, R. H., & Hopkins, T. (2022). The role of interoception in self-regulation and executive functioning in childhood. Developmental Review, 65, 101051. https://doi.org/10.1016/j.dr.2022.101051

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