For too many, though, that crucial diagnosis may never come. People who struggle with executive abilities tend to get ignored. The spectrum is labeled through the ability to communicate and socialize; adapting to daily life is not often factored into the diagnostic process. Difficulty with EF is treated as a byproduct of autism, not a defining feature.
Thank you for this. The other category that fits EF difficulties is concussion syndrome. In car accidents and other head injuries, without a visible mark or other diagnosis, we struggle for years and years with daily tasks, obligations and motivation, and rarely does one with EF disorder have the motivation to get help that is so difficult to reach through the gatekeepers of medicine and social stigma. Spouses and family take on burdens they may not even know they are shouldering.