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How can I establish a consistent daily routine with ADHD? 

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

Building and maintaining a daily routine can be particularly challenging for adults with ADHD. According to NICE guidance (NG87, 2025) and NHS advice on ADHD in adults (2025), these difficulties often stem from executive dysfunction problems with organisation, time management, working memory, and motivation. Routine building is not simply about willpower; it requires structure, tools, and sometimes clinical support to become sustainable. 

Strategies to create and maintain daily routines 

The Royal College of Psychiatrists (2025) notes that challenges with maintaining routines are linked to time blindness, emotional dysregulation, and poor task initiation. Evidence from William et al. (2024, PubMed) shows that combining cognitive behavioural therapy (CBT) and habit-stacking techniques helps adults with ADHD follow daily schedules and complete tasks more consistently. 

Meta-analyses such as Ostinelli et al. (2025, The Lancet Psychiatry) confirm that combining medication with structured behavioural interventions such as CBT, coaching, and digital planning tools is more effective than medication alone. Similarly, studies in Frontiers in Psychology (2023) and BMJ (Zhang et al., 2025) highlight that using apps, planners, and visual reminders supports habit formation and time management. The NHS England ADHD Taskforce (2025) also recommends early use of digital aids and coaching to help establish daily structure. 

If you’re looking for tailored ADHD support, ADHD Certify offers trusted online assessments and continued care for adults and children across the UK, helping you understand and manage your ADHD effectively. 

Key takeaway 

Establishing a consistent routine with ADHD takes more than motivation it requires structure, strategy, and support. Combining medication, CBT, coaching, and digital tools like planners or habit trackers can make routines easier to build, maintain, and adapt to everyday life. 

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.