Task Paralysis
Task Paralysis (Challenges Starting a Task) in ADHD
Understanding the Ripple Effect and Breaking Through
For many people with ADHD, one of the most frustrating challenges is task paralysis, the invisible wall that makes starting a task feel impossible, no matter how important or straightforward it seems. This invisible wall doesn’t come from laziness or a lack of willpower; it’s a neurological and emotional roadblock deeply tied to executive function and brain chemistry
Task paralysis involves a disconnect between intention and action, often caused by challenges with executive function, emotional overwhelm, or both. It's common in individuals with ADHD, anxiety, perfectionism, depression, and PTSD. Task paralysis is not laziness, it’s about dysregulation of activation, especially for neurodivergent individuals
The ripple effect of task paralysis is wide-reaching. Repeated struggles to begin can chip away at self-esteem, leaving individuals wondering why something so simple feels so hard. The invisible barrier can feel discouraging and heavy: "What's wrong with me?" or "Other people don't need this much effort just to start"
The result is often a cycle of guilt and discouragement, where capable people second-guess their abilities. This emotional weight can magnify, with small frustrations turning into anger, shame, or even shutdown. At the core, executive functioning challenges can have large impacts. The brain’s “management system” for planning, prioritizing, and activating may not switch on when needed, leaving intention and action disconnected
TL;DR
Why Task Paralysis Happens (especially in ADHD):
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Executive Challenges: Difficulty planning and starting tasks due to under-active brain regions
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Low dopamine: Tasks that aren’t exciting don’t trigger motivation
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Distraction from daydreaming: The brain’s “default mode” stays active, making focus hard
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Psychological barriers: Perfectionism, fear of failure, procrastination, and forgetfulness
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Skill/resource gaps: Not knowing how to start or lacking tools, time, or energy
Evidence-Based Strategies to Overcome It:
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Name the barrier: Acknowledge it’s brain-based, not laziness
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Stimulate your body: Movement, music, cold water, sensory input
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Regulate emotions: Breathing exercises, mindfulness, consistent routines
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Chunk tasks: Break into tiny steps and celebrate small wins
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Redefine success: Focus on starting, not finishing perfectly
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Use timers/routines: Pomodoro method, alarms, time-boxing
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External activation: Work with others, use accountability tools
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Optimize environment: Declutter, create routines, add novelty and rewards
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Reduce friction: Keep materials nearby, find the right challenge level
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Consider medication: ADHD meds may help with initiation

Why Task Paralysis Happens
Research highlights several causes:
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Executive function challenges: The prefrontal cortex (the very front of your brain, that sits behind your eyes) is responsible for initiating, planning, and organizing (amongst other things). It is often under-active in ADHD, leading to executive functioning challenges (Barkley, 2012)
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Dopamine dysregulation: Dopamine levels are dysregulated in ADHD (medications, for example, act by increasing the amount of ‘usable’ dopamine in your brain). Tasks that lack novelty or intrinsic interest may not deliver the dopamine boost the ADHD brain craves, making initiation difficult (Volkow et al., 2011)
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Default Mode Network intrusion: Instead of quieting during tasks (which is what happens in non-neurodivergent brains), the “daydreaming” network in ADHD can remain active, pulling focus away and fueling distraction (Castellanos et al., 2016)
Other contributors (Ramsay & Rostain, 2008):
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Psychological barriers: Perfectionism, fear of failure,
skill gaps, and even optimistic procrastination
(“I’ll do it tomorrow”) can all add friction
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A skill gap: Do you know or remember how to do the
thing. If you aren’t sure how to begin or what steps are
needed, it can impact starting
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Lack of resources: Do you have all the things you need
to get started? This includes supplies, but also time and
energy
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Perfectionism: Sometimes if you feel like you can’t do it
perfectly then there is no point beginning
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Optimistic thinking: Believing that you can do it tomorrow without considering if there will be enough resources (again, time and energy)
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Forgetfulness: You may not remember why you even want/have to do the thing


Lived Experiences and Coping Insights
People with ADHD often develop their own creative strategies. Below is a list of things that adults with ADHD have shared with me that help them:
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Some play a favourite song and use its ending as a launch signal; it’s important that you pick only one song and do not put on a play list that may distract you
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Others remind themselves that most tasks won’t matter in ten years, easing the pressure
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Some lean on body doubling (working alongside another person). This can help put you in “work mode” as the other person helps set the tone for working
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Some rely on habit-building, where repeated actions bypass the “wall of awful.” This can include watching the same movie (for me, it’s the Bobs Burgers Movie), playlist, or podcast. Overtime, the brain pairs that media with work. The key is to watch or listen to something that you’ve seen/heard many times and you will be unlikely to become distracted by
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Even short commitments, like promising to do a task for just five minutes, can bypass paralysis. Often times, by the time you hit five minutes, your brain has shifted into work mode, and you continue working
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Micro-chunking, or breaking tasks down into laughably small steps, often helps create momentum. For example, if you need to write an email, the steps (with checkboxes to tick off for an extra dopamine boost) can include:
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Click to open email
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Click “new mail”
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Enter receiver’s email
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Start with greeting, etc.
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If it’s a project that you have been working on, you can tell yourself that you are just going to review what you have done before. By the time you get to the end of what you’ve done, your brain has shifted into work mode, and you can continue
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You know yourself, do the easiest part of the task first to get your brain into work mode or you can “eat the frog” or do the hardest task first and get it out of the way so it’s not cycling in your mind all day, increasing pressure and guilt
Thanks to the folks in Late Diagnosed Support Group for Women for these tips <3

Evidence-Based Strategies for Task Initiation
From @SimplyPsychology, @thefunctionalfamily, and others (cited below)
Because motivation is tied to dopamine, strategies that increase novelty, fun, or urgency can be powerful. Adding interest to tasks, changing locations, or setting up accountability with a friend can spark activation. Positive reinforcement is especially effective; celebrating progress (not perfection) boosts self-esteem, stimulates dopamine, and builds a growth mindset. Internal and external supports can help overcome task paralysis:
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Name the Barrier: Label the feeling (“this is task paralysis”) to acknowledge what is happening: it is brain-based, not a character flaw
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Identify your emotional barrier (e.g., feeling overwhelmed) and start with a gentle bridge task (set up space or put laptop on desk; Sohlberg & Mateer, 2001):
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“I feel overwhelmed because I don’t know the first step.”
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Then: “I’ll just set up the workspace”
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or “I’ll write a bad first line.”
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Stimulate the body: Break the freeze with a change in sensory input and boost dopamine by (AOTA, 2020):
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2–5 minutes of movement (e.g., jumping jacks, walk)
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Music, sensory stimulation (chewing gum, aromatherapy, weighted vest)
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Splash cold water on your face
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Stand and stretch
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Emotional Regulation Tools: Grounding techniques, such as deep breathing, stretching, or calming music help reduce overwhelm before starting
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Try deep breathing or square breathing (take a breath for 4 seconds, hold for 4 seconds, breath out for 4 seconds, and then hold for 4 seconds before beginning again; do this 4 times) Click link for video demonstration
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Do a mindfulness or grounding exercise
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Give yourself permission to pause without guilt as pressure can increase paralysis
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Maintain consistent sleep, work, and break schedules
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Chunk & Celebrate: Success is redefined around beginning, such that opening a book, writing a heading, or completing one math problem is a win
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Ask yourself, ‘what is the simplest thing I can do in 2 minutes?’
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You can also break a task down into 1- to 5-minute subtasks.
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Use a checklist or visual map to keep track of where you are (Barkley, 2012; Dawson & Guare, 2018)
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For example, instead of Task: “write essay,” divide this into subtasks:
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Open document
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Write title
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Jot 3 bullet points, etc.
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Redefine Success: ADHD brains may respond differently to abstract or distant rewards. Reframe success in your mind to more timely, tangible targets (Fogg, 2019) such as “success = starting for 5 minutes” or “done is better than perfect.”
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Timers and Routines: Tools like Pomodoro timers (https://pomofocus.io) or predictable daily schedules reduce decision fatigue and create external urgency
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“Timebox”: Reserve blocks in your calendar for small parts of the task
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Alarm on your phone that reads “just open your laptop” (Barkley, 2010)
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People with ADHD can have challenges with “time awareness” (also called time blindness) and may respond better to immediate structure. A set timer can provide a “boundary” that creates urgency and reduces overwhelm
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External Activation: Tutors, coaches, or peers can act as a “launch button,” offering prompts, accountability, or companionship through body doubling
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Work with a partner, either in person or virtually (ADDitude Magazine):
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“I’ll start writing while you read.”
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Use apps like Focusmate (https://www.focusmate.com) or
Dubbii (https://www.dubbii.app)
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Talking (verbally processing) through things with a friend, coworker, or therapist can help
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Create a sense of urgency; for example, if you need to clean your house, invite someone over
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Environmental Supports: A decluttered workspace, predictable routines, and reduced friction (e.g., sharpened pencils ready, materials nearby) can lower the energy barrier to getting started. To help with task initiation, there are few things you can do to set up your environment:
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Routines can be challenging for people with executive functioning challenges. Having a thing or a set of things that you do to put your brain in “task mode” can be helpful.
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For example, there may be an outfit that you put on when you want to clean (and only when you clean), a playlist that you use only when needing to work, etc.
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The doing of the routine task acts like a bridge – alerts your mind that you are shifting into the task that follows.
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Routine reduces the executive load of figuring out what to do next. ADHD brains function better in structured environments with fewer “choice points” (Weiss & Murray, 2003):
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Attach a task to an existing habit (e.g., “after brushing teeth, I check my planner”)
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Use visual routines: Put your checklist on the wall or use apps
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Add novelty - go to a café, a library, or switch colours between pages. Add fun and novelty to spark interest
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Reward – give yourself a tangible reward for completing subtasks
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If writing a paper, eat a small candy after each ridiculously small task (open document →candy → save file with name → candy → draft brief outline (e.g., intro, methods, results, discussion, etc.) → candy
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Reduce Distractions and Clutter: Keep your workspace clear of potential distractions. If you have your phone with you, silence the notifications by putting it on ‘do not disturb’ mode (Note – you can use the settings to let certain people bypass ‘do not disturb’). Keep fidgets nearby to play with if you notice that your attention is starting to drift
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Reduce Friction: Notice your pressure points - the things that can get in the way of doing your task. If you notice the mood hits to start, but your laptop is upstairs, and the other materials are in a different room, that might be enough to discourage you.
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Keeping materials together and in an area that is close by can impact task initiation, as finding them becomes one more thing you need to do
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Find the right level of challenge – if the task is too easy, it’s too boring to do. If it’s too hard, then there is difficulty starting. Finding the niche of just challenging enough can spark the baby bear phenomenon – it's just right!
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Designate Drop Zones: Having a specific spot for keys, backpacks, or other essentials can prevent the daily scramble of finding misplaced items (thanks to Jessica McCabe’s reel for this one)
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Tie the task to your personal interests - have to do a talk? Add examples/ images from your preferred interests
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Do an enjoyable thing first to get you started on doing a task and then do the harder thing after
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Consider if Medications May be Helpful: ADHD medications can be helpful for overcoming task paralysis and pushing that go button in your brain
For Educators and Caregivers of children and adults who have executive functioning challenges
If you are a caregiver or educator to individuals with ADHD or executive function challenges, consider the following Four-Step Approach from www.ot4adhd.com
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Validate and Co-Regulate: Calmly acknowledge the struggle without judgment, helping reduce stress. For example, you can say “it looks like you are having trouble getting started.” The child is aware they have trouble getting started and/or get in trouble for not starting. Being tense increases stress, making it even harder for some to start on a task. You can tell them the first thing to do, and/or gently encourage with a smile and hand them the things they need to get started
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Collaborative Obstacle Identification: Invite the
child to identify what’s getting in the way. Using a
visual cue can help. Common challenges include:-
Not being sure where to start
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Unable to find their materials
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They’re distracted
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They forgot the directions
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They aren’t sure what to do
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They need it to be perfect
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They can’t decide on a topic
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They need a break
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Other
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Collaborative Exploration: Offering concrete
strategies can help the child start.
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Find the smallest starting point: Teach child
to break task down to find the simplest part
of the first step to begin the task. Laughably
simple. So simple it is almost unavoidable
(e.g., look for a pencil) and provide immediate
praise for completing it (“hey, look at that! Step one is done!”) or writing their name on the paper with “great job! What’s next?” This is chunking but you are teaching them to chunk, not doing it for them
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Provide an interactive checklist: Provide a checklist to each student (if applicable) for the task so they can see the beginning, the middle, and the end to help them understand what is expected and in what order
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Attack Choice: Provide a choice about how they can get started; this gives them power and autonomy. Two effective starting choices are “Eat the Frog,” in which you start with the hardest part first or “Climb the Ladder,” in which you begin with the simple part
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Countdown: Ask child if they would like to use a countdown to get started, like a rocket-ship. It works for many kids. 5-4-3-2-1- Blast off!
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Timer: Ask the child if they would like to play a game and race against a timer to start the task. Each step can have a timer associated (which should be at least double the amount of time you expect it to take to complete the task)
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Provide a Worksheet cover with Windows: A file folder with cut windows can break a worksheet into manageable parts. When the child sees the whole sheet, they may feel overwhelmed with the amount of work
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Body Double: Partner a child with someone doing the same task. They can come sit by you or a positive peer who volunteers to be a peer support. It is sitting next to someone who is also working on that task that helps them start
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Spice it Up: Ask the child, “what can you do to make this doable right now?” This one engages the interest based nervous system. Small changes to the task can have a huge impact. Can they listen to music, change the environment ( sit somewhere new), use a special-colored pens, etc. Kids can have very creative ideas!
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Other options include identifying the obstacles (see #2 above)
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Reflect and Empower: Encourage the child to name what worked for them. You can provide visual reminders to help them generalize strategies over time. We can use powerful questions like:
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”How exactly did you do it?“
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“What worked for you this time?“
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“What is that strategy called?“
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In the future, if the child has difficulty, you can ask “What did you do last time to get started?“ They may have trouble recalling (due to working memory challenges) and you can remind them, “remember that you raced the clock” etc. You can put the strategies that they like on a card that they can keep on their desk, backpack, or elsewhere to help them when they need help
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The Bigger Picture
Task paralysis is not just an inconvenience, it’s a barrier that affects learning, self-worth, and everyday functioning. But with a blend of neuroscience-informed tools, environmental supports, and compassionate coaching, individuals with ADHD can learn to break down the wall and move forward. Success is not about flawless productivity, it’s about finding the first foothold, starting small, and celebrating each win.
Practical Examples
For a Student
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Task: Start research paper
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Paralysis: Feels “too big”
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Tips/Strategies
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Use chunking
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Open a word document
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Write title
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Add 3 bullet points
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Use timer and a lo-fi (instrumental) playlist
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Reward: 5 minutes on app
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Professional setting
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Task: Finish report
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Paralysis: Perfectionism + inbox overload
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Tips/Strategies
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Use chunking
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Open doc
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Paste key notes
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Write 1 paragraph
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Accountability: Text coworker “Working now”
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Reward: Snack + scroll break
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Home task
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Task: Clean kitchen
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Paralysis: Feels like too much
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Tips/Strategies
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Pick ladder task: Clear one surface
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Play upbeat music + chew gum
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Reward: Sit with tea after
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References
· ADDitude Magazine (Body Doubling). https://www.additudemag.com
· AOTA (2020). https://doi.org/10.5014/ajot.2020.74S2001
· Barkley, R. A. (2012). https://psycnet.apa.org/record/2012-25303-000
· Brown, T. E. (2013). https://doi.org/10.4324/9780203067536
· Castellanos & Aoki (2016). https://doi.org/10.1016/j.bpsc.2016.03.004
· Dawson & Guare (2018). https://www.smartbutscatteredkids.com
· Fogg, B. J. (2019). https://tinyhabits.com/book/
· OT4ADHD. (2024). OT4ADHD Site
· Ramsay & Rostain (2008). https://psycnet.apa.org/record/2007-01090-000
· Sohlberg & Mateer (2001). https://psycnet.apa.org/record/2001-01866-000
· Weiss & Murray (2003). https://www.cmaj.ca/content/168/6/715.long
· Volkow, N. D., et al. (2011). https://doi.org/10.1038/mp.2010.97
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