Level Up Wellness · FAQ

Frequently Asked Questions

Common questions about ADHD, executive function, hormones, and the Minecraft group, answered by Victoria Prisco, Licensed Professional Counselor, Executive Function Specialist, and ADHD expert.

Looking for pricing, schedules, locations, or Minecraft enrollment details? Visit the Services FAQ + Features page.

ADHD + Executive Function in Adults

What are signs of executive dysfunction in adults?

Common signs include trouble getting started, losing track of time, starting several things and finishing none, piles building up at home, forgetting to reply to texts, and setting goals you keep ghosting. Many adults also overwork to compensate, skip breaks, and end the day exhausted and guilty about what didn’t get done.

Can executive function skills be improved as an adult?

Yes. Some executive function skills were never actually taught, and some automatic responses that once helped now get in the way. Both can change. What you’ve learned, you can unlearn, and new skills get easier with practice until they stop requiring so much conscious effort.

How is this different from therapy I’ve already tried?

Talking about it isn’t the focus. You may already know you need to get to bed earlier or finish one thing before starting another. Knowing just hasn’t turned into doing. Here, you track what actually happens, bring that data to a focused 30-minute session, and leave with something concrete to practice before the next one.

Why do planners and ADHD apps stop working for me?

Usually because the tool was never the whole answer. A planner can’t tell you whether a missed task came from ADHD, anxiety, burnout, a boss who kept resetting your priorities, or a rule you taught yourself years ago. Figuring out what is underneath comes first, so you understand why a system works and know how to adjust it when it stops working.

Do I need to be on ADHD medication to work with Victoria?

No. Medication is your decision with your prescriber. If you take it, or are considering it, that can be part of the conversation, and the work often helps you bring clearer information back to the provider who prescribes.

Do you work with autistic adults?

Yes. Individual sessions are for neurodivergent adults, including autistic and AuDHD adults, with or without a formal diagnosis. The work is built around how you process information and what is actually happening in your day.

Do you work with college students?

Yes, if they’re adults living in one of the states Victoria serves. A lot of college students lose the structure they had at home and in high school and suddenly find themselves juggling assignments, sleep, a messy dorm room, class, and a social life. Individual sessions help build the skills that structure used to cover.

What Victoria Can Help With

Can you help with procrastination?

Yes. Trouble getting started and ghosting your own goals are some of the most common reasons people reach out. Instead of another activation trick, the work looks at what is actually stopping you, whether that’s an unclear task, an anxious response, perfectionism, or low capacity, and practices a response that fits.

Can you help with time management and time blindness?

Yes. Often the work starts with learning time itself, noticing how long things actually take and where time disappears, before building time-management skills on top of it. That’s a big reason tracking your day is part of the process.

Can you help with ADHD burnout and masking at work?

Yes. Maybe everyone thinks you’re doing great, but work has consumed your life, you skip lunch, stay late, and have nothing left for anything else. Sessions help you see what masking and overcompensating are costing you and build systems so one area of life isn’t running on everything you have.

Can you help with ADHD in my relationship or marriage?

Yes. Executive functioning doesn’t stop at work. Maybe routines you kept up early in a relationship have slipped, and your partner is carrying more than either of you realized. The work looks at what is falling through the cracks and why, then builds habits and boundaries that support both of you.

Can you help with getting organized at home?

Yes. That might mean organizing your environment so you can actually see what you have and find what you need, figuring out what can be delegated, and working on the guilt that says needing help means you’ve failed.

Can you help with perfectionism?

Yes. Sometimes a task stays unfinished because you worry it isn’t good enough, so the email never gets sent and the presentation never gets its final touches. Tracking shows when perfectionism is driving it, and the work focuses on that response instead of on productivity hacks.

Can you help with people-pleasing and setting boundaries?

Yes. Boundaries with yourself and with other people are a big part of follow-through. That might mean protecting a lunch break, saying no to an extra task, or noticing when your expectations are bigger than your actual capacity.

Working Together

How many sessions will I need?

It depends on your goals, and that gets mapped out together. The work isn’t open-ended. Scope, goals, and a timeline are defined from the start, and you adjust as you go. The goal is for you to understand yourself well enough that you don’t need Victoria every time something changes.

Does virtual executive function support really work?

For a lot of people, virtual is the better fit. You join from home, your office, or your car between pickups, so there’s no commute to plan around. And because the work centers on what happens in your real day, the most important part happens between sessions anyway.

What do I need for a virtual session?

A device with a camera, a reliable internet connection, and a private spot where you can talk. You also need to be physically located in a state where Victoria is licensed at the time of the session.

What if I’m not good at doing homework?

You’re in good company. Homework isn’t a test. A week where it didn’t happen still tells you something: what got in the way, what felt too big, or what the plan didn’t account for. The free Before You Blame Your ADHD worksheet is a low-stakes way to try it first.

Will you hold me accountable?

Yes, in a way that builds your own follow-through. Each session ends with homework and an agenda for next time, and you bring back what happened. Reminders between sessions aren’t part of it, because building reminders that work without Victoria is part of the practice.

Do I need to know what I want to work on before the intro session?

No. Come as you are. You don’t need your goals perfectly organized or to know what kind of support you need. Figuring out the scope is part of the intro session.

What if we’re not a good fit?

That’s okay. The intro session has no obligation to book further. If it isn’t the right fit, you’ll leave with a clearer idea of what might make sense next, such as CBT, an ADHD evaluation, medication management, or another kind of support.

Can I work with Victoria if I already have a therapist or psychiatrist?

Yes. The intro session includes your current providers and medications, and this work often helps you bring clearer information back to them.

Women + Hormonal Changes

Can perimenopause cause brain fog and forgetfulness?

Many women notice brain fog, forgetfulness, trouble sleeping, and changes in focus during perimenopause. For women with ADHD, it can feel like strategies that used to work suddenly don’t. Sessions help separate what may be hormonal from what is ADHD, anxiety, or burnout, while medical questions stay with your doctor.

Can you help with ADHD after having a baby?

Yes. Postpartum can change sleep, focus, energy, mood, and follow-through all at once, and those changes overlap with ADHD, anxiety, and burnout. The work separates what is happening so you can make informed decisions about your support and build systems that fit this stage of life.

What if I don’t know what I want next?

That’s part of the work, not a requirement to start. Many women come in asking What do I want now? about health, relationships, career, home, money, or time. Sessions make room to lay out the bigger picture, turn it into goals, and break those goals into things you can start doing.

I’m a mom and my needs always come last. Can this help?

Yes. A big part of this work is making room for your own needs alongside everyone else’s, so you stop using all of your energy to keep one area of life going while everything else falls apart. You don’t have to keep trying to do it all alone.

Minecraft Group: Common Parent Questions

Isn’t a Minecraft group just more screen time?

It’s structured, social screen time with a purpose. Kids are live on camera with peers and Victoria, practicing conversation, waiting, compromise, and flexibility. Group also includes workbook pages, Show & Tell, and themed events that have nothing to do with Minecraft, plus calendar and homework skills kids use off-screen.

Is Minecraft good for kids with ADHD and autism?

It can be a great fit. Many kids already love the game, which lowers the stress of social practice. For kids with ADHD, it keeps them engaged while they practice waiting and listening. For autistic kids, the familiar setting and predictable group routine make it easier to take social risks.

My child is shy. Will they be okay?

Yes. Phase 1 is about coming together and learning each other, starting with basics like saying hello and learning names. Quiet kids get gentle opportunities to share, and hearing peers say that happens to me too helps build confidence over time.

What happens if my child gets upset or frustrated during group?

It gets worked through while it’s happening. Victoria might help a child slow down, take a break, or talk through what just happened, and kids practice owning a mistake and repairing instead of retaliating or walking away. Kids do need some independence with regulation, since Victoria isn’t physically in the room.

Does my child have to have their camera on?

Some kids participate with their cameras off. Being on camera is part of practicing conversation, but kids are met where they are.

Will my child have to talk about feelings?

Not right away, and not every child comes ready to. Phase 1 focuses on community and social basics. Emotional work grows in Phase 2 through workbook pages like Your Backpack of Worry and Rollercoaster of Emotions, once kids know each other and trust the group.

Which version of Minecraft do we need?

Minecraft Bedrock Edition. The group plays in a Bedrock Realm, so Java Edition can’t join.

Does the group play survival mode?

Groups play mostly in Creative Mode. Kids can switch themselves into Survival Mode and coordinate with friends who want to play Player vs Player, and asking and figuring that out together is part of the practice.

Is there homework?

Yes, and it’s light. Kids complete workbook pages at home and track assignments on their own color-in calendar. Remembering the assignment, preparing something to share, and transitioning away from the game are all executive function practice. If homework doesn’t happen, that becomes something to work with too.

How will I know if my child is making progress?

Victoria sends Social Skill Cards home as skills are practiced and shown, and kids earn Good Friend Character Awards, complete reflections, and receive completion certificates. Parent calendars also list each week’s coaching focus so you know what’s being practiced.

Can my child play with group friends outside of group?

Yes. While registered, kids can access the Realm outside of group, each phase includes two open-play dates, and kids can stay on after group to keep playing. Later phases even practice how to ask a friend to play and make a plan.

How can I support what my child is learning at home?

Use the parent calendar to see the weekly coaching focus and conversation starters, and talk about them at home. Help your child check their own calendar so they know what’s coming up, and set up a private space for group so they can practice without a parent stepping in.

Contact

How do I contact Victoria?

Email vprisco@victoriaprisco.net, or book an intro session through the contact page.

Still have a question?

Let’s talk it through.

A 30-minute intro session is the easiest way to see if this work fits what you’re looking for. No obligation to book further.

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