Executive functions are a collection of higher-level cognitive abilities that support decision making, planning, attentional focus, and error correction. Mental slowing, inefficiency, and feeling blue are – to some degree – expected with any serious illness. Goal Management TrainingTM (GMT) is a made-in-Ontario healthcare innovation, developed by researchers at Baycrest, a Toronto-based academic health science institution affiliated with the University of Toronto. GMT incorporates decades of neuroscientific research as well as applied clinical practice.