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Which executive function is most commonly impaired in people with ADHD? 

ADHD executive impairment affects a range of cognitive functions, making daily tasks and long-term goals difficult to manage. Among the many executive functions impacted, working memory ADHD is often the most commonly impaired. Working memory allows individuals to hold and manipulate information over short periods, and in those with ADHD, this function tends to be particularly challenging. 

ADHD executive impairment can manifest in several ways, from difficulty following instructions to struggling with multitasking. However, working memory ADHD stands out as a key issue, as it directly influences an individual’s ability to retain and recall necessary information for tasks, whether at school, work, or home. This often leads to forgotten appointments, missed details, or an inability to complete tasks efficiently. 

Common Symptoms 

Inhibitory Control ADHD 

One of the core deficits in ADHD executive impairment is inhibitory control ADHD. This refers to the difficulty in controlling impulsive behaviours, leading to interruptions, impulsive decisions, or acting without considering the consequences. It can cause issues in social interactions and decision-making. 

Attention Regulation Deficits 

People with ADHD often face attention regulation deficits, making it hard to focus on tasks for extended periods. This leads to frequent distractions and difficulties in maintaining concentration, especially in tasks requiring sustained mental effort. 

Understanding the most commonly impaired executive functions can help in identifying tailored strategies to support those with ADHD in managing these challenges. 

Visit providers like ADHD Certify for personal consultations and expert advice tailored to your needs.    

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Executive Function Deficits.

Harriet Winslow, BSc - My patient advice author - mypatientadvice.co.uk

Harriet Winslow, BSc

Author

Harriet Winslow is a clinical psychologist with a Bachelor’s in Clinical Psychology and extensive experience in behaviour therapy and developmental disorders. She has worked with children and adolescents with ADHD, autism spectrum disorder (ASD), learning disabilities, and behavioural challenges, providing individual and group therapy using evidence-based approaches such as CBT and DBT. Dr. Winslow has developed and implemented personalised treatment plans, conducted formal and informal assessments, and delivered crisis intervention for clients in need of urgent mental health care. Her expertise spans assessment, treatment planning, and behavioural intervention for both neurodevelopmental and mental health conditions.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.