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When is it better to aim to arrive early rather than risk being late with ADHD 

Author: Harriet Winslow, BSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Arriving late can feel inevitable for many people living with ADHD, even with the best intentions. Research shows that this challenge often stems from differences in time perception and executive functioning rather than poor motivation. According to a 2023 review in the International Journal of Environmental Research and Public Health, adults with ADHD experience consistent difficulties estimating and managing time, which helps explain why they are often “noticeably late for appointments.” Similarly, a 2022 meta-analysis on PubMed reported that timing inaccuracies persist across the lifespan, showing that ADHD affects how people judge the passage of time rather than causing occasional disorganisation. Supporting this, a review in Brain Sciences found that adults with ADHD often feel as if time moves faster than it really does, leading to underestimation of travel or preparation time. 

These findings reflect the underlying neurological differences that make it difficult for people with ADHD to manage schedules, prioritise steps, and anticipate how long daily tasks will take. According to NICE guidance NG87, ADHD can affect multiple executive functions, including planning, organisation, and the ability to adhere to routines. NHS advice on ADHD in adults also highlights that these differences can cause problems with punctuality and maintaining consistency in daily life. 

MPA 2026 Vol.1 said: When is it better to aim to arrive early rather than risk being late with ADHD 

Many people with ADHD find that deliberately planning to arrive early can help counteract the natural tendency to misjudge time. This approach aligns with evidence-based recommendations to use structured strategies rather than simply trying harder to “be on time.” NICE’s ADHD management recommendations emphasise building routines and setting realistic time frames that include buffers for unexpected delays. 

The CNWL Adult ADHD Service encourages using tools like alarms, timers, and written lists to turn abstract time into something more tangible. By aiming to arrive slightly early, adults with ADHD can reduce stress and give themselves flexibility to handle last-minute obstacles. It’s often most effective when paired with “backward planning,” where a person works backward from the required arrival time to set earlier reminders and transitions. 

Why aiming to arrive early can help 

Planned earliness can provide both practical and emotional benefits. It helps reduce the sense of panic that comes with running late and offers space to recover from small delays. Experts often suggest creating a 10–15-minute buffer and using that waiting period for something calming or productive, such as reading or responding to messages. This transforms waiting time into a moment of control rather than frustration. 

Research and clinical practice agree that consistent use of these techniques can make punctuality more achievable for adults with ADHD. The goal is not extreme earliness, but intentional planning that accommodates real-world challenges. 

Key takeaway 

For people with ADHD, arriving on time is less about self-discipline and more about understanding how the brain perceives time. Evidence from the NHS and NICE NG87 supports aiming to arrive slightly early with structured planning, visual reminders, and time buffers. By reframing punctuality as a skill that can be supported rather than a personal flaw, adults with ADHD can reduce anxiety and feel more in control of their daily routines. 

Harriet Winslow, BSc
Harriet Winslow, BSc
Author

Harriet Winslow is a clinical psychologist with a Bachelor’s in Clinical Psychology and extensive experience in behaviour therapy and developmental disorders. She has worked with children and adolescents with ADHD, autism spectrum disorder (ASD), learning disabilities, and behavioural challenges, providing individual and group therapy using evidence-based approaches such as CBT and DBT. Dr. Winslow has developed and implemented personalised treatment plans, conducted formal and informal assessments, and delivered crisis intervention for clients in need of urgent mental health care. Her expertise spans assessment, treatment planning, and behavioural intervention for both neurodevelopmental and mental health conditions.

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
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. 

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