2. ADHD – More than just a lack of concentration

The Paradox of Procrastination

A lot of people think ADHD is just the little boy that can’t sit still in the classroom and can’t focus on the lecture. But in reality there is so much more than that.

I have ADHD myself, which is probably also why I find the topic so fascinating. I speak from experience here – the best example is the publication date of this blog post (Number 2), which was long overdue.

Why didn’t I do it? I definitely didn’t forget. On the contrary: I thought about it constantly. The knowledge that I hadn’t written the post yet stressed me out. I worried much more than if I had just done it. But I just couldn’t start.

It’s often difficult to explain this state whether to myself or to others. I rationally know that a task needs to be done, but I’m simply unable to begin. The good news: There is a scientific explanation. The problem is not laziness or lack of motivation, but rather procrastination and Executive Dysfunction.

The brain of people with ADHD simply works differently. Three main factors from neurobiology and cognitive functions are responsible:

1. The Dysregulated Dopamine System: The Kick Is Missing

Dopamine is an important neurotransmitter responsible for motivation, reward, and drive. In ADHD, this system is dysregulated. This means the kick is missing: tasks that are perceived as too boring, too complex, or associated with a distant reward lead to insufficient dopamine release to provide the initial impulse to start

2.Executive Dysfunction: The Freeze Mode

The Executive Functions in our brain are essentially the control centre, responsible for planning, organizing, and initiating action. When the ADHD brain faces a huge project, it shuts down. This leads to a mental block and absolute overwhelm. It feels “frozen”, also known as ADHD Paralysis. You want to, you must, but you are emotionally and cognitively paralyzed. The fear of making mistakes or not completing the task perfectly can intensify this paralysis.

3. Time Blindness

The difficulty in perceiving and estimating time realistically is very challenging for the ADHD brain. Dr. Russell Barkley, a leading ADHD expert, popularized the concept Time Blindness. It’s is a neurological impairment in time perception. As a result, individuals with ADHD feel stuck in the “Now,” which leads to unpunctuality, avoidance behavior, and an underestimation of task duration.

The Consequences

This might be annoying when writing a blog post, but this behaviour can also have serious consequences, such as:

  • Health Neglect: Failing to follow medication schedules or postponing doctor’s appointments, which can worsen conditions.
  • Financial Problems: Like failing to file tax returns, not paying bills, or resulting job losses and dropping out of studies.

But why does it eventually work after all?

Because of the Deadline Dopamin Turbo.

The stress generated by extreme time pressure just before the deadline massively releases adrenaline and cortisol (stress hormones). These stress levels then generate a Dopamine Kick. This sudden, powerful, emotional kick is often the only way the dysregulated dopamine system enters the working mode. The body unconsciously seeks this strong stimulation to become capable of action at all.

The Cost: Chronic Stress

Sure, the turbo works, but at what price? The constantly high stress level is harmful. The following problems can occur:

  • Brainfog, because high cortisol levels can damage the memory center, the hippocampus, which for example, explains the memory problems.
  • Psychological Consequences, this is also an emotional burden due to constant stress, guilt, and anxiety, which can lead to depressive moods and anxiety disorders.
  • Physical Consequences, it can also lead to physical consequences such as sleep disorders, headaches, and circulatory problems.

The whole thing is a vicious cycle, as avoidance leads to more stress, which in turn reinforces procrastination.

Strategies

ADHD procrastination is not a character flaw but a neurological symptom. The Deadline Turbo is a short-term survival strategy, but not a solution.

What helps? There are various strategies that can assist:

  • Body Doubling, that means working alongside someone else.
  • The use of gamification.
  • Breaking down tasks into small steps.
  • Routines, exercise, and mindfulness.
  • External aids: Like timers, to-do lists, and visual planning.

However, there is one big catch: Although we know the strategies, the application often fails due to ADHD itself. Why? Because the Executive Dysfunction that stops us from working also blocks the ability to even begin with the strategies. You essentially have to motivate yourself to be motivated. A frustrating vicious circle.

These were just a few examples of the challenges people with ADHD can face. There are other symptoms such as internal restlessness, lack of focus, distractibility, forgetfulness, disorganization, impulsivity, or emotional dysregulation.

And ADHD is just one type of Neurodivergence.

References

  • Barkley, R. A. (2015). Attention-Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment.
  • McEwen, B. S. (2017). Physiology and neurobiology of stress and adaptation: central role of the brain.
  • Volkow, N. D., et al. (2009). Dopamine in ADHD: The Role of Dopamine Transporter and Receptor Availability.
  • Rozanski, A., et al. (1999). The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology.
  • Dhabhar, F. S. (2014). Effects of stress on immune function: the good, the bad, and the beautiful.

Note: This text was developed with the assistance of artificial intelligence for research purposes and to refine the linguistic clarity and flow of the final draft.

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