Content

Home Blog

How to Focus With ADHD

Written by:
Dorianne Green
MD

Highlights

  • Many factors contribute to poor focus in people with ADHD, but low attention control is the one that stands out.
  • Poor focus can negatively affect all aspects of daily life, including functioning at work and home, as well as personal relationships.
  • You can train or assist your brain by using tips for focusing with ADHD, such as making lists, setting goals, breaking up projects into smaller tasks, and using organizational tools.
  • Improving focus in ADHD may involve seeing a medical professional for a treatment plan that might include therapy, medication, or both.

Adults with ADHD have poor focus; that’s a fact. You’re probably reading this because you have ADHD and are looking for solutions to improve concentration. Well, you’ve landed on the correct page.

But, to understand the strategies for focusing, you need to know why focus and concentration in ADHD are poor in the first place.

Get personalized recommendations for focus improvement and a detailed treatment plan online.

Why Focusing With ADHD Is Challenging

Some of the reasons are in the name. ADHD stands for attention deficit hyperactivity disorder, and it affects an estimated 3% of adults [1*] . It usually starts in childhood and is classified as a neurodevelopmental (brain development) disorder. ADHD has the classic behaviors or symptom groups:

  • Low attention control
  • Low impulse control
  • High activity and restlessness

Generally, ADHD is diagnosed by taking a history from the patient and family members and using rating scales.

Although it seems obvious that lack of attention control causes poor focus, so do high activity, impulsivity, and other factors. Differences [2*] in ADHD brain chemistry, compared to non-ADHD brains, may lead to time blindness, ADHD paralysis, hyperfocus, difficulty controlling emotions, and other mental health conditions that make it difficult to concentrate.

Let’s chat about each of these factors in a little more detail.

Low Attention

Poor attention is one of the key symptoms of ADHD; 9 out of 10 [3*] people with ADHD report it, with more females than males affected. This results in trouble focusing and being easily distracted and can manifest as:

  • Missing details
  • Not finishing tasks
  • Being forgetful
  • Not seeming to listen when spoken to
  • Difficulty organizing things
  • Avoiding tasks
  • Losing things

So, low attention logically leads to a poor ability to focus.

See a medical expert online to deal with ADHD symptoms and explore available treatment options.

High Activity, Restlessness, and Impulsivity

Hyperactivity and restlessness are less common in adults with ADHD than children but, if present, can disrupt concentration and make sustained attention difficult. It is often described as an ‘internal motor’ always running [4*] , leading to:

  • Not being able to sit still
  • Being loud and outspoken
  • Interrupting conversations
  • Having difficulty waiting your turn

If you’re constantly ‘on the go,’ you are less likely to focus on a specific task but jump from one to another instead. This also results in impulsive behavior—acting without thinking.

Hyperfocus

ADHD hyperfocus is a unique one. Isn’t this whole article about adults with ADHD not being able to focus? Now, we’re discussing that they can have periods of long-lasting, highly focused attention [5*] ! Unfortunately, such a contradiction does exist. When people with ADHD have poor focus, it’s because they battle to control their attention; it goes where it wants to go. So, if this person finds something intriguing, they stay focused on only that. If that intense focus is on screen time or hobbies, with no focus on other aspects of daily life, it is not healthy or balanced.

"This characteristic of ADHD can cause some to evade diagnosis because oftentimes ADHD is thought to be characterized by lack of focus."
Dr. Michael Chichak
Medical provider at MEDvidi

Time Blindness

People with ADHD often battle with time blindness, which, essentially, is an abnormality of time perception. This could present in a few ways:

  • Losing track of time
  • Not being able to anticipate the time a task will take, even if you’ve done it before
  • Struggling to understand when you need to start a task to finish it in time

You can understand that time blindness will contribute to poor focus, disrupting schedules and daily life.

ADHD Paralysis

ADHD paralysis is an extreme manifestation of poor focus. I’m not sure if you’ve experienced this, but it is caused by feeling overwhelmed to the point where you freeze or shut down; even simple tasks feel impossible. Poor executive function and working memory [6*] affect the ADHD brain’s ability to focus, prioritize, and make logical task decisions.

Emotional Dysregulation

Controlling emotions can be a battle for people with ADHD. Emotional dysregulation [7*] means having an exaggerated reaction that:

  • is not appropriate or out of proportion to the situation,
  • continues after the situation is over,
  • has negative consequences.

If you are overloaded with emotions, they can become all-consuming, making it difficult to focus on anything else.

Co-occurring Mental Health Conditions

Lastly, many people with ADHD have other mental health conditions, commonly including anxiety disorders and depression. Believe it or not, 2 out of 3 adults with ADHD have at least one [8*] another mental health diagnosis.

Both generalized anxiety disorder (GAD) and major depressive disorder (MDD) can cause poor concentration, focus, and motivation.

"It is common for ADHD to be misdiagnosed as anxiety and vice versa. If you think you are experiencing either of these conditions, make sure to talk to your health care provider transparently to get the best treatment."
Dr. Michael Chichak
Medical provider at MEDvidi

Can You Train an ADHD Brain to Focus?

So, now that you understand why concentrating is difficult let’s look at what helps a person with ADHD focus.

Effective Self-Help Techniques for Improving Focus With ADHD

You can train or assist your brain with focusing using the following tips.

Make Lists

Often, people with ADHD struggle to get daily tasks done. You can stay organized by making shopping or to-do lists or schedules of family chores.

Also, use the Zeigarnik effect to your advantage. This is an unusual name for the fact that people tend to remember unfinished tasks better than completed ones [9*] . Take 5 minutes at the end of each day to list your incomplete projects and tackle them the next day.

Set Alarms and Leave Visual Reminders

These days, there is so much technology that can help you. Calendars allow you to set alerts, and your mobile phone has timers, reminders, and alarms, so use them!

Also, don’t underestimate the value of the good old chalkboard shopping list on the kitchen wall or sticky notes on your mirrors or computer screen. Find something that works for you.

Break Tasks Into Manageable Steps

If a project feels overwhelming, there is a chance you might avoid it, do something less important, or end up with ADHD paralysis. So, break tasks or long documents into bite-size, step-by-step chunks that are easier to achieve.

Set Clear, Specific Goals

The same applies to longer-term goals. Setting smaller goals to stay on track and meet deadlines is essential in an ADHD management plan.

Schedule Regular Breaks

In order to focus better with ADHD, your brain needs to rest, so take a break. Also, temporarily leaving a task satisfies your ADHD urge for distraction in a structured and healthy way.

Write Down Distracting Thoughts and Emotions

Also called a brain or thought dump, writing things down helps you understand why you think and feel that way, making it easier to deal with emotions.

Do you notice symptoms of ADH, depression, or anxiety? See a medical provider online for a detailed assessment.

Work Alongside Someone

Working as part of a team may make it easier to focus on work. However, it is essential to communicate with your team members about how best to help you: give you small tasks, remind you about deadlines or take breaks, and check your work. This will help avoid misunderstandings and clarify expectations.

Utilize Organizational Tools

These can be in traditional forms like calendars, diaries, and planners to record appointments and schedule time for tasks. However, there are other creative things to help focus with ADHD, including phone applications such as Focusmate, Focus Keeper, the Forest App, Focus To-Do, and Remember the Milk. Give them a try.

Try Fidget Toys or Stress Balls

If you battle restlessness or hyperactivity, stress balls or fidget toys can absorb your increased energy, allowing you to stay focused. Strangely enough, chewing gum can also redirect restlessness.

Limit Environmental Distractions

If you have ADHD, consider removing distractions from your workplace and in any other situation requiring attention.

Create an ideal environment and maintain focus by:

  • Removing clutter and keeping only the essentials on your desk.
  • Ensuring a quiet, private space or wearing noise-canceling headphones if you need to concentrate in public.
  • Putting your mobile and electronic devices out of reach or switch them to ‘focus mode.’

Stay Physically Active

Exercising is vital for general physical health but might have added benefits in people with ADHD:

Maintain a Healthy Sleep Routine

Adults with ADHD are prone to sleep disturbances and tiredness, which, in turn, causes poorer focus. It makes sense that you need to do everything possible to ensure a healthy sleep routine:

  • Get out into the sunlight every day. Natural light helps to regulate your sleep cycle and gives you a better sleep quality.
  • Avoid large meals, alcohol, and caffeine, particularly in the evenings, as these can contribute to poor sleep.
  • Go to bed at the same time every night.
  • Wind down for an hour before bedtime by reading, listening to calming music, or having a relaxing bath or shower.
  • Sleep in a cool, quiet, and dark room.
  • Avoid day napping.

Practice Mindfulness Regularly

You often hear about mindfulness, but what does it actually mean?

Mindfulness is paying attention: 

  • in the present moment,
  • on purpose, and
  • without judgment.

This is useful for controlling emotions and hyperactivity [10*] by observing emotions like anger or anxiety as well as physical sensations like restlessness, not judging yourself for them, and realizing that they pass.

Mindfulness can also train the brain not to get distracted or wander. It doesn’t come easily at first; like anything, it needs practice.

Be Patient & Kind With Yourself

Don’t be hard on yourself, and know that poor focus is part of your ADHD diagnosis and is manageable. Make sure to take ‘me time’ and do things you love.

When to Seek Professional Support

If poor concentration is disrupting your social life and home or work daily life, it is time to consult a healthcare professional on how to focus with ADHD and get back on track.

Your online appointment for ADHD treatment will start with the symptom assessment, including screening for both ADHD and other commonly co-occurring mental health conditions such as anxiety and depression. They will tailor your treatment plan to your unique situation, including medication, therapy, or both.

Therapy

Therapy might be helpful to teach you how to concentrate with ADHD by learning to regulate emotions and change behavior. This is particularly important when there are anxiety and depressive symptoms present.

If lack of focus is causing chaos at home, you might benefit from family or relationship therapy. Other counseling avenues could be seeing an ADHD coach or finding support groups of people who understand what you’re going through.

Medication

Mental health professionals usually need to prescribe medication to help people with ADHD stay focused, and there are two classes of ADHD medication:

1. Stimulants:

2.Non-stimulant medications:

Stimulants are the first-line treatment and work well in 70% of people [11*] . Many options are available within each subset, and your healthcare provider will decide which is best for you. Some patients may not be able to take stimulants, and this is when the non-stimulant class is helpful.

In summary, there are many options available to control your ADHD symptoms and get you focusing again. You can see a medical provider at MEDvidi online to discuss the most suitable solutions and receive a detailed treatment plan tailored to your needs. Your appointment is a click away.

Sources

hide
11 sources
  1. Williams OC, Prasad S, McCrary A, et al. Adult ADHD: A comprehensive review. Annals of Medicine & Surgery. 2023;Publish Ahead of Print(5).
    Source link
  2. Magnus W, Nazir S, Anilkumar AC, et al. Attention Deficit Hyperactivity Disorder. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
    Source link
  3. Williams OC, Prasad S, McCrary A, et al. Adult ADHD: A comprehensive review. Annals of Medicine & Surgery. 2023;Publish Ahead of Print(5).
    Source link
  4. Magnus W, Nazir S, Anilkumar AC, et al. Attention Deficit Hyperactivity Disorder. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
    Source link
  5. Hupfeld KE, Abagis TR, Shah P. Living “in the zone”: hyperfocus in adult ADHD. ADHD Attention Deficit and Hyperactivity Disorders. 2018;11(2):191-208.
    Source link
  6. Kofler, M. J., Singh, L. J., Soto, E. F., Chan, E. S. M., Miller, C. E., Harmon, S. L., & Spiegel, J. A. (2020). Working memory and short-term memory deficits in ADHD: A bifactor modeling approach. Neuropsychology, 34(6), 686–698.
    Source link
  7. Shaw P, Stringaris A, Nigg J, Leibenluft E. Emotion dysregulation in attention deficit hyperactivity disorder. Am J Psychiatry. 2014 Mar;171(3):276-93. doi: 10.1176/appi.ajp.2013.13070966. PMID: 24480998; PMCID: PMC4282137.
    Source link
  8. Williams OC, Prasad S, McCrary A, et al. Adult ADHD: A comprehensive review. Annals of Medicine & Surgery. 2023;Publish Ahead of Print(5).
    Source link
  9. Kodden B. The Art of Sustainable Performance: The Zeigarnik Effect. SpringerBriefs in Business. Published online 2020:67-73.
    Source link
  10. Bachmann K, Lam AP, Philipsen A. Mindfulness-Based Cognitive Therapy and the Adult ADHD Brain: A Neuropsychotherapeutic Perspective. Front Psychiatry. 2016 Jun 27;7:117. doi: 10.3389/fpsyt.2016.00117. PMID: 27445873; PMCID: PMC4921925.
    Source link
  11. Magnus W, Nazir S, Anilkumar AC, et al. Attention Deficit Hyperactivity Disorder. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
    Source link
Show more
Written by:
Dorianne Green
MD
Share

Content

Recommended Articles

Join our newsletter

Sign up to receive mental health news and tips delivered right in your inbox every month.

Take the first step today:

book an appointment to get your symptoms assessed and obtain a prescription online.

Evidence Based

This article is based on scientific evidence, written by experts and fact checked by experts.

Our team of experts strive to be objective, unbiased, honest and to present both sides of the argument.

This article contains scientific references. The numbers
in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers.