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There’s something about a 3PM appointment that completely takes over my day. It doesn’t matter what the appointment is—it could be a meeting, therapy session, or a quick check-up. From the moment I wake up, my brain locks onto it. Everything else feels paused, like the entire day is leading up to that one moment.
If you have ADHD or anxiety, maybe you’ve felt this too. You look at your calendar and see that one event. Suddenly, your plans to clean the kitchen, go for a walk, or even eat lunch feel impossible. You’re stuck in a loop of waiting, worrying, and wondering if you’ll make it on time.
This isn’t about laziness or bad planning. It’s about how ADHD and anxiety work together to trap your mind in a cycle of anticipation and tension. According to experts , people with ADHD often experience hyperfixation, where attention gets stuck on a single thought or task—like an upcoming appointment. And when anxiety joins in, that focus becomes even harder to break.
Time Blindness and Anticipatory Anxiety
On days with a 3PM appointment, time becomes slippery. You wake up knowing it’s hours away, yet it still feels like it’s right around the corner. You keep checking the clock. Morning plans get pushed aside because it feels like there’s no time, even when there is.
This is what time blindness looks like. It’s a common experience for people with ADHD. You might intend to start something before the appointment, but your brain can’t grasp how long tasks actually take. So instead of working, relaxing, or doing errands, you sit in a fog of waiting.
Anxiety makes it worse. Your mind starts spinning with thoughts—What if I’m late? What if I forget something?—and suddenly even getting dressed feels stressful. The hours before the appointment fill with pressure, not progress.
As noted in research, individuals with ADHD often struggle with both time management and emotional regulation. This creates a perfect storm where even simple commitments feel overwhelming. You’re not lazy—you’re navigating a brain that processes time and stress in a different way.
Hyperfixation on the Event
Sometimes, it’s not just about waiting for the appointment—it’s about being stuck on it. From the moment you wake up, your mind zeroes in. You can’t stop thinking about it, even when you try. It feels impossible to shift your focus elsewhere.
This experience is known as hyperfixation, and it’s common among people with ADHD. Unlike typical focus, hyperfixation takes over your entire attention.
According to a published article , this intense focus often leads to:
- Losing track of time, where hours pass without notice
- Neglecting basic needs, like forgetting to eat, drink, or rest
- Ignoring other tasks, even urgent or important ones
- Inability to disengage, feeling trapped in one thought or activity
- Emotional obsession, such as replaying or rehearsing the event over and over
This isn’t about laziness or being dramatic. It’s how a neurodivergent brain responds when it gets hooked on a single thought. And unless something interrupts it, that focus can last all day.
Executive Dysfunction in Action
You know you should be doing other things before your appointment—washing dishes, answering emails, maybe just taking a shower. But somehow, you can’t start. The thought is there, but the action never follows. You sit, stare, scroll, wait.
This is executive dysfunction. It’s a common challenge in ADHD where your brain struggles to begin, plan, or shift tasks—even simple ones. It’s not about motivation or effort. It’s about the brain misfiring on what to do next.
According to a review , people with ADHD often experience impairments in executive functions like:
- Task initiation, or the ability to just start doing something
- Planning and organizing, like deciding what to do first
- Emotional regulation, where feelings like anxiety block action
- Cognitive flexibility, the skill of switching between tasks
So even if you want to use the time before your appointment, your brain hits pause. And as that 3PM slot gets closer, the harder it becomes to shift gears. It’s not just procrastination, it’s the invisible weight of ADHD pressing down on every decision.
The Crash After the Appointment
Once the appointment ends, you’d think the pressure would disappear. But instead, you feel wiped out. It’s not relief—it’s a crash. Your energy dips. Your mind feels cloudy. You don’t want to do anything else.
This sudden mental shutdown is real. After spending the whole day in a state of alert—watching the clock, managing nerves, overthinking—you’re left with nothing in the tank. Even if the appointment only lasted 30 minutes, it cost you hours of energy before and after.
As explained by experts , emotional regulation in ADHD is often impaired. That means preparing for one small event can lead to:
- Emotional exhaustion, where the body reacts like it’s been through a full-day marathon
- Cognitive fatigue, making it hard to focus on anything afterward
- Low motivation, even for tasks you normally enjoy
- Withdrawal, where you just want to lie down or be alone
This crash can make you feel lazy or unproductive—but it’s actually your brain’s way of recovering. The stress may be over, but the impact lingers.
How to Break the Cycle
It may feel like these kinds of days are impossible to fix—but they’re not. You can’t always stop the anxiety or ADHD from showing up, but you can build systems to make the day easier. It starts with small changes.
According to research , routines and awareness help people with ADHD manage overwhelming thoughts and behaviors. Here are some simple ways to break the 3PM appointment trap:
- Use alarms or timers to create checkpoints during the day
- Block time for relaxing activities before the appointment
- Do small tasks first to build momentum—like brushing your teeth or watering a plant
- Talk to someone, even just a short check-in, to shift your focus
- Create a calming ritual, like journaling or a short walk, to reduce the emotional buildup
You don’t have to fix everything at once. Just interrupting the cycle in one place—before, during, or after the event—can give your mind and body a break. Over time, these shifts help reduce the crash and bring back some balance.
Wrap Up
If 3PM appointments leave you feeling stuck, drained, or overwhelmed, you’re not alone. ADHD and anxiety can turn a simple event into a full-day struggle. It’s not about being lazy—it’s how your brain responds to stress, time, and focus. But small changes can help.
A timer, a short walk, or even talking to someone can break the cycle. You don’t need to do it all perfectly. Just start somewhere. Can you give yourself permission to try one thing next time? Even small steps can bring real relief.
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References
- Guy-Evans, O. (2025, April 23). Hyperfixations in ADHD. Simply Psychology. Retrieved from https://www.simplypsychology.org/adhd-hyperfixation.html
- Sciberras, E., Mulraney, M., Silva, D., Coghill, D., & Efron, D. (2022). Emotional dysregulation in attention-deficit/hyperactivity disorder: A narrative review. Frontiers in Psychiatry, 13, 949321. https://doi.org/10.3389/fpsyt.2022.949321
- Jiang, S., Liu, J., & Xie, G. (2023). The relationship between executive function and emotion regulation in attention-deficit/hyperactivity disorder: A systematic review. Frontiers in Psychology, 14, 1212502. https://doi.org/10.3389/fpsyg.2023.1212502
- Alqithami, S., Alzahrani, M., Alzahrani, A., & Mostafa, A. (2019). Modeling an augmented reality game environment to enhance behavior of ADHD patients. arXiv. https://doi.org/10.48550/arXiv.1911.01003
- Kansas State University Counseling Services. (n.d.). ADHD 101 Handout [PDF]. Retrieved from https://www.k-state.edu/counseling/documents/ADHD%20101%20Handout.pdf