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How Can I Set Achievable Goals to Maintain Motivation? 

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

If you live with ADHD, setting goals often feels exciting at first, then suddenly overwhelming. You may start with strong motivation but struggle to maintain it once the novelty fades. That is not a failure of willpower. According to NICE guidance (NG87, 2024 update), ADHD affects how the brain regulates motivation, reward, and effort. Understanding this difference can help you build a goal-setting system that works for your brain, not against it. \

Why ADHD brains struggle with long-term goals 

Research in Frontiers in Psychiatry (2024) shows that ADHD involves differences in dopamine and norepinephrine signalling in key areas of the brain, the prefrontal cortex (PFC), anterior cingulate cortex (ACC), and basal ganglia. These regions manage to reward sensitivity and sustained effort. Because dopamine response in ADHD is often weaker for delayed or abstract rewards, long-term goals can feel too far away to spark motivation. 

As the Royal College of Psychiatrists (CR235, 2023) explains, people with ADHD perform best when goals are immediate, structured, and reinforced, not distant or vague. Without frequent feedback or visible progress, attention simply drifts elsewhere. 

How to set achievable, ADHD-friendly goals 

Start small and shorten the timeline 

The ADHD brain thrives on quick feedback. Replace “I will finish this by next month” with “I will work on this for 20 minutes today.” Each completed step gives your brain a small dopamine boost, a tangible “success signal” that builds momentum. 

Make goals specific and measurable 

Use the SMART framework (Specific, Measurable, Achievable, Relevant, Time-bound). For example, instead of “be more organised,” try “set up tomorrow’s to-do list before bed.” Structured micro-goals significantly increase persistence in ADHD. 

Make progress visible 

The NHS Lanarkshire ADHD Guideline (2024) recommends using visual reminders, planners, whiteboards, progress bars, or apps to show effort and completion. Visual feedback acts as a built-in reward loop that strengthens attention and follow-through. 

Reward effort, not outcome 

Studies in PubMed (2019) highlight that consistent positive reinforcement enhances the brain’s reward pathways and reduces task avoidance. Pair each step with a small, meaningful reward, a cup of tea, a break, or music you enjoy. 

Add accountability 

External accountability (a coach, body double, or shared tracker) creates social feedback and consistent structure. The NICE NG87 framework calls this environmental modification an evidence-based way to scaffold motivation and reduce procrastination. 

What the evidence shows 

Goal setting and reinforcement work best together. Medication can improve attention and reward sensitivity, but behavioural strategies for CBT, ADHD coaching, and structured planning remain essential for daily success. NHS guidance encourages goal review, self-monitoring, and adaptive planning rather than rigid routines. Behavioural programmes like Theara Change apply these same methods to help adults with ADHD turn intentions into consistent habits. Resources such as the ADHD Certify website also provide accredited training and evidence-based tools to support professionals and individuals in managing ADHD effectively. 

Takeaway 

With ADHD, goal-setting success is not about aiming higher; it is about designing smarter. Keep goals specific, visible, and rewarding, track your progress, and build feedback that feels satisfying right now. Each small, achievable win strengthens your motivation circuits and turns short-term effort into long-term progress. 

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.