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Can ADHD impair my ability to keep track of priorities? 

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Yes, if everything feels urgent or nothing gets done, you may be dealing with ADHD prioritisation problems. People with ADHD often struggle to sort, rank, and act on tasks in a logical order, not because they do not care, but because their executive function system processes information differently. 

In ADHD, the brain has a harder time distinguishing what is most important from what is simply most stimulating. This can make task management overwhelming, especially when deadlines pile up or responsibilities blur together. What is worse, focus loss means that even when you do know what is urgent, your attention may drift before it is complete. 

Why Priorities Slip with ADHD 

Here is how executive function challenges disrupt prioritisation: 

Overwhelmed by decision-making:  

Choosing what to tackle first becomes mentally exhausting, leading to avoidance. Visual task boards and prioritisation frameworks (like Eisenhower grids) help simplify choices. 

Emotion-driven urgency:  

Tasks that feel stressful or stimulating often override truly important ones. CBT techniques can help separate emotional urgency from actual priority. 

Focus fragmentation:  

Switching between tasks breaks momentum and blurs the sense of importance. Time-blocking and single-task focus routines restore clarity and reduce chaos. 

Visit providers like ADHD Certify for personal consultations on building structured prioritisation habits and executive support systems.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Losing track of conversations or tasks.

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk
Victoria Rowe, MSc
Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

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.