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How Can I Better Estimate Time Durations with ADHD 

Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Many people with ADHD find it difficult to judge how long tasks will take or how much time has passed. This is known as time blindness, and it stems from how ADHD affects brain areas responsible for attention, planning and self-regulation. According to NHS guidance, these challenges are linked to executive dysfunction, which can make daily routines and deadlines feel unpredictable. Fortunately, research from NICE and recent studies offers practical ways to improve time estimation. 

Understanding Why ADHD Affects Time Estimation 

People with ADHD often experience an “accelerated internal clock”, meaning time seems to move differently. They may underestimate how long something will take or lose track completely once they start. A 2023 (PubMed) review found that individuals with ADHD tend to perceive shorter time intervals than others, especially during complex or delayed tasks. This difficulty is linked to dopamine regulation in the prefrontal cortex, which affects attention and motivation. 

Practical Strategies to Improve Time Awareness 

Using visual timers and countdown apps helps make time visible and concrete. Setting a timer for tasks or breaks gives immediate feedback about how long activities actually take. Breaking tasks into smaller steps and estimating each part separately can also build accuracy over time. Cognitive behavioural therapy (CBT) and ADHD coaching, both recommended by NICE, help develop realistic time management habits and routines. For some, medication such as methylphenidate may improve focus and self-monitoring, making it easier to keep track of time. 

If you often underestimate time or struggle with punctuality, consider an ADHD assessment. You can explore your options with ADHD Certify, a trusted UK-based provider offering affordable online assessments for adults and children. 

Key Takeaway 

People with ADHD can improve time estimation by combining practical tools like timers and schedules with therapy, coaching and medication when needed. Making time visible, breaking tasks into steps and learning through feedback can help strengthen awareness and daily control. 

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.