Facing a to-do list top-heavy with critical, complex tasks, adults with ADHD often tackle the easier items — ones that keep them busy but not productive. Called “procrastivity,” this self-defeating ADHD time-management habit can be helped by cognitive behavioral therapy approaches that teach patients how to prioritize tasks.
A combination of “procrastinate” and “activity,” the term “procrastivity” aptly describes a tussle common among adults with ADHD who are always busy but never seem to make headway on life’s important goals. At its root is an implementation problem: the individual knows what they need to do, but they won’t or can’t do it, so they keep occupied with more palatable but less critical tasks.might put off for re-seeding the lawn.
Why do some tasks that would be otherwise avoided suddenly become more appealing in the face of higher priority to-do items? And can the ADHD mind be trained to steer clear of this low-hanging, time-wasting fruit? This is the conundrum of procrastivity and the promise of its match:Cognitive behavioral therapy — a type of brain training — has been shown to help patients manage their ADHD symptoms and improve functioning.
Sometimes, however, procrastivity prevents patients with ADHD from following through on the strategies and approaches discussed in CBT sessions, thereby rendering fallow the very tools they need to solve the underlying problem. But by dissecting procrastivity into its root causes and manifestations, its elements can be used to employ CBT techniques that help ADHD patients actualize the important work.
Preferred procrastivity tasks tend to align with a patient’s own perceived efficacy. They will opt for it even if the activity being avoided may actually take less time and effort.
The content for this article came from J. Russell Ramsay’s “Turning Intentions Into Actions: Implementation-Focused CBT For Adult ADHD” presentation delivered for APSARD’s 2018 Symposium. “Procrastivity” will also be covered in Dr. Ramsay’s forthcoming book, “Rethinking Adult ADHD: Helping Clients Turn Intentions into Action.” .
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