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How can journaling support routine building in ADHD? 

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

Journaling can be a simple but powerful tool for people with ADHD to create structure, improve focus, and build self-awareness. According to NICE guidance on ADHD diagnosis and management (NG87), developing consistent habits and monitoring progress are key parts of behavioural management. By turning journaling into a short daily check-in, individuals can strengthen executive functioning, boost motivation, and make routines more achievable. 

Understanding how journaling helps build routine 

Building and maintaining structure can be challenging for people with ADHD due to fluctuating attention and working memory. The NHS and Royal College of Psychiatrists highlight journaling and self-monitoring as helpful strategies to improve awareness of daily patterns, track emotions, and reinforce positive behaviours. 

Evidence-based ways to journal effectively 

NHS CBT resources recommend using activity diaries and thought records to identify habits, triggers, and progress. Brief, ADHD-friendly approaches such as bullet journaling, visual lists, or short digital entries reduce overwhelm and increase consistency. The East London NHS Foundation Trust ADHD Support Pack suggests pairing journaling with reminders or visual cues to make routine-building easier. 

Journaling can also enhance emotional regulation. Reflection on daily experiences helps individuals recognise stress patterns, celebrate small wins, and practise self-compassion. Digital tools like Daylio or ADHD Organiser can simplify tracking, while paper journals may benefit those who prefer offline reflection. Private services such as ADHD Certify can offer structured assessments and follow-up reviews, supporting individuals to develop practical self-management techniques. 

Key takeaway 

For people with ADHD, journaling isn’t just about writing it’s about building awareness and structure. Evidence from NICE sources shows that short, regular journaling supports self-regulation, motivation, and stress reduction. With the right approach, journaling can become a reliable anchor in creating balanced and sustainable routines. 

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.