Table of Contents
Print

What role does task pairing play in productivity? 

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

For many people with ADHD, motivation is not the issue; initiation is. Task pairing, also known as habit stacking or behavioural chaining, helps overcome this by linking new actions to existing habits. According to NICE guidance (NG87, 2023 update), behavioural sequencing and cue-based routines make new habits more automatic by embedding them into predictable daily patterns. 

Why task pairing works for ADHD 

People with ADHD often experience executive-function challenges, difficulties in planning, prioritising, and following through. By pairing new behaviour with something already routine, such as checking emails after making morning coffee, the brain uses existing structure as a cue to begin. This technique externalises memory, reduces decision fatigue, and builds momentum. 

The Royal College of Psychiatrists (RCPsych, CR235, 2023) notes that CBT-informed ADHD management often includes behavioural activation using environmental scaffolding and cue-based routines to reinforce new habits. The NHS (Kent Community Health NHS Trust, 2025) likewise recommends linking new responsibilities to established routines to make them “automatic” and easier to sustain. 

What the research shows 

A 2025 study in PubMed (2019) found that pairing tasks or stacking habits supports consistency and productivity by triggering small dopamine rewards with each completion, reinforcing success and helping new habits “stick.” This pattern of cue-association and reward activation helps counteract ADHD-related motivational dips and procrastination. Over time, repeated pairing turns effortful behaviours into familiar, low-effort routines. 

The NHS England also supports this approach, describing habit stacking to reduce executive overload: start small, attach the new habit to a familiar one, and reward yourself for completion to build consistency. 

Practical ways to try task pairing 

  • Attach new habits to daily anchors e.g., take medication right after brushing your teeth. 
  • Use visual cues like sticky notes or reminders where you perform the existing habit. 
  • Keep it in a small pair, one new action at a time. 
  • Reinforce with reward celebrate each completion to strengthen motivation. 

Behavioural coaching and ADHD-focused services such as Theara Change integrate these evidence-based principles into their programmes, teaching individuals how to apply behavioural chaining and habit stacking in real life. For those seeking further training or certification in ADHD coaching, resources like the ADHD Certify website offer accredited courses and professional development opportunities. 

Takeaway 

According to evidence from the NHS, NICE, and RCPsych, task pairing transforms intention into action. By linking new habits with familiar routines, people with ADHD can bypass memory lapses, activate motivation, and make productivity feel natural for one small, strategic pairing at a time. 

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.