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How Can I Improve My Working Memory with ADHD? 

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Working memory helps you hold and process information, like remembering a phone number long enough to dial it, or keeping track of steps in a task. For people with ADHD, this system often struggles. According to research in PubMed (2010), ADHD affects activity in the brain’s prefrontal cortex and front-parietal networks, which support short-term storage and mental focus. These differences can make it harder to keep track of what you are doing, juggle multiple steps, or remember instructions, especially under pressure. 

Why Working Memory Feels So Difficult 

NHS and Oxford Health NHS Foundation Trust guidance explain that ADHD is not simply about distraction; it is about goal persistence. When attention wavers, the mental “scratchpad” that holds current information fades faster than usual. Studies in 2024 confirmed that people with ADHD show reduced brain activation in regions controlling working memory, making it harder to retain and organise thoughts during everyday tasks. 

Evidence-Based Ways to Strengthen Working Memory 

According to NICE guidance (NG87) and the Royal College of Psychiatrists, treatment should be multimodal combining medication, structured therapy, and practical strategies. 

  • Medication (such as methylphenidate) can improve focus and memory by balancing dopamine and norepinephrine levels, which regulate attention and executive control. 
  • Cognitive-behavioural therapy (CBT) helps build compensatory habits by setting reminders, breaking down steps, and using visual cues to reduce mental load. Experts from the Cleveland Clinic and Harvard Health describe CBT as a goal-oriented approach that helps reshape unhelpful thought patterns and strengthen focus. 
  • Memory training and ADHD coaching can also be useful, though research suggests this work best when combined with other supports rather than used alone. 

Everyday Habits That Help 

Lifestyle factors matter too. Regular exercise, adequate sleep, and balanced nutrition support dopamine regulation, the same system that influences working memory and focus. Mindfulness-based routines and structured environments (like planners, alarms, or task apps) can reduce mental overload and keep your goals visible. 

Private ADHD services, such as ADHD Certify, can also offer assessment and post-diagnostic support, including medication review and cognitive strategies, in line with NICE guidance. 

Takeaway 

Working memory challenges in ADHD are not a sign of carelessness; they are part of how the ADHD brain processes information. But with evidence-based treatments, consistent structure, and supportive routines, it is entirely possible to improve mental clarity and regain confidence in daily life. 

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk
Victoria Rowe, MSc
Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

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.