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Pima Behavioral Health

Time Management Strategies for Adults with ADHD: What Actually Works

Most time management advice for people with ADHD fails. This is because the underlying assumption is that, with a little bit of discipline, anyone can use a planner. My patient, for example, has four different planners, two different apps for organizing her time, and even a color-coded calendar on her wall. But, despite all of her organizational tools, she managed to miss her daughter’s dentist appointment last month. This is not negligence, it is simply the way in which she organizes her time does not actually help her remember things. There is a good reason for this: most time management systems are designed for people whose brains experience time in a slightly different way than that of the ADHD brain.

Why Standard Advice Falls Short

There are a few assumptions made in time management advice to help typical individuals:
1) you have a good sense of how long something will take you to do
2) an event three weeks from now will feel different from an event tomorrow, and
3) writing something down is enough to remind yourself to do it later.

“Time blindness,” or reduced ability to sense the passage of time and to estimate how near in time a future event will occur, combined with reduced executive functions for planning, for organizing, for switching between tasks,for monitoring, and for error detection, means that many adults with ADHD experience time in only two ways: now and not now. A future deadline does not seem real until it is almost upon them and then they have the fewest hours of all to deal with it.This is not a motivation issue or a matter of character. Rather, it is something with which people with ADHD struggle and for which there are specific strategies to use.

Strategies That Actually Help

Externalizing time in some way or another can be very effective. This can mean putting analog clocks in every room, using a timer while you work, or using an application that counts down the time to a certain date or time instead of just displaying a static future date and time for a future event or appointment. This allows the person with ADHD to feel the passage of time rather than just remembering to check the time.Another strategy to aid in time management in adults with ADHD is body doubling, or having someone present even if they are to work on different tasks. Sometimes, it is enough to have the other person in the room whether it be in person or via video.

Generally, tasks need to be planned in larger time blocks in order to account for how an ADHD brain tends to underestimate task duration. In the case of a 30 minute task, an hour should be scheduled in order to make sure that a late start will not bring down the rest of the day.Breaking down tasks into their component parts helps in many cases where others would falter. Here is the way to begin to clean the kitchen: clear the counter. Start there.

Where Medication Fits In

For many adults, ADHD medications increase their ability to sustain their attention to  complete tasks, thus enabling them to benefit from the above-mentioned strategies for time management. And while many adults with ADHD who take medication expect it to become the sole basis of their attempts to manage their time more effectively, in fact, it is far more common that individuals using medication to enhance their ability to plan and to focus utilize a variety of time management strategies as well.

A Common Pitfall Worth Naming

A common pitfall for adults with ADHD is trying to implement all new time management systems, getting them to work for a few weeks or even a few months, and then failing once or twice and throwing up their hands to go back to running on autopilot. Simple is better. And it’s better if the system is designed with the understanding that it will fail at times and perhaps fail again. Consider setting the gola of progress and not perfection.

When to Reach Out

The Pima BH staff evaluates the whole person, not just symptoms. When struggling to manage time to complete tasks that affect work, relationships, and daily life, it may be worth an evaluation to determine if you have ADHD. We have an office in Tucson, and can be reached at 520-355-1122 or www.pimabh.com. Contact us today to take the first step toward returning to the best version of you!