Executive Functioning Group for the self-employed queer

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Join Emerson Delacroix, MACP, LLP, RYT-200, and other self-employed queer folx with ADHD for a 5-week virtual course on improving your executive functioning skills. The one hour class time will start at the end of April, and meet every other week.

You will learn how to accommodate your ADHD to improve your executive functioning, empowering you to finish the long overdue tasks, delegate, and improve mood. Each week we will start the hour with a brief mindfulness practice, then Emerson will provide knowledge and resources for the week's executive functioning topic (see agenda below). You will be ask to share something about your goals, tasks, and progress, providing some accountability. There will be time to share with each other, providing ways to solve the specific concerns you bring to group. We'll end with a few minutes of organization and planning for the week.

Course Agenda
Week 1: Planning, prioritizing, and organizing
Week 2: Self monitoring and working memory
Week 3: Impulse and emotional self control
Week 4: Task initiation and focus; Adaptable/flexible thinking
Week 5: Performance monitoring and review

Email *

I ask that you make a few commitments to yourself, me, and the group. Please be willing to do the following over our 5 weeks together, checking each one as you agree. These will be used as experiential learning for the course goals. *

Create S.M.A.R.T. goals you're working on. (Specific, Measurable, Attainable/Achievable, Realistic/Relevant, Time-limited/specific),

Track progress on three habits. (Preferably, one self-care habit, one routine/work-flow habit, and one hobby related habit.)

List and track progress on, personal and professional, one-time tasks you need/want to accomplish over the course.

Choose one area of executive functioning that's additionally challenging right now you're willing to brainstorm on with the group.

Provide other group members feedback or advice on how to accommodate their ADHD.

Attend and participate in all 5 classes. (I anticipate these being small classes, so you'll get lots of opportunities to share.)

Required

Your Preferred Name? *

Your Pronouns: *

They/Them

She/Her

He/Him

Other:

Please provide a phone # I can use to text you about the course.

If you're not already a client with Wellspring Healing Center, LLC, you'll be invited to a portal with TherapyNotes to complete a consent form and set up payment. In order to access the portal, you'll need to sign in with your email address and Date of Birth. Please provide me your DOB, if you are not an active client.

YYYY

Group therapy is billable to insurance with documented need. You may owe a co-pay. Please review your insurance plan for coverage details on CPT code 90853. Sliding scale is also available; please email the clinic's asssi, Suzanne Murphy at S.meadows.murphy@outlook.com for details. Documentation justification will be made with the standardized assessment Brown EF/A, which you can complete remotely. I will invite you, via email from Pearson Assessments, to take the assessment after enrollment. Please state if you consent to allow your de-identified information to be included in the Pearson General Research Database with a yes or no below. This is completely optional, and does not impact your enrollment in the course.

For more information about Emerson, please visit their website: www.wellspringhealingcenterllc.com

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms