Table of Contents
Print

Why can’t I hold onto short-term instructions with ADHD? 

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

If you forget what someone just asked you to do, even when you were listening, it is not rudeness or carelessness. It is a sign of ADHD short-term memory challenges. People with ADHD often experience forgetfulness in the form of dropped instructions, lost steps, or complete blanks moments after receiving a request. 

This happens because ADHD affects the brain’s working memory, the part responsible for holding and manipulating information over a short period. When attention difficulties arise, even straightforward instructions can slip away before they have a chance to register. Add in internal distractions or external noise, and these cognitive lapses become a regular frustration. 

Why Short-Term Instructions Don’t Stick 

Here is why ADHD brains struggle to retain verbal tasks or directions: 

Delayed or split attention:  

If attention is split or delayed even slightly, the brain may never fully encode the instruction. Repeating instructions aloud or asking for them in written form can improve recall. 

Working memory overload:  

ADHD can limit the brain’s capacity to manage multiple pieces of information at once. Focusing on one step at a time helps ease cognitive load and improve task completion. 

Interference from distractions: 

Competing thoughts, sounds, or emotions can wipe out new information instantly. Minimising distractions and using cue cards or reminders can reinforce short-term memory. 

Visit providers like ADHD Certify for personal consultations on strategies to improve instruction retention and reduce forgetfulness.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Losing track of conversations or tasks. 

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.