This Frustrating Type Of Procrastination Is Linked To ADHD And Autism

“Task paralysis”, a type of emotional overwhelm that can stop people from completing tasks like doing the dishes, is a little more than just “regular” procrastination. Often associated with ADHD, it can affect people’s relationships and professional lives.

Similarly, pathological demand avoidance (PDA) can also impact the education and careers of those with the condition, according to the National Autistic Society (NAS).

Though not always clinically recognised, some research has suggested that PDA may be common among autistic people and those with ADHD. (Researchers have suggested that between 50-70% of autistic people also show signs of ADHD.)

We spoke to consultant psychiatrist Dr Stefan Ivantu, also known online as the ADHD specialist, about how it can show up. 

What is pathological demand avoidance?

A lot of us can experience “demand avoidance”, or feeling a strong urge to put off the little tasks requested or expected (“demanded”) of us throughout the day.

But, as Healthline explained, “when this tendency significantly affects day-to-day life, psychologists may refer to it as pathological demand avoidance”.

“In adults, it manifests as extreme procrastination or paralysis where even simple daily tasks feel like threats to their autonomy,” Dr Ivantu noted. 

That might mean you find yourself so distressed or annoyed by being directly or indirectly asked to do something (either by commands or internal or external expectations), you simply abandon the task entirely. 

The NAS said that might look like giving excuses, withdrawal, saying “no” point-blank, and providing distractions, like changing the subject.

Some evidence suggests it may negatively affect sleep, relationships, and the ability to complete self-care tasks like cooking and brushing your teeth. It could also increase the risk of professional and/or educational burnout, and even panic attacks.

“In terms of how common it is, there are no research studies on the exact prevalence yet. However, I notice it is more present in individuals who faced adverse psychological issues growing up because nobody recognised they were different,” Dr Ivantu told HuffPost UK.

“It goes under the radar constantly because these adults are often high achievers who mask their struggles at work but fall apart in private. They are frequently mislabelled as stubborn or difficult when it is actually an anxiety response.”

What if I suspect PDA? 

If you think you notice the trait in another person, Dr Ivantu said, “the worst thing you can do is apply pressure or issue orders”.

“The most effective strategy is to empower this group,” he continued.

“Depersonalise the request and offer them options so they feel a sense of control rather than coercion.” 

And if you think you might have either autism or ADHD, you may wish to speak to your GP to investigate further.