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Why do I relapse into chaos even after systems are in place (ADHD)? 

Author: Dr. Rebecca Fernandez, MBBS

For individuals with ADHD, it’s common to experience periods of organisation followed by sudden relapses into chaos. You may have set up systems that work well for a while, but then, despite your best efforts, things fall apart. This can be frustrating and discouraging. However, understanding why this happens and how ADHD affects executive functions can help you develop more resilient strategies. According to NHS guidance on ADHD, ADHD symptoms like distractibility, emotional dysregulation, and difficulty with consistency can contribute to these cycles of order and chaos. 

Why systems don’t always stick with ADHD 

ADHD affects key executive functions such as task initiation, working memory, and time management. According to the ADHD Evidence Project (2025), individuals with ADHD often struggle with the sustained focus required to maintain systems long-term. What works for a short period may lose effectiveness over time as attention shifts or other distractions take precedence. The NICE ADHD guidelines (NG87) recommend building flexible systems that can be adjusted as needed to accommodate the challenges ADHD presents. 

Why relapse into chaos happens 

Difficulty maintaining consistency

ADHD brains struggle with consistency. Systems that once worked may feel burdensome or lose their novelty, causing disengagement. As The ADHD Evidence Project (2025) explains, motivation and focus can fluctuate, making it hard to stick with routines. 

Overwhelm from too many tasks  

Even the best systems can collapse under the weight of too many responsibilities. ADHD can cause difficulty prioritising and sequencing tasks, which leads to incomplete chores and growing clutter. 

Shifting attention  

ADHD is characterised by an inability to sustain focus for extended periods. As a result, attention often shifts from one task to another, disrupting the organisation systems that once worked well. 

Emotional dysregulation 

Frustration or feelings of failure can trigger emotional dysregulation in individuals with ADHD. According to the NHS ADHD Taskforce Report (2025), these emotional responses can prevent follow-through, leading to a relapse into chaos. 

Loss of novelty 

ADHD brains thrive on novelty and can struggle when routines become too predictable or repetitive. A system that works for a while may lose its appeal once it becomes too routine. 

How to prevent relapse and stay on track 

Regularly adjust your systems  

Reevaluate your organisational systems periodically to ensure they still work for your current needs. Small adjustments can keep things fresh and maintain motivation. 

Break tasks into smaller steps 

Large, complex tasks can feel overwhelming. Breaking tasks down into manageable, small steps helps reduce the chances of getting distracted or abandoning the task. 

Incorporate flexibility  

ADHD-friendly systems should be flexible. Allow room for adjustments when life changes, and don’t be afraid to simplify when needed. 

Get external support 

Involve an accountability partner, use visual reminders, or engage a professional ADHD coach. External support helps reduce the cognitive load and maintain consistency. 

Practice self-compassion 

 Relapsing into chaos is not a personal failure. Recognise that ADHD makes maintaining order challenging and give yourself credit for trying. Building consistency takes time and patience. 

Takeaway

Relapsing into chaos, even after systems are in place, is common in ADHD due to fluctuations in focus, emotional regulation, and task prioritisation. By regularly adjusting systems, breaking tasks into smaller steps, and incorporating flexibility and external support, you can create sustainable routines that work for your ADHD brain. 

Dr. Rebecca Fernandez, MBBS
Author

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 author's privacy. 

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