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How Does ADHD Impact a Child’s Ability to Follow Instructions? 

Children with ADHD instruction following difficulties often struggle to complete tasks that involve multiple steps. This challenge is largely due to attention and focus issues commonly associated with ADHD, which make it difficult for them to listen to, process, and retain instructions. 

How It Helps 

When children with ADHD instruction following difficulties are given tasks, they often find it hard to stay on track, resulting in unfinished or incorrect work. Attention challenges significantly impact their ability to focus long enough to fully understand or remember what was asked. The inability to concentrate on verbal or written instructions leads to distractions, making the following task even more difficult. 

These children may appear forgetful or uninterested, but they are dealing with cognitive and executive function issues that prevent them from maintaining sustained focus. For instance, when asked to follow multiple-step instructions, they often forget steps or struggle to prioritise what needs to be done first. 

Support strategies such as breaking down instructions into smaller, manageable parts, using visual aids, and providing frequent check-ins can be very helpful. Additionally, offering clear, simple instructions and using reminders can help children with ADHD stay organised and improve their ability to follow instructions. 

Visit providers like ADHD Certify for personal consultations and expert advice tailored to your needs.   

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Clinical interviews and History Taking.

Harriet Winslow, BSc - My patient advice author - mypatientadvice.co.uk

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, 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.