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Is Journaling Effective to Manage ADHD Focus Swings? 

Author: Dr. Rebecca Fernandez, MBBS

For many people with ADHD, focus can feel unpredictable, sometimes hyper-focused, other times scattered. Journaling and daily self-monitoring are increasingly being recognised as simple, evidence-based ways to bring structure and awareness to those changing attention states. 

How journaling supports attention and focus 

According to NICE guidance (NG87, 2024), behavioural self-management strategies like self-monitoring and structured reflection can help people with ADHD improve focus and emotional regulation. Journaling fits naturally into this approach, offering a way to externalise thoughts, track patterns, and notice when focus dips or motivation changes. 

A 2025 review in Frontiers in Psychiatry found that reflective writing and habit tracking within CBT programmes helped adults with ADHD manage emotional swings and build daily routines. Likewise, NHS CBT experts recommend practical self-monitoring tools—such as simple mood or habit logs, to strengthen self-awareness and reduce overwhelm (Oxford CBT, 2024). 

Practical benefits and limitations 

Journaling works best when it’s structured and brief. Evidence from a 2025 PMC review found that digital journaling (ecological momentary assessment, or EMA) and paper-based logs both improved focus consistency, especially when used with reminders or coaching support (Gudka et al., 2025). 

However, experts caution against over-complicating the process. Detailed templates or “perfect” layouts can quickly become distracting. Clinicians recommend short, focused entries, like bullet journaling, gratitude notes, or simple task reflections, to make journaling sustainable. 

Integrating journaling with ADHD support 

Journaling can complement therapy, medication, or coaching by helping track progress, identify triggers, and reinforce positive habits. It can also provide useful context for clinicians during ADHD reviews or therapy sessions. 

If you are exploring structured ways to understand your focus patterns, consider pairing journaling with professional ADHD assessment and support. Services like ADHD Certify offer online ADHD assessments for adults and children in the UK, aligned with NICE and NHS standards. 

Takeaway 

Journaling and structured self-monitoring are effective tools for managing ADHD focus swings. When kept simple and consistent, they can strengthen self-awareness, improve emotional regulation, and complement professional ADHD care. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk
Dr. Rebecca Fernandez, MBBS
Author

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 author's privacy.