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ADHD and Procrastination

Dorianne Green
Written by:
Dorianne Green
MD
Dr. Henry Bradford
Medical Reviewer:
Dr. Henry Bradford
MD

Highlights

  • Procrastination is a behavior often associated with ADHD. However, people without this condition can also procrastinate sometimes.
  • Low dopamine levels and poor executive functioning in the ADHD brain cause low attention and high energy, which predispose to ADHD procrastination.
  • There are practical tips, therapy, and, if appropriate, stimulant medications that can help people with ADHD not to procrastinate.

You just can’t seem to get anything done recently, literally nothing. A critical work project is behind schedule, and you might lose your job. The household chores are piling up, and your partner lost it this morning and yelled,  “What is your problem? Just stop procrastinating and do it!”

Firstly, what is procrastination? It means illogically delaying something that needs to be done at a specific time.

Yes, this sounds like what’s happening to you, but why? You read somewhere that it could be related to ADHD, and we’re here to help you understand the link between ADHD and procrastination.

Get help for ADHD online

See a licensed medical provider to go through a detailed symptom assessment within 24 hours.

Does ADHD Cause Procrastination?

Procrastination is not a core symptom of attention deficit hyperactivity disorder (ADHD), but rather a common associated behavior. However, it’s true that people with adult ADHD often can’t stop procrastinating. This is because their core symptoms and other common ADHD-related complaints predispose them to delaying behavior.

Ultimately, it all starts with the ADHD brain.

Why Do People With ADHD Procrastinate?

The relation between procrastination and ADHD comes down to differences in the ADHD brain compared to the non-ADHD brain:

These are complicated medical terms, so let’s break them down into an easy-to-understand way.

Think of working memory like this:

  • Short-term memory is like a sticky note — it’s small and can hold only a few key ideas before it gets full.
  • Executive attention is like the hand that writes on this sticky note. It decides what’s important enough to write down and what to ignore, but it can only focus on a few things at once.

People with ADHD battle to decide what must go onto the “sticky note”, leading to difficulty prioritizing, low attention, and poor focus. It also affects prospective memory, which means difficulty remembering to remember something in the future.

As for the second cause, dopamine is a nerve messenger (neurotransmitter); you can think of it as your brain’s feel-good motivational fuel. It makes sense that low dopamine levels lead to low attention, focus, mood, and energy.

The dopamine deficiency and poor executive functioning result in ADHD-related symptoms, and the knock-on effect is procrastination.

Procrastination and Core ADHD Symptoms

According to the Diagnostic and Statistical Manual (DSM 5), there are three types of attention deficit hyperactivity disorder (ADHD [2*] ), classified by the core symptoms:

  1. Mostly inattentive
  2. Mostly hyperactive/impulsive
  3. A combination of the above

All of these ADHD types can cause procrastination.

Discuss your ADHD symptoms with a medical provider to get individualized recommendations and treatment.

Lack of Focus and Attention

Being easily distracted and struggling to focus are symptoms of inattention that cause organizational problems [3*] . If your mind wanders, you will naturally delay getting things done, which can result in chronic procrastination.

High Energy and Impulsivity

Hyperactivity and impulsive behavior [3*] are other core ADHD symptoms that commonly cause procrastination. It’s tough to complete a task when one is agitated, restless, or impulsively abandoning it to do something more rewarding.

Do you think you may have ADHD? See a licensed healthcare provider online for diagnosis and treatment.

Procrastination and Other ADHD-related Complaints

Low Energy Levels

Adults with ADHD commonly feel tired [4*] and have low energy. This leads to poor motivation and an inability to get things done.

ADHD Paralysis

ADHD paralysis might be the ultimate manifestation of ADHD procrastination. It is a term that people with ADHD use when they are feeling overwhelmed to the point that they shut down emotionally and physically; they feel paralyzed.

Perfectionism

If you want something to be perfect, it can take ages to achieve that. Perfectionism [5*] is a common unhelpful thinking pattern in adults with ADHD, usually because of a fear of making mistakes.

"Many chronic procrastinators, especially perfectionists, adopt an "all-or-nothing" mindset, making it difficult to start tasks they view as overwhelming. They often wait for a "better moment" to begin a large project. A helpful strategy is to break the task into 5-10% ‘bite-sized’ increments and focus on completing just the first step. The sense of accomplishment (via dopamine surge) from finishing that segment often triggers a snowball effect, making the task feel more manageable and motivating them to continue ahead of schedule."
Dr. Henry Bradford, MD
Medical provider at MEDvidi

Fear of Failure

Sometimes, people with ADHD will delay tackling a challenging or stressful task because they are scared of failing [3*] . This, ironically, can lead to poor results anyway, cause low self-esteem, and further increase the fear of failure. It’s a vicious cycle leading to more procrastination.

Hyperfocus

A person with ADHD battles to control their attention; their brain takes them where it wants to go. This can result in intense focus on one thing, like a hobby or binging a series, and this hyperfocus [6*] can lead to procrastination in other aspects of their lives.

Time Blindness

Time blindness [7*] is common in ADHD and means difficulty in grasping the concept of time:

  • Not being able to estimate the time needed for a task
  • Losing track of time easily

This results in poor time management and might contribute to procrastination.

ADHD Burnout

Hyperactivity and putting effort into staying focused burn mental and physical energy [8*] , often leaving adults with ADHD exhausted and burnt out. Tired people battle to get through projects or make decisions, making procrastination worse.

Co-existing Mental Disorders

People with ADHD are frequently diagnosed with other mental conditions, such as anxiety and

depression. In fact, 1 out of 4 people [9*] with ADHD also have an anxiety disorder. Frequently, common symptoms of these conditions are negative moods and poor motivation, which can predispose to procrastination.

Is Your Procrastination a Symptom of ADHD?

It is normal to procrastinate in everyday life; we all do it to a degree, and procrastination alone doesn’t indicate that you have ADHD. 

Because of the irrational delay in making decisions or doing something, the symptoms of procrastination might look like this:

  • Avoiding responsibility
  • Making excuses
  • Last-minute rushing
  • Feeling stressed or guilty

Types of Procrastination Patterns

Procrastination may present in certain patterns, and although these types are not an official classification, they are often referred to as follows:

  • Perfecting: Perfectionists never get the task done because they focus on the details, not the bigger picture.
  • Dreaming: A dream is often out of reach, a challenge to achieve, and difficult to put into action.
  • Worrying: Worriers procrastinate because of fear of failure and avoid the task altogether.
  • Crisis-managing: These last-minute people believe they work better under pressure just before the deadline.
  • Overextending: Overdoers cannot prioritize tasks or cannot say no, resulting in too many responsibilities. They may feel overwhelmed and neglect all their projects.
  • Faking productivity: These people clean, organize, learn, or network to avoid the task at hand, also called productive procrastination.
  • Pleasure-seeking: They get side-tracked by enjoyment, trying to get motivated for the task at hand.

Do you recognize any of these symptoms or patterns in your procrastination? Any of them could be present in occasional normal or ‘everyday’ procrastination and are not characteristic of ADHD procrastination.

So, how do you tell the difference?

ADHD vs Normal Procrastination

Usually, in normal ‘everyday’ procrastination, these symptoms are temporary and are not a regular pattern, while in ADHD, it is more serious.

 

ADHD

Procrastination

Normal

Procrastination

What is behind it?

Differences in the ADHD brain compared to non-ADHD brains

Simply not wanting or needing to do something at the moment

How long does it last?

Happens on most days over months and is persistent, affecting multiple areas of life

Situational and occasional, often based on mood or stress levels

What are the consequences?

  • Problems in everyday life
  • Persistent frustration
  • Negative self-image
  • Overall normal function
  • Minor stress that passes quickly
  • No lasting problems

Is there control?

A person feels powerless even when aware of consequences

It’s often a choice and can override it with willpower

"Many individuals stuck in a cycle of procrastination don't seek help because they've learned to cope with it. Although they consistently delay tasks, they can often summon immense focus and energy to complete them at the last minute. However, this cycle overtime causes burnout and typically results in suboptimal outcomes compared to if they had strategized ahead."
Dr. Henry Bradford, MD
Medical provider at MEDvidi

How Do You Know If You Have ADHD?

As you can see from the table above, if you are experiencing repeated, severe episodes of procrastination that are interfering with your quality of life, ADHD might be a possibility. In fact, some people go undiagnosed until adulthood.

Consider taking this 5-minute ADHD quiz to see if you may have procrastination linked to an ADHD diagnosis.

Do you think you may have ADHD? See a licensed healthcare provider online for diagnosis and treatment.

Consequences of Chronic Procrastination

Having a pattern of procrastinating and repeatedly not getting things done, particularly in adult ADHD, can lead to negative consequences. Untreated ADHD can impact your workplace, personal life, and your mental health.

Impact on Work Performance

Failure to perform at work might result in disciplinary hearings, colleague resentment, poor work satisfaction, and no promotions.

Relationship Issues

Delayed and forgotten plans or last-minute cancellations may cause frustration or disappointment in friends and family, gradually putting a strain on relationships. Failure to complete household responsibilities such as paying bills, cleaning, cooking, and shopping can also cause tension with loved ones.

Mental Health Issues

Procrastination may leave you with negative feelings about failure, such as guilt, sadness, or worry. If extreme, this can contribute to developing anxiety and depression.

How to Stop Procrastinating If You Have ADHD

Next, let’s look at a few tips and self-help techniques that can help to deal with procrastination. 

  1. Set Multiple Frequent Deadlines: Setting multiple targets between the start of a task and the final deadline can help reduce procrastination. With better time management, you can make headway, reaching one deadline at a time.
  2. Avoid Multitasking: Managing multiple tasks can feel overwhelming. To reduce procrastination, prioritize existing jobs and wait to take on new ones until you have caught up.
  3. Use Organization Tools: Writing to-do lists, using calendars, and setting reminders will help with time management and give structure, helping you to check off everyday tasks.
  4. Reward Yourself: The promise of a reward, like a walk or a coffee break, sets a goal that helps maintain focus and motivation and helps you to complete tasks.
  5. Work With Your Daily Rhythms: If you have work flexibility and are not a morning person, sleep in and work later to improve focus and finish tasks.
  6. Limit Distractions: People with ADHD are distracted easily from tasks. Keeping a neat workspace, putting mobile phones out of reach, and disabling notifications are great examples of improving your self-control.
  7. Set a Timer: Scheduling a specific amount of time to work with a timer helps prevent task avoidance. For example, you could work for 25 minutes with a 5-minute break or 90 minutes with a 15-minute break; find what works best for you.
  8. Start Imperfectly: Just get going on a ‘rough’ version of the task from start to finish and then polish it up. You’d be surprised at how good the first draft usually is.
  9. Use the 5-Second Rule: Just like a countdown helps you to jump into a cold swimming pool, it might help to tackle boring tasks. “5, 4, 3, 2, 1… start the task!”
  10. Breaking Tasks Down: Often, looking at a big task as a bunch of small tasks that can be done one by one, helps to get the job done. You can write these on a to-do list and tick them off to see your progress.
  11. Find a Support System at Work or School: Accountability partners can motivate you by checking in and seeing how you’re doing, or you could work alongside a ‘double,’ match them to stay on track, and overcome task setbacks.

When to Seek Professional Help

If extreme procrastination throws your daily life off balance and starts to negatively impact your daily responsibilities (e.g. poor job performance, failing a course, relationship strain), it’s time to speak to a healthcare provider or other mental health professional. They will help you to distinguish everyday procrastination from a mental health condition like ADHD and decide on a personalized treatment plan.

Options to manage ADHD procrastination include therapy, medication, or both. Procrastination is a by-product of other ADHD symptoms, so the treatment will be about generally getting ADHD symptoms controlled. You can go through an assessment to get a diagnosis and online ADHD treatment at MEDvidi — book an appointment to see a licensed medical provider within 24 hours.

Therapy for ADHD-Related Procrastination

Cognitive-behavioral therapy (CBT) might help when trouble regulating emotions (one of the causes of delays in completing tasks or making decisions). CBT is a talk therapy that helps people change their thinking patterns, regulate their feelings, and improve behaviors. Family or relationship therapy can also be beneficial, helping family members or loved ones better understand the specifics of the condition and find ways to manage it.

Medication for ADHD-Related Procrastination

Stimulant medications [2*] (amphetamines and methylphenidates) increase dopamine, are the first choice for ADHD, and work well for most people, helping to manage procrastination. Sometimes, people with ADHD can’t take stimulants but can use other options called non-stimulants instead.

Does Adderall help with procrastination? Adderall, an amphetamine-based prescription stimulant, helps to deal with ADHD. So, if you have been diagnosed with ADHD, and persistent procrastination was caused by it, then medication may help. However, note that Adderall might not be the correct medication for you; only a healthcare provider can determine whether you need pharmacological treatment and which medication can be right for you.

Get Help for ADHD Online

Procrastination is just the tip of the ADHD iceberg; if it happens frequently, and you notice high distractibility or other symptoms of ADHD, consult a healthcare professional for diagnosis and treatment. The first step to getting your personalized treatment plan is making an appointment — MEDvidi’s team is here to help.

FAQs About ADHD and Procrastination

Although people with ADHD may tend to procrastinate, procrastination is not an official symptom or form of this condition. ADHD is characterized by the signs of inattention, hyperactivity, or both.

ADHD is diagnosed when a person has specific symptoms and behavior patterns mentioned in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5). Occasional procrastination won’t affect your life significantly or cause distress; however, if you feel like your tendency to delay various tasks leads to negative consequences or you notice other symptoms of ADHD, it’s worth seeing a healthcare provider for a consultation.

People with ADHD may have more intense procrastination because its characteristics overlap with core ADHD symptoms. One may have difficulty maintaining focus, get distracted easily, or feel restless when trying to do tedious tasks.
ADHD, anxiety disorders, and depression, among other conditions, may cause procrastination. However, people without mental health disorders may also procrastinate sometimes.
Essentially, procrastination is a form of avoidance. An individual with ADHD may try to avoid boredom or frustration, while a person with an anxiety disorder may want to avoid something that triggers anxious feelings. Whether you have ADHD or anxiety cannot depend on one behavioral pattern like procrastination but rather a combination of many symptoms — see a healthcare provider to go through a mental health assessment and get an accurate diagnosis.
Different symptoms of ADHD may cause such behavior. Some common causes include forgetfulness, time blindness, and the tendency to be easily distracted or sidetracked by more interesting or rewarding activities. Problems with prioritization and organization also play a role, as well as the phenomenon of ADHD paralysis — when a person is so overwhelmed or overstimulated that they can’t start or complete any task.

Sources

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Dorianne Green
Written by:
Dorianne Green
MD
Dr. Henry Bradford
Medical Reviewer:
Dr. Henry Bradford
MD
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