If you have ADHD or you’re parenting a child who does, you likely know the challenges of executive dysfunction—struggles with time management, emotional regulation, focus, and follow-through. You’re not lazy or unmotivated—your brain just works differently.
So where do you turn for help? Should you work with an ADHD therapist, an executive functioning coach, or someone who blends both approaches?
Let’s break down your options—and why my integrative therapy and coaching approach may be the most effective for individuals with ADHD, Autism, or AuDHD.
What Is Executive Functioning and Why Does It Matter for ADHD?
Executive functioning is your brain’s management system. It helps you start tasks, stay organized, regulate emotions, shift between activities, and complete goals. These skills are often underdeveloped or inconsistent in individuals with ADHD, Autism, or AuDHD (combined ADHD and Autism traits).
When executive functioning is impaired, you may:
- Struggle to begin or complete tasks
- Lose track of time and priorities
- Get overwhelmed easily
- Experience frequent procrastination
- Feel paralyzed by perfectionism or fear of failure
Executive function training teaches the practical tools and systems needed to overcome these challenges—and it works best when customized for neurodivergent brains.
Working with a Therapist for Executive Functioning Support
A licensed ADHD therapist helps address executive dysfunction through a mental health lens. If anxiety, trauma, or emotional dysregulation are contributing to your difficulties, therapy provides space to heal those root issues.
Benefits of Therapy:
- Trauma-informed care
- Mental health support for coexisting conditions like anxiety or depression
- Deeper understanding of masking, burnout, and self-esteem
- Safe space for emotional exploration
Drawbacks:
- May not always provide concrete, day-to-day strategy
- Less focus on accountability or structured skill-building
Working with an ADHD Coach
ADHD coaching focuses on accountability, action plans, and building practical systems. Coaches are often helpful for clients who need structure and guidance, but who aren’t dealing with significant emotional barriers.
Benefits of Coaching:
- Concrete tools and task management systems
- Weekly accountability and support
- Focused on moving forward and building habits
Drawbacks:
- Not licensed to treat mental health conditions
- Can overlook emotional roots of executive dysfunction
- Not ideal for clients with trauma or comorbidities
Why a Therapist Who Also Provides Coaching Is the Best of Both Worlds
That’s where I come in.
I’m Victoria Prisco, a Licensed Professional Counselor, Special Education Teacher, and ADHD Specialist. I offer executive function therapy for ADHD, Autism, and AuDHD that blends therapeutic insight with practical coaching strategies.
With me, you don’t have to choose between emotional support and skill-building—we do both.
What Makes My Approach to Executive Function Therapy Unique?
- Special Education Expertise
I’ve spent over 15 years teaching executive functioning skills in academic and therapeutic settings. I understand how to break complex tasks down into teachable, brain-friendly steps for neurodivergent learners. - Licensed Therapy + Skill-Based Coaching
You’ll gain coping skills for anxiety, emotional regulation tools, and real-time strategies to manage procrastination, time blindness, and perfectionism. - Tailored for ADHD, AuDHD, and Autism
My sessions are designed for brains that don’t fit the mold. Whether you’re a college student with burnout or a parent of a child who keeps getting sent out of class, I tailor each session to meet you where you are. - Virtual ADHD Therapy Available in PA, FL, AZ, VA, NV & ID
I provide online therapy across multiple states for children, teens, and adults.
Should You Choose a Therapist or Coach for ADHD?
If you’re looking for real change, the answer might be both. Many of my clients come to me after trying traditional talk therapy or surface-level coaching that didn’t stick. My goal is to help you:
- Rebuild self-trust
- Improve time management
- Increase task initiation and follow-through
- Reduce anxiety and overwhelm
- Create sustainable routines that work with your brain
Start Executive Function Therapy Today
Ready to stop spinning your wheels? Whether you’ve just been diagnosed or are years into trying to “fix” your ADHD with planners and productivity hacks, it’s time to try a new approach.
Let’s work together to create a system that supports the way your brain actually works.
👉 Book your introduction session
