17/10/2026
For someone with ADHD, following spoken instructions can become difficult when several steps arrive quickly, the conversation changes direction or there’s little time to process what was said.
ADHD can affect attention and working memory—the ability to hold information in mind while using it. Listening, remembering earlier steps and taking notes at the same time can place extra demands on those skills, even when the person understands the task.
Allowing pauses gives them time to write things down, ask questions and check their understanding before the conversation moves on. The UK’s National Institute for Health and Care Excellence (NICE), which develops evidence-based health and care guidance, recommends backing up spoken instructions with written ones as an adjustment for ADHD.
If you’re giving instructions:
• Explain one step or a small group of steps at a time.
• Allow time for note-taking before moving on.
• Make the priority and deadline clear.
• Ask what pace or format works for the person.
If you’re receiving instructions, you can say:
• “Could you slow down a little? I’m taking notes.”
• “Let me write that down before we move on.”
• “Can I read that back to check I’ve got it right?”
You can also agree on a brief written follow-up when a task is complicated or instructions change. Some people prefer to make their own checklist; others find a shared summary more useful.
This National ADHD Awareness Week, October 18–24, making room for these preferences can help conversations work better for everyone, while giving the person with ADHD control over how they organise and use the information.
References:
• NICE. “Attention deficit hyperactivity disorder: diagnosis and management” (NG87).
• National Institute of Mental Health. “Attention-Deficit/Hyperactivity Disorder in Adults: What You Need to Know.”
• National Council on Disability Affairs. National ADHD Awareness Week 2026 announcement.