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Inattention

“Why is it so hard to stay on track?”

Inattentiveness is one of the core symptom domains of ADHD and often the most prominent in adults. It reflects difficulties regulating attention, not a lack of intelligence, motivation, or care. Adults with inattentive symptoms typically can focus — sometimes extremely well — but their attention is inconsistent, easily disrupted, or difficult to direct toward tasks that are not naturally stimulating.

Inattentiveness is linked to differences in the brain networks responsible for executive functioning, working memory, and sustained attention, particularly in the prefrontal cortex and dopamine‑regulated pathways.

Common signs:

  • Losing track of details or instructions

  • Starting tasks but finding it hard to finish

  • Feeling mentally “foggy” or easily distracted

  • Misplacing items like keys, phones, or paperwork

  • Difficulty organising tasks or time

Why it happens: ADHD affects the brain’s executive functioning — the system that manages planning, prioritising, and sustaining focus.

Understanding ADHD in Adults

ADHD (Attention‑Deficit/Hyperactivity Disorder) is a neurodevelopmental condition that affects how the brain manages attention, motivation, planning, and self‑regulation. Although often associated with childhood, ADHD commonly continues into adulthood — many people reach their 20s, 30s, or later before recognising the lifelong patterns that ADHD can create.

ADHD is not a problem with intelligence or effort. It reflects differences in brain development and functioning, particularly in the networks responsible for executive functioning (planning, organising, prioritising), working memory, and emotional regulation. These differences can influence daily life in subtle or significant ways, depending on the individual.

The three types of ADHD

Clinically, ADHD is grouped into three presentations. These describe the pattern of symptoms a person experiences:

1. Predominantly Inattentive

Characterised by difficulties with focus, organisation, follow‑through, and working memory.

2. Predominantly Hyperactive/Impulsive

Involves restlessness, impulsive actions or decisions, and difficulty slowing down.

3. Combined Presentation

A mix of both inattentive and hyperactive/impulsive features. These presentations can shift over time as life demands change.

Management and support

ADHD is highly manageable, and many adults thrive once they understand how their brain works. Effective support often includes:

  • Education and self‑understanding Recognising ADHD patterns can reduce shame and increase confidence.

  • Lifestyle and behavioural strategies Tools for organisation, time‑management, emotional regulation, and reducing overwhelm.

  • Psychological support Therapy can help with coping skills, self‑esteem, and managing stress.

  • Medication (when appropriate) Some people benefit from medication as part of a broader treatment plan. Decisions about medication are made with medical health professional like a Psychiatrist or Mental Health GP.

  • Environmental adjustments Small changes at home or work can significantly improve daily functioning.

Management is always personalised — there is no one‑size‑fits‑all approach.

Why assessment matters

For many adults, an ADHD assessment provides clarity, validation, and a roadmap for moving forward. Understanding your neurodevelopmental profile can help you make sense of lifelong patterns and access the right support.