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What strategies help with studying for exams? 

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

For students with ADHD, exam preparation often feels like climbing a mountain, not because of a lack of ability, but because of executive-function challenges such as working memory, focus, and time management. According to NICE guidance (NG87), structured revision routines and predictable environments can make studying less overwhelming and far more effective. 

Revising ADHD-friendly 

The Royal College of Psychiatrists recommends breaking revision into short, manageable blocks using clear visual reminders like digital planners or Pomodoro timers to maintain attention and prevent burnout. Similarly, UKAAN emphasises goal-oriented coaching, focusing on one subject at a time, and using visible progress tracking to stay motivated. These structured, time-anchored techniques support the brain’s need for novelty and feedback. 

Managing anxiety and concentration 

Exam stress can worsen ADHD symptoms, especially under pressure. The NHS Bedfordshire, Luton and Milton Keynes guidance highlights that regular sleep, movement, and nutrition are as crucial as study itself. Exercise and active breaks improve executive functioning, while group study sessions can provide accountability and social reinforcement. 

Clinical evidence from BMJ Mental Health (2024) shows that CBT-based digital tools and relaxation strategies reduce procrastination and rumination. Even simple breathing routines such as the “7-11” calming technique recommended by the Cleveland Clinic can improve recall accuracy and emotional control. 

Use your available adjustments 

Under the Equality Act 2010, ADHD learners are entitled to reasonable exam adjustments such as extra time, rest breaks, or smaller testing environments. Ofqual and the Department for Education confirm that these adjustments significantly reduce anxiety and improve performance consistency. For university students, Disabled Students’ Allowance (DSA) can fund assistive technology from mind-mapping software to dictation tools and specialist coaching all shown to enhance focus and confidence. 

Takeaway 

Evidence from NICE, NHS, and international studies shows that structured, short-burst study routines, environmental control, and reasonable adjustments are key to ADHD-friendly exam preparation. Combining practical support with rest, movement, and digital tools helps regulate attention and manage anxiety, allowing learners to approach exams with greater focus, balance, and belief in their ability to succeed. 

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.