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What strategies can help someone with ADHD stick to routines? 

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

Maintaining routines can be especially challenging for people with ADHD. The executive functioning deficits associated with ADHD such as poor working memory, distractibility, and impulsivity can make it difficult to stay on track with daily tasks and schedules. However, with the right strategies, people with ADHD can successfully implement and stick to routines. Below are several evidence-based strategies that can help individuals with ADHD manage their daily structure more effectively. 

Practical strategies to maintain routines 

One of the most effective approaches is using visual aids such as timers, planners, and checklists. According to NICE NG87, structured routines and the use of external reminders are key strategies to help people with ADHD stick to their tasks. PubMed also confirms that using checklists and time-blocking techniques significantly improve adherence to daily routines. Additionally, breaking tasks into smaller, manageable steps can help reduce overwhelm and make it easier to follow through with planned activities. Royal College of Psychiatrists recommends using alarms and visual schedules to remind individuals of upcoming tasks and activities. 

Creating supportive environments 

Creating a structured environment is another crucial strategy for maintaining routines. As noted by the ADHD Foundation, organising the space by decluttering and labelling items can help individuals with ADHD stay organised. Environmental modifications, such as keeping frequently used items in consistent locations, also support routine maintenance. According to Frontiers in Psychiatry, a low-stimulation environment, where distractions are minimised, further enhances routine adherence. 

External support and accountability 

Having external support, such as a coach, family member, or accountability partner, can also play a key role in maintaining routines. BMJ highlights the importance of using coaching and self-monitoring techniques to stay consistent. Involving family or peers in planning and reminding individuals of their commitments can help reinforce routine adherence. Moreover, using positive reinforcement for following through with tasks can motivate individuals with ADHD to continue building consistency in their daily routines. 

Key takeaway 

To help someone with ADHD stick to routines, using strategies like visual aids, breaking tasks into smaller steps, and creating a supportive, low-distraction environment can be highly effective. Adding external support, such as coaching and accountability partners, further enhances routine maintenance. By implementing these practical strategies, individuals with ADHD can build structure in their daily life, improving their ability to stay organised and reduce stress. 

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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