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Is Trouble Starting Tasks a Sign of ADHD? 

Author: Phoebe Carter, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

If you often find it difficult to start tasks, even when you know they are important, it could be a sign of ADHD task initiation challenges. Difficulty with starting tasks is a common symptom of ADHD and is linked to issues with executive function, which includes the cognitive processes responsible for planning, organisation, and self-control. Unlike simple procrastination, ADHD-related task initiation difficulties are deeply rooted in how the brain regulates attention and manages tasks. 

Understanding ADHD Task Initiation 

People with ADHD often struggle to begin tasks, even those they care about. This issue stems from executive function impairments, which make it harder to organise thought and prioritise activities. ADHD task initiation challenges are not a matter of laziness or lack of motivation but are instead related to how the brain processes and initiates tasks. As a result, individuals with ADHD may feel overwhelmed or stuck, making it harder to get started, even if they fully intend to complete the task. 

Why is Task Initiation Difficult with ADHD? 

Executive Function Impairment 

Executive function is responsible for managing tasks, organising time, and prioritising activities. In people with ADHD, this function is impaired, which leads to difficulties in initiating tasks and maintaining productivity. 

Impact on Productivity 

Struggling to start tasks can significantly affect productivity. Because ADHD impairs the brain’s ability to begin and stay on track with tasks, individuals often feel frustrated or overwhelmed by tasks, leading to delays and unfinished projects. 

If ADHD task initiation is affecting your productivity or daily routine, seeking a proper diagnosis and tailored strategies can help manage these challenges. 

Visit providers like ADHD Certify for personal consultations to better understand how brain imaging can inform ADHD treatment.  

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to ADHD task initiation.  

Phoebe Carter, MSc
Author

Phoebe Carter is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Applied Psychology. She has experience working with both children and adults, conducting psychological assessments, developing individualized treatment plans, and delivering evidence-based therapies. Phoebe specialises in neurodevelopmental conditions such as autism spectrum disorder (ASD), ADHD, and learning disabilities, as well as mood, anxiety, psychotic, and personality disorders. She is skilled in CBT, behaviour modification, ABA, and motivational interviewing, and is dedicated to providing compassionate, evidence-based mental health care to individuals of all ages.

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.