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Why do I have trouble starting tasks with ADHD? 

Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Many adults with ADHD describe wanting to start a task but feeling completely unable to begin. According to NHS guidance and NICE NG87, this difficulty is linked to differences in executive function, emotional regulation and motivation. It is not about laziness. It reflects how the ADHD brain handles planning, activation and pressure. 

Why getting started feels so hard 

Task initiation relies on working memory, planning and prioritising. When these skills require more effort, even simple steps like opening an email or starting paperwork can feel mentally heavy. Many adults describe a sense of freeze or paralysis, especially when a task has several steps or feels unclear. 

UK clinical resources explain that this “task paralysis” often happens when the brain feels overloaded. Instead of taking the first step, it avoids the task to reduce stress in the moment. This is a protective response, not a lack of motivation. 

When emotions get in the way 

Strong emotions can make starting even harder. Anxiety, self doubt and fear of making mistakes can create an internal barrier that feels impossible to push through. People with ADHD may also experience rejection sensitivity or worry about criticism, which intensifies avoidance. 

Research highlights that stress and overwhelm use up the same mental resources needed to start tasks. When the system feels flooded, the brain chooses the quickest relief, which is often avoidance. 

Motivation and reward differences 

ADHD affects how the brain processes reward, making boring or unclear tasks feel physically harder to engage with. Without immediate stimulation or a close reward, the brain struggles to “switch on”. 

This is why adults with ADHD may work intensely when a deadline is close, but struggle to start earlier, even if they genuinely want to. 

Services like ADHD Certify provide NICE-aligned assessments and medication reviews, helping adults understand their symptoms and access personalised support. 

Takeaway 

Struggling to start tasks with ADHD is a common experience and has nothing to do with willpower. According to NHS, it reflects how ADHD affects planning, emotions and motivation. With the right strategies and support, starting can become easier, calmer and more consistent. 

Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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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