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How to Prioritise Cleaning Tasks in a Plan When ADHD Is Present 

Author: Dr. Rebecca Fernandez, MBBS

For adults with ADHD, cleaning often feels like a mountain of moving parts rather than a sequence of clear steps. According to NICE guidance (NG87), executive function difficulties such as time-blindness and poor task initiation can make it hard to decide where to start. Yet with the right structure, prioritising cleaning tasks can feel less chaotic and more achievable. 

Start With What You See First 

NHS advice suggests beginning with the most visible and emotionally stressful areas of your space. These are often the places you notice first, such as the kitchen counters, bedroom floor, or hallway. Tackling high-impact zones first gives a visible win that triggers motivation, rather than aiming for perfection in hidden areas like cupboards or drawers (NHS ELFT, 2025). 

Visual impact helps sustain focus. When the environment looks calmer, your brain receives positive feedback, which makes it easier to move on to smaller zones. 

Use a Three-Tier Priority System 

Adults with ADHD benefit from simple, structured frameworks. The NHS and CBT-based approaches both recommend limiting daily cleaning plans to three levels of priority: 

  1. Must-do tasks: essential actions such as dishes, bins, or laundry 
  1. Should-do tasks: secondary chores like vacuuming or dusting 
  1. Could-do tasks: low-priority jobs such as sorting drawers or polishing surfaces 

This system helps prevent overloading your working memory. Keeping each list short and visible reduces task overwhelm and supports focus on completion rather than quantity. 

Build Time, Not Pressure 

According to NHS and RCPsych guidance, rigid cleaning schedules can increase anxiety for people with ADHD. Instead, use time blocks of 15 to 30 minutes to define effort, not outcome. Short cleaning sessions prevent burnout and create predictable bursts of activity that build momentum. 

If you struggle with motivation, external accountability helps. Services such as Theara Change use behavioural coaching and CBT-based strategies to make tasks more achievable through structure, emotional regulation, and real-time feedback. For assessment or medication review, ADHD Certify provides professional ADHD evaluations that can help you understand how executive function impacts household management. 

Takeaway 

Prioritising cleaning when you have ADHD isn’t about discipline; it’s about designing systems that match how your brain works. Focus on visibility, use a simple three-tier plan, and keep time limits short. As NICE guidance explains, structured but flexible systems help reduce decision fatigue and make consistency feel more natural over time. 

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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