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Is time blindness linked to procrastination? 

Author: Harriet Winslow, BSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Many people with ADHD find themselves caught in a frustrating pattern of losing track of time, underestimating how long tasks take, and delaying action until the last moment. This experience, known as time blindness, is one of the most common features of ADHD. According to the NHS, individuals with ADHD often struggle to sustain attention, manage transitions, and keep track of daily routines. These challenges are not about laziness but are rooted in how the ADHD brain processes time, motivation, and reward. 

Time blindness affects how people perceive both the present and the future. Tasks that are not immediately stimulating can feel disconnected from time altogether. Many adults describe living in what psychologist Dr Russell Barkley calls “the now or not now” mindset, where future consequences feel distant and abstract. This delay in time awareness contributes directly to procrastination: when a deadline feels far away, the brain fails to register urgency, leading to avoidance or last-minute stress. The NICE guideline NG87 identifies difficulties with time management and organisation as key functional impairments in ADHD, recommending cognitive behavioural therapy (CBT) and coaching to strengthen planning and task activation. 

Understanding how time blindness fuels procrastination 

Time blindness arises from executive dysfunction and dopamine dysregulation in the brain’s prefrontal cortex and striatal networks. These regions manage future planning, attention, and self-regulation. Research published in Frontiers in Psychiatry (2025) found that people with ADHD often underestimate time intervals, struggle with delay aversion, and show reduced brain activity in areas linked to reward anticipation. This combination makes it hard to start tasks that don’t offer immediate feedback or stimulation. 

A study in Frontiers in Human Neuroscience (2025) highlighted that inconsistent brain rhythms and disrupted dopamine signalling affect how people with ADHD experience the passage of time. This explains why even individuals who are aware of deadlines may struggle to act until pressure or anxiety provides enough adrenaline to focus. ADHD-specific CBT, such as the CADDI protocol, teaches individuals to externalise time using alarms, visual timers, and structured reminders to improve task engagement and reduce procrastination. 

UK-based services such as ADHD Certify incorporate these evidence-based strategies into their clinical coaching and assessment frameworks. By combining psychoeducation, accountability, and practical time-mapping tools, they help clients build time awareness and improve consistency in daily routines. 

Key takeaway 

Time blindness is a recognised clinical feature of ADHD that plays a central role in procrastination. It distorts time perception, disrupts motivation, and makes future tasks feel less urgent. Recognising time blindness as a neurobiological issue rather than a character flaw allows people to address it compassionately and practically. With CBT, ADHD coaching, and structured external supports, it is possible to develop stronger time awareness, reduce stress, and regain control over productivity and daily life. 

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.