Why Do People With Mental Health Problems, Learning Disabilities, and Especially BOTH, Procrastinate?

Cycle of avoidance and negative reinforcement

Everyone procrastinates sometimes. But for folks with mental health and learning challenges, the struggle is REAL. The cycle of avoidance and negative reinforcement explains how and why we develop the habit of procrastination.

  • If you have a history of mental health and learning challenges you may have experienced discomfort around school obligations.

  • When you think about a new assignment or task, you are reminded of times in the past when you had difficulty completing an assignment, experienced frustration about an assignment, or were ashamed of your grade on an assignment.

  • Accordingly, thinking about the new task leads to more discomfort.

  • This brings on an urge to avoid, or procrastinate.

  • When you procrastinate, you will likely experience temporary relief from the discomfort or anxiety associated with the assignment.

  • Unfortunately, this “proves” that the discomfort was justified. Thinking about the task made me uncomfortable, and doing something else made me feel better!

  • As a result, the next time you think about the task, you are likely to feel even more discomfort, and the cycle will repeat again.

 


How to overcome procrastination

There is good news! The more a student can overcome procrastination, complete work, and get positive praise for it, the less that work will be automatically associated with discomfort.

  • Getting the academic support necessary to ensure that you produce work that reflects your actual ability (not limited by your mental health and learning challenges) will make the work easier, improve your self-esteem, and ensure you get the grades you deserve!

  • Success breeds more success and motivation, so starting with small goals and working towards a bigger one can help to fight off the urge to procrastinate.

  • Similarly, building in accountability (scheduling tutoring sessions or study groups, for example) will make it easier to get work done and help to break the cycle.

  • Figure out how you procrastinate, and make that harder. Do you snack instead of working? Don't work where there’s food! Do you pick up your phone and scroll instead of working? Put your phone in your bag, don’t leave it out on your desk.

  • Don't plan to do things at the last minute. Instead, plan ahead and budget in plenty of time so you don’t have to rush.

  • To prevent procrastination, use small rewards for yourself as incentives. Maybe after 45 minutes you can check social media, or after three chapters you can go get a snack. Choose quick but satisfying rewards that will fill your bucket and motivate you.

This article was last reviewed or updated on

This article was last updated on

September 19, 2025

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David Friedlander, PsyD
David Friedlander, PsyD

David Friedlander, PsyD, is a psychologist in the Anxiety Disorders Center at the Child Mind Institute. He specializes in providing evidence-based treatments to children, adolescents, and young adults with anxiety disorders (eg., social anxiety and OCD) and co-occurring disorders such as mood disorders, ADHD, and learning disorders. Dr. Friedlander has received specialized training in cognitive behavioral therapy (CBT), motivational interviewing (MI), dialectical behavior therapy (DBT), supportive parenting for anxious childhood emotions (SPACE), and parent child interaction training for selective mutism (PCIT-SM).

Dr. Friedlander has extensive experience in community mental health outpatient and school settings. He has worked with parents, teachers and other community supports to design behavior plans for use in the home and at school. These evidence-based plans frequently emphasized skill development and involved cognitive, behavioral and mindfulness-based strategies. During quarantine, Dr. Friedlander led weekly online mindfulness meditation sessions for members of his community. He has recently developed an interest in, and presented on, the intersection of technology use (particularly gaming) and mental health. His previous research focused primarily on the mental health needs of ethnic minorities, and he co-authored a chapter in the American Psychiatric Association’s Black Mental Health.

Dr. Friedlander strives to help people experience greater mindfulness and self-compassion in their daily endeavors. He is dedicated to enhancing the lives of children and families by providing them with empathic, evidenced-based care in pursuit of their treatment goals.

Adam Zamora, PsyD

Adam Zamora, PsyD, is the Senior Director of the ADHD & Behavior Disorders Center, Director of the College Success Program, and a neuropsychologist in the Gund Learning and Diagnostic Center at the Child Mind Institute. He specializes in the evaluation and remediation of children, adolescents and young adults with a wide range of conditions that impact academic functioning, including ADHD, verbal and nonverbal learning difficulties, social and interpersonal weaknesses, and emotional disorders. Dr. Zamora utilizes diagnostic interviewing and comprehensive assessments to help provide families with a thorough understanding of their children, to identify assets and strengths, and to unravel the underlying reasons for challenges in their everyday lives. He also takes on an active, collaborative role with families, treatment providers and school personnel to tailor recommendations that help each child meet his or her potential.

In addition to completing his neuropsychological training in academic medical settings, Dr. Zamora has provided psychotherapeutic treatment for children and adolescents with anxiety, mood disorders, behavioral difficulties, trauma histories and complex medical issues in both inpatient and outpatient hospitals and clinics. In a school setting, he has experience with developing behavior plans, conducting social skills groups and helping to facilitate classroom interventions. Dr. Zamora enjoys providing psychoeducation to families and presenting about learning difficulties at local schools. He has also supervised psychology trainees in administration, case conceptualization and report-writing of neuropsychological evaluations.

Dr. Zamora grew up in New York City and has extensive educational consulting experience in the local private school world. Since 2005, he has provided academic consultation and remediation services for students struggling with motivation, study skills, academic performance, test preparation and the school application process. Additionally, as part of his clinical training, Dr. Zamora has conducted numerous school visits and classroom observations, consulted closely with teachers and learning specialists, and advocated for families at IEP meetings and impartial hearings. Dr. Zamora’s work as a clinical psychologist and educational consultant has given him a unique perspective on students and their individual needs, and has aided his ability to translate evaluation results into meaningful clinical summaries with practical, applicable recommendations for use at home and in school. He has a passion for understanding and tapping into individual strengths, and then utilizing those assets to support families and help children overcome areas of weakness.

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You Are Okay is an initiative of the Child Mind Institute, an independent, national nonprofit dedicated to transforming the lives of children and families struggling with mental health and learning disorders.

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© 2024 Child Mind Institute. All rights reserved.

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Child Mind Institute Logo

You Are Okay is an initiative of the Child Mind Institute, an independent, national nonprofit dedicated to transforming the lives of children and families struggling with mental health and learning disorders.

childmind.org

© 2024 Child Mind Institute. All rights reserved.

Child Mind Institute Logo

You Are Okay is an initiative of the Child Mind Institute, an independent, national nonprofit dedicated to transforming the lives of children and families struggling with mental health and learning disorders. childmind.org

© 2024 Child Mind Institute. All rights reserved.