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How does ADHD impact remembering daily responsibilities? 

Author: Phoebe Carter, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Many adults with ADHD describe feeling constantly overwhelmed by everyday tasks, forgetting appointments, missing payments, or starting chores that never get finished. According to NICE guidance (NG87, 2024), this isn’t a matter of motivation or effort. It’s the result of how ADHD affects executive function, the brain’s system for organising, prioritising, and following through on daily responsibilities. 

The science behind forgetfulness in ADHD 

ADHD alters brain areas such as the prefrontal cortex and executive control networks, which are responsible for working memory, sequencing, and attention regulation. 
Studies in Frontiers in Psychiatry (2025) and PubMed (2025) show that these networks struggle to hold short-term intentions in mind, meaning tasks like “send that email” or “take that medication” can vanish moments after they’re thought of. 

The NHS ADHD Taskforce (2025) describes this as a predictable “activation gap.” ADHD brains often plan to act, but the trigger to follow through doesn’t arrive on time, especially when attention shifts to something more stimulating. 

Prospective memory and time perception 

ADHD also affects prospective memory, remembering to do things in the future and time perception, which helps us feel when something is due. 
Research in Frontiers in Psychiatry (2024) found that adults with ADHD have difficulty self-cueing and estimating time, leading to repeated forgetfulness and last-minute panic. 
As RCPsych guidance (2023) notes, this is neurological, not behavioural, the brain’s timing and memory systems simply function differently. 

How it affects daily life 

These challenges make managing responsibilities harder at home and work. Adults with ADHD are more likely to forget appointments, mismanage bills, and feel disorganised or ashamed, even though the cause is brain-based. 
According to ADHD Centre UK (2024), the combination of executive dysfunction and time blindness can create a daily cycle of stress and self-blame. 

Evidence-based supports that help 

NHS, NICE, and RCPsych all recommend external supports to reduce cognitive load and improve follow-through: 

  • Digital reminders and automation: Use calendar alerts or Direct Debits to reduce missed steps. 
  • Visual aids: Whiteboards, colour-coded notes, or “drop zones” for daily items. 
  • Habit stacking: Pairing tasks with existing habits (“After I make coffee, I’ll check my planner”). 
  • CBT, coaching, or occupational therapy: Build structure, routines, and emotional regulation for everyday life. 

Frontiers in Psychiatry (2024) found that combining digital tools with structured routines significantly improves consistency and reduces overwhelm for adults with ADHD. 

Takeaway 

ADHD affects how the brain plans, stores, and triggers daily tasks. Forgetfulness is not carelessness; it’s a symptom of executive dysfunction. By using simple external tools, consistent routines, and self-compassion, adults with ADHD can manage daily responsibilities more confidently and effectively. 

Phoebe Carter, MSc
Author

Phoebe Carter is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Applied Psychology. She has experience working with both children and adults, conducting psychological assessments, developing individualized treatment plans, and delivering evidence-based therapies. Phoebe specialises in neurodevelopmental conditions such as autism spectrum disorder (ASD), ADHD, and learning disabilities, as well as mood, anxiety, psychotic, and personality disorders. She is skilled in CBT, behaviour modification, ABA, and motivational interviewing, and is dedicated to providing compassionate, evidence-based mental health care to individuals of all ages.

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
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. 

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