The link between ADHD and motivation is complex. In this Healthline article, Mindpath Health’s Tiffany Gishizky, DNP, PMHNP-BC, discusses how motivation involves the brain’s reward systems and an individual’s core psychological needs.


Motivation is what moves you to action, and it’s the driving force behind goal-related activities. Not everyone has the motivation or motivation to do the same things.

When you live with attention-deficit/hyperactivity disorder (ADHD), your motivation may differ from neurotypical people, but that doesn’t mean you’re unmotivated.

There are reasons why motivation deficits are seen in ADHD, and none of the reasons have to do with laziness or a careless mindset.

Can ADHD cause a lack of motivation?

ADHD seems to be linked to specific types of motivation deficits but not the complete absence of motivation.

There are three primary types of motivation: intrinsic, extrinsic, and amotivation.

Intrinsic motivation comes from your internal interests and desires (personal satisfaction). satisfaction). Extrinsic motivation is influenced by the presence of an external reward or benefit. Amotivation is the absence of intrinsic or extrinsic motivation.

2021 research suggests that people with ADHD score higher on amotivation and extrinsic motivation and lowest on intrinsic motivation. These scores may reflect the fact that children with ADHD require a greater incentive to change their behavior and may find postponing gratification challenging.

Research suggests that children who live with ADHD may need greater and more immediate stimuli to feel motivated.

What is ADHD task paralysis?

ADHD task paralysis, also known as “ADHD freeze,” is a state of overwhelm that can come when you need to get something done.

Dr. Jacques Ambrose, a psychiatrist, explains that, for people living with ADHD, task paralysis is like suddenly feeling stuck.

Ambrose adds that a seemingly straightforward task can be viewed as an overwhelming series of steps when you live with ADHD.

Cleaning your room, for example, may turn into:

  • I need to find time to do this.
  • I then need to assess the cleanliness of the room.
  • I must pick where to start cleaning.
  • I must decide which items to clean first.
  • I found some dirty clothes, so I must stop cleaning and put them in the washer.
  • These pants are clean, so I must stop cleaning and fold them and put them away.

From the outside, task paralysis can appear as procrastination or a lack of motivation when it’s really a state of psychological overwhelm.

Why does ADHD affect motivation?

From a physiological standpoint, the motivation deficits in ADHD can be linked to altered brain structure and function.

Ambrose points out that children with ADHD have unique reward system processes, preferring small and immediate rewards, for example, compared with larger but delayed incentives.

Dr. Tiffany Gishizky, a board-certified psychiatric mental health nurse practitioner from Mindpath Health in Denver, Colorado, said that dopamine, a neurotransmitter critical to behavior reinforcement, may account for some motivational differences.

“ADHD brains have a baseline deficit in the neurotransmitter dopamine,” she said. “Amongst other things, dopamine is our ‘reward center’ in the brain and is therefore increased when we are engaged in something that is interesting or pleasurable.”

The role of self-determination theory

Self-determination theory is a framework developed to help explore the broader concepts of motivation.

The theory states that motivation is fueled by how well you can satisfy three basic psychological needs:

  • autonomy
  • relatedness
  • competence

According to a 2022 study, motivation levels in people living with ADHD are also improved when their needs of autonomy (feeling you have a choice), relatedness (feeling connected to others and a sense of belonging), and competence (mastery or successfulness in your activity) are met.

Tips for improving motivation in ADHD

Improving motivation for people with ADHD can come through two important adjustments that take ADHD’s underlying features into account: task restructuring and task enjoyment.

Gishizky recommends adding an element of fun to seemingly boring tasks, such as listening to music or turning the task into a game.

What motivates the ADHD brain?

Because external rewards are highly motivational for many people living with ADHD, adding small, frequent incentives may help you maintain your motivation.

In addition to rewards, external pressures may have a similar effect. Gishizky said creating pressure around a task can help increase motivation to get it done.

“This [external pressure] can come in the form of concrete deadlines you set for yourself,” she said.

Signs your lack of motivation is ADHD

Depression and anxiety disorders are examples of other conditions that can cause symptoms that affect motivation.

According to Gishizky, the primary indication that lack of motivation is specific to ADHD is that motivation deficits are present regardless of mood symptoms.

If a lack of motivation is related to a condition such as depression, it tends to improve when you’re not in a depressive episode.

In general, signs that your lack of motivation is related to ADHD may include:

  • feeling primarily motivated by external stimuli
  • preferring small, frequent rewards to larger, delayed benefits
  • experiencing task paralysis
  • shying away from complex, lengthy, or seemingly boring tasks
  • motivation deficits present regardless of mood changes

Bottom line

Living with ADHD doesn’t mean you’re lazy or unmotivated. Different brain processes and unmet psychological needs may make motivation look different for people with ADHD.

Because ADHD can co-occur with conditions such as depression, speaking with a mental health professional may be an important step in understanding the origins of motivation deficits.

Read the full Healthline article with sources. Want to learn more about your mental health? Visit our Patient Resources for articles, tips, and education from Mindpath Health’s expert clinicians.

Tiffany Smith Gishizky, DNP, PMHNP

Napa, CA

Tiffany is a board-certified psychiatric mental health nurse practitioner who works with individuals with complex mental health conditions. She is passionate about helping her patients progress toward balance, improved function, and mental wellness through medication management and education. Tiffany taught as adjunct clinical faculty at the University of San Fransisco.

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