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How does “winding down” before leaving help stabilise my timing in ADHD 

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

Adults with ADHD often struggle with transitions and pre-departure routines because of difficulties with executive functions and time perception. Stopping one activity, holding the next step in mind and initiating it at the right moment all rely on working memory, inhibition, cognitive flexibility and time-based prospective memory, which are often impaired in ADHD. According to NICE guidance and NHS-aligned CBT literature, using structured routines, buffer time and planned “wind-down” periods supported by reminders can help improve punctuality, self-regulation and daily structure. 

Why transitions and pre-departure are hard 

2025 review of cognitive impairment in adult ADHD found broad deficits in executive functions such as working memory, inhibition and cognitive flexibility. These processes are essential for disengaging from one activity, remembering the next goal and initiating it on schedule. Research on time perception shows that many adults with ADHD struggle with time-based prospective memory, meaning intentions like “stop work at 6 and start getting ready” are often forgotten or delayed without external cues. Studies on time perspective describe a tendency towards “time blindness,” where future deadlines fail to drive behaviour, leading to last-minute rushes or lateness. 

Buffer time, wind-down and structured routines 

NICE NG87 notes that adults with ADHD have persistent problems with organisation and time management. It recommends psychoeducation and CBT-informed interventions to strengthen planning, scheduling and time awareness. Although the term “buffer time” is not used explicitly, many NHS resources encourage this approach. The NHS Lothian Self Help Resource Pack advises setting alarms “to remind me when to get ready and when to leave house” and checking calendars each evening to plan ahead. The East London NHS Foundation Trust Adult ADHD Support Resource Pack also recommends multiple alarms to structure morning routines and improve punctuality. These tools create a gradual, step-by-step transition from one activity to the next, allowing the brain to wind down rather than switch abruptly. 

CBT, OT and coaching approaches to transitions 

CBT programmes for adults with ADHD focus on building organisation and time-management skills. Studies such as Frontiers in Psychiatry 2025 show that these interventions teach realistic time estimation, task scheduling, use of reminders and consistent routines. Participants report that planning transition periods helps them reduce stress and maintain punctuality. Coaching approaches and occupational therapy also emphasise structured “shutdown” periods, short, predictable routines for closing one task before starting another to reduce overwhelm and promote consistency. 

Emotion regulation, arousal and leaving on time 

ADHD involves not only cognitive but also emotional and motivational regulation challenges. Reviews note that difficulty managing arousal and emotional reactivity can make transitions especially uncomfortable, prompting avoidance or hyperfocus. NHS and psychoeducational materials recommend including relaxation, mindfulness or calming activities in daily wind-down routines to ease the emotional load of leaving. Predictable routines and gentle pre-departure sequences help reduce stress and increase readiness to switch tasks. 

Practical takeaways 

For adults with ADHD, pre-departure “wind-down” time is not just a comfort but an evidence-based tool that stabilises timing and reduces lateness. It allows the brain to transition gradually from one task to another, lowering cognitive load and emotional stress. NICE and NHS guidance both recommend structured routines, behavioural strategies and external supports such as alarms, calendars and reminders to improve organisation and transitions. Building short, predictable wind-down routines before leaving can help adults with ADHD leave on time, maintain calmer mornings and feel more in control of their day. 

Harriet Winslow, BSc
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
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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