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Description
Executive dysfunction presents across the diagnostic spectrum, yet clinicians most often associate it with ADHD alone. Depression impairs task initiation. Anxiety occupies working memory. Insufficient sleep degrades prefrontal performance. Trauma biases attention toward threat at the expense of planning. When clients articulate accurate insight yet remain unable to act, clinicians frequently conceptualize the discrepancy as resistance or low motivation, and treatment stalls. This three-hour training presents a transdiagnostic framework for identifying executive function breakdown and selecting interventions matched to the capacity involved.
The class first delineates executive function as a set of discrete capacities, including activation, working memory, inhibition, cognitive flexibility, and emotional regulation, and reviews how mood, anxiety, sleep, trauma, and attentional disorders each affect them differently. Participants then learn to distinguish state-based from trait-based impairment and to separate task paralysis from procrastination, distinctions that direct intervention selection. The remainder provides instruction in Goal Management Training, including its evidence base and four-step protocol with structured practice, then develops a broader repertoire spanning nervous system regulation, environmental scaffolding at the point of performance, implementation intentions, and acceptance-based approaches to the shame cycle that follows repeated failed attempts. Participants will leave with a replicable process for matching intervention to breakdown.
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About the Presenter:
Joe Wilner is a licensed clinical psychotherapist, board-certified coach, and ADHD-Certified Clinical Services Provider based in Overland Park, Kansas. He holds a Master of Arts in Counseling Psychology from the University of Saint Mary and a Master's in Liberal Arts with a concentration in Management and Leadership from Baker University. His private practice centers on ADHD, burnout, and career counseling, and much of that work involves clients who struggle to regulate executive function. He has completed training in Goal Management Training, holds formal training in Mindfulness-Based Cognitive Therapy and Acceptance and Commitment Therapy, and is a certified meditation instructor. Joe teaches psychology as an online faculty member at Southern New Hampshire University and regularly leads trainings on mental health and professional development for individuals and organizations.
Learning Objectives:
- Identify which executive function capacity has broken down for a given client and how mood, anxiety, sleep, trauma, and ADHD each contribute to that breakdown.
- Apply the four-step Goal Management Training sequence to a clients presenting concern.
- Select interventions from at least three approaches based on where the clients executive functioning breaks down.
Agenda:
0:00 – 0:15 | Introduction
Welcome, brief overview of the session, and why I keep running into this problem in my own practice. Participants share in the chat one client who knows what to do but isn't doing it.
0:15 – 0:45 | What executive function actually is
Walk through the main capacities: getting started, holding information in mind, filtering out distraction, shifting between tasks, and managing emotion. Lots of clinical examples.
0:45 – 1:20 | Why it breaks down
How depression, anxiety, poor sleep, trauma, and ADHD each hit different parts of the system. Includes the difference between impairment that comes and goes with a mood state and impairment that has been there all along. Also cover the difference between task paralysis and procrastination, since these look alike and call for different responses.
1:20 – 2:10 | Goal Management Training
Where it came from, what the research shows, and how the four steps work. Participants pair off and run through the sequence on a goal of their own so they know what it feels like before using it with clients. Group debrief afterward.
2:10 – 2:45 | Other tools that help
Calming the nervous system first when a client is too activated to plan. Setting up the environment so the client doesn't have to rely on memory or willpower. If-then planning. And working with the shame that builds up after repeated failed attempts, drawing on acceptance-based and self-compassion approaches.
2:45 – 3:00 | Putting it together and Q&A
Participants go back to the client they named at the start and pick one place to intervene. Questions and closing.
Accreditation - This Webinar Offers 3 Live Interactive Continuing Education Credits
- CE You LLC, #1573, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 3/27/2024 - 3/27/2027. Social workers completing this course receive 3 continuing education credits.
- CE You! is an approved sponsor of the Maryland Board of Social Work Examiners for continuing education credits for licensed social workers in Maryland.
CE You! maintains responsibility for this program. - CE You LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0437
- Therapist Express is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed creative arts therapists. #CAT-0122.
- Therapist Express is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0129.
- Therapist Express is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0325.
- Therapist Express is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0275.
This presentation is open to:
- Behavior Analysts
- Social Workers
- Professional Counselors
- Therapists
- Psychologists
- Licensed Mental Health Practitioners
- Medical Doctors and Other Health Professionals
- Other professionals interacting with populations engaged in mental health based services
This online class is offered at an intermediate level, and is beneficial for an intermediate level clinician:
- New practitioners who wish to gain enhanced insight surrounding the topic
- Experienced practitioners who seek to increase and expand fundamental knowledge surrounding the subject matter
- Advanced practitioners seeking to review concepts and reinforce practice skills and/or access additional consultation
- Managers seeking to broaden micro and/or macro perspectives
Additional information
- Refunds: Registrants who are unable to attend a CeYou! Plus! seminar or live webinars may ask for, and will receive, a credit or refund (your choice). Refund requests will be processed within 3 business days. When an attendee knows in advance that they are unable to attend we ask that they inform CeYou! Plus! ahead of time by emailing [email protected] or by calling or texting 607-249-4585 this allows us to free up the spot in the training in the event that a training is at or near capacity.
- Disability Access: If you require ADA accommodations, please contact our office 30 days or more before the event. We cannot ensure accommodations without adequate prior notification.
- Please Note: Licensing Boards change regulations often, and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly.
- The grievance policy for trainings provided by CeYou! Plus! is available here
- Satisfactory Completion: Certificates are available after satisfactory course completion in your account or by clicking here
- Participants will receive their certificate electronically upon completion of the webinar and course evaluation form.
- There is no conflict of interest or commercial support for this program.
- System Requirements: Any device (such as a computer, tablet, or phone), Dual-Core 2 GHz or higher processor, and at least 4 GB of RAM capable of running a Zoom session, along with a stable internet connection.
- Although early registration is recommended for this class in order to ensure the best experience, attendees may register and join until the start of the program