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Is Impulsivity Tied to Decision-Making Issues? 

PostedOctober 13, 2025
UpdatedOctober 13, 2025
ByMy Patient Advice
Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Yes, ADHD impulsivity in decision-making can lead to poor judgement and risk-taking behaviours. Impulsivity is one of the core symptoms of ADHD, and it can manifest as acting without fully considering the consequences of one’s actions. This tendency to make snap decisions is a key reason why individuals with ADHD may struggle with making well-thought-out choices, both in personal and professional settings. 

The brain’s inability to regulate impulses properly can result in decisions that are made on the spur of the moment, without considering long-term effects. These decision-making issues can lead to regrettable actions, such as spending money impulsively, engaging in risky behaviour, or making hasty career or relationship decisions without careful thought. 

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How ADHD Impulsivity Affects Decision-Making 

Here’s how ADHD impulsivity can affect decision-making:  

Poor Judgement  

Impulsive individuals with ADHD may rush into situations without considering the potential risks or rewards. This can lead to poor judgement in areas such as finances, relationships, or health, where careful decision-making is critical. 

Risk-Taking Behaviours  

Impulsivity in ADHD can often result in taking unnecessary risks, such as speeding, making sudden big purchases, or engaging in activities without considering the possible negative outcomes. This is often linked to a higher drive for instant gratification. 

Difficulty with Long-Term Planning  

Individuals with ADHD may find it challenging to plan or think about long-term consequences. This can cause issues with managing goals, career choices, or personal finances, as impulsive decisions often overshadow longer-term aspirations. 

In conclusion, managing ADHD impulsivity in decision-making often involves developing strategies to slow down the thought process, such as using decision-making frameworks or seeking external input before making important choices. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Signs, Symptoms, and Self-identification of ADHD.  

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Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk
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, 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.