Executive Difficulties

Inflexible thinking:
Seeing things in black and white can lead to difficulty following procedural rules and appreciating options or another’s point of view. The ABI survivor may seem to be showing traits of an anti-authority nature, whilst rigid thinking will often lead to argumentative behaviour that can prove irritating to workmates and supervisors.

Difficulty in planning:
Difficulty in organising, problem-solving, making decisions, using judgement and initiative can all lead to an inability to work independently, or in any work activity that requires multiple and complex activities. However, people lacking these skills may be able to find employment in jobs that have a routine structure.

Loss of initiative, drive and spontaneity:
Loss of initiative can lead to an inability to carry out work-related tasks without being prompted.

Anxiety can lead to a loss in confidence and, possibly, to erratic behaviour.

Low tolerance of frustration/noise/stress/others:
Low tolerance can lead to a quick temper and becoming easily upset and a difficulty with working to deadlines.

Fatigue or tiredness:
Tiredness can often make other problems seem worse. Poor concentration will contribute to mistakes and fatigue may result in days off work to recover.

Lack of insight and awareness:
Lack of insight and awareness can lead to unrealistic expectations of work capability and a possible insensitivity towards others. Poor interpersonal skills at work, such as impulsiveness, mood swings, etc., can all be problematic.

Reduced activities of daily living:
This refers to the injured person’s ability to manage their everyday living, such as getting up on time in the morning, cooking, shopping, self-care, time management, organising money and transport, and so on. A reduction in these abilities can result in late or unreliable attendance.