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Executive Dysfunction in Preschool & Early Elementary: Signs Parents Should Know (+ Free Download)

Filed in Speech Therapy — December 23, 2025

Executive function skills are the brain’s organizational system. They help children focus, remember information, manage emotions, shift between tasks, and follow routines. These skills don’t appear overnight — they develop gradually throughout early childhood.

But when executive function development is delayed or disrupted, children may struggle in ways that impact learning, behavior, and daily life.

To help families feel informed and supported, our pediatric therapy team created a FREE, organized list of executive dysfunction indicators for children in preschool through early elementary.

👉 Download the free Executive Dysfunction Indicators resource below


What Is Executive Dysfunction?

Executive dysfunction occurs when the brain has difficulty managing and coordinating skills such as:

  • Attention and focus
  • Working memory
  • Planning and organization
  • Emotional regulation
  • Impulse control
  • Cognitive flexibility

Children with executive dysfunction aren’t being lazy, defiant, or unmotivated. Their brains simply need more structure, modeling, and support to manage daily demands.


Why Executive Function Skills Matter

Strong executive function skills allow children to:

  • Follow classroom routines
  • Transition smoothly between activities
  • Manage emotions and frustration
  • Complete tasks independently
  • Participate in conversations and play
  • Build confidence and self-regulation

When these skills are fragile, everyday expectations can feel overwhelming — for both kids and caregivers.

What’s Typical vs. When to Be Concerned

All young children struggle with executive functioning — it’s normal. But executive dysfunction can appear when:

  • Challenges occur across settings (home, school, community)
  • Skills do not improve even with support and routines
  • Difficulties significantly impact learning, behavior, or emotional wellbeing
  • Teachers, caregivers, or family members consistently notice concerns

Early intervention can strengthen these skills and reduce frustration for both kids and parents.

How iRehab Helps

Our pediatric team supports executive function through:

✏️ Occupational Therapy — routines, sensory regulation, visual organization, motor planning
🗣 Speech Therapy — language for following directions, sequencing, working memory
💛 Social Work — emotional regulation, coping skills, behavior support, family strategies
🏡 In-Home, Clinic, Community, or Telehealth — whatever fits your family best

Want Help Understanding Your Child’s Executive Function?

We’d love to guide you.

📞 248.252.6064
📧 marcia@irehabservices.com

We can schedule an evaluation, provide strategies, or simply answer questions. You’re not alone — and early support makes all the difference.

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