Emails & ADHD
- Dr. Gemma Goodliffe

- Dec 30, 2025
- 3 min read
For many people, emails are just another everyday task. For people with ADHD, however, opening or sending an email can trigger intense anxiety, avoidance and even fear. This isn’t about laziness, immaturity or a lack of professionalism. It’s about how the ADHD brain processes information, pressure and emotion.

Managing emails is one of the areas many of the clients I work with find particularly difficult. As a result, emails are often avoided altogether, not because they don’t care, but because of challenges with executive functioning and the risk of overwhelm. Emotional factors such as anxiety, fear of judgement and procrastination can also play a significant role.
Understanding why emails feel so hard is the first step. When you understand what’s happening in your brain, you can start to put systems and strategies in place that reduce dread and make your inbox feel manageable rather than threatening.
Why are emails so overwhelming for people with ADHD?
1. Fear of opening emails
For many people with ADHD, emails aren’t just messages — they’re to-do lists in disguise. Each email may require a decision, a response, a task, a follow-up or emotional energy. This quickly becomes overwhelming, particularly when combined with:
Overwhelm from volume: A large unread backlog can make it feel impossible to know where to start. This often leads to avoidance, which only increases the backlog further.
Difficulty with prioritisation: ADHD can make it hard to distinguish what’s urgent and important versus what can wait. Everything can feel equally pressing — or equally impossible.
Fear of the unknown: A vague subject line can trigger anxiety about potential bad news, unexpected demands or forgotten commitments. The ADHD brain often jumps to worst-case scenarios, making avoidance feel like self-protection.
Sensory overload: Constant notifications, alerts and visual clutter can be overstimulating. This mental fatigue often leads to a desire to avoid the inbox altogether.
2. Emails feel “high-stakes” to the ADHD brain
Many people with ADHD experience heightened emotional sensitivity and, for some, rejection sensitivity dysphoria (RSD). Emails can feel permanent, traceable and open to judgement.
Clients often describe thoughts such as:
“What if I word this wrong?”
“What if they misunderstand me?”
“What if I sound stupid?”
Because emails lack tone, facial expression and immediate feedback, the ADHD brain fills in the gaps — often with worst-case interpretations. This can make pressing “send” feel far more emotionally risky than it actually is.
3. Perfectionism and executive dysfunction
The desire to write the “perfect” email can lead to endless rewriting, editing or not starting at all. Writing an email requires multiple executive function skills, including:
Organising thoughts
Prioritising information
Choosing appropriate wording and tone
Deciding when to respond
Questions like “Is it too soon to reply?” or “Will they think I’m rude if I leave it?” can stall action entirely.
The longer an email remains unsent, the heavier it feels. This reinforces a familiar cycle:
I need to send this → It must be perfect → I can’t start → Now I’m stressed → I avoid it
Even when the email is written, task initiation difficulties can make the final step — hitting “send” — feel disproportionately hard.
The cycle of avoidance
All of these factors feed into a vicious cycle: avoidance leads to backlog, backlog increases anxiety, and anxiety makes the task feel even more daunting next time. This isn’t a personal failing — it’s neurological wiring. Your brain simply works differently.
How coaching can help
In my work with clients, we gently unpack these patterns and put supportive systems in place. This often includes:
Developing realistic approaches to prioritisation and time management
Supporting task initiation so emails don’t linger indefinitely
Creating inbox systems that reduce cognitive load, such as:
Clear folder structures
Rules and filters
Colour coding and visual cues
Challenging perfectionism and building “good enough” responses
Reducing emotional threat around emails so they feel safer to engage with
The aim isn’t inbox perfection — it’s reducing stress and creating systems that work with your ADHD brain, not against it.
Emails don’t have to be a constant source of anxiety. With understanding, compassion and the right strategies, it’s possible to move from avoidance to confidence — and to open your inbox without that familiar sense of dread.



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