Health
Understanding ‘Time Blindness’: How ADHD Can Affect Punctuality
The difficulty known as “time blindness” is a recognised feature of attention deficit hyperactivity disorder (ADHD), but experts stress it is not an automatic excuse for being late, and not everyone who struggles with punctuality has the condition.
Alice Lovatt, a musician and group-home worker from Liverpool, England, spent years facing stress and embarrassment over her chronic lateness. She frequently let down friends and worried about being on time for school or work.
“I just don’t seem to have that clock ticking in my head,” Lovatt said. It was only at the age of 22, when she was diagnosed with ADHD, that she realised her struggles had a name.
Time blindness refers to difficulty judging how long tasks will take or tracking the passage of time. It has been associated with ADHD and, in some cases, autism. The concept has been discussed in psychological research since the 1990s. In 1997, Russell Barkley, a retired clinical neuropsychologist at the University of Massachusetts, described it as “temporal myopia.” Recently, the idea has gained attention on social media, sparking debate about where a recognised neurological difficulty ends and general disorganisation or rudeness begins.
Experts say time blindness stems from executive function challenges in the frontal lobes. “Anyone can have issues with running late, just with ADHD there’s functional impairment,” said Stephanie Sarkis, a psychotherapist and author of 10 Simple Solutions to Adult ADD. She explained that time blindness can affect family life, work, social relationships, and financial management.
Stimulant medications commonly prescribed for ADHD can help reduce time blindness, Sarkis added. But she emphasised that chronic lateness does not automatically indicate ADHD.
Jeffrey Meltzer, a US therapist who works with people struggling to arrive on time, said there are multiple reasons for repeated lateness. Some avoid arriving early to escape small talk, often tied to anxiety. Others use tardiness to reclaim a sense of autonomy when they feel a lack of control in their lives. Meltzer compares it to “revenge bedtime procrastination,” where people stay up late to regain personal time after a busy day.
He also highlighted lateness driven by entitlement, in which people feel their time is more important than others’ and may make grand entrances or flout social norms to draw attention.
Despite the causes, experts say individuals remain responsible for how their behaviour affects others. Tools that help people with ADHD, such as smart watches, multiple clocks, breaking tasks into smaller steps, and avoiding overscheduling, can benefit anyone struggling with time management.
Lovatt has adopted these strategies, allowing herself extra time, using apps to block distractions, and tracking how long daily tasks take. She discovered that her 20-minute morning routine actually took 45 minutes when broken down step by step.
“It doesn’t work 100 per cent of the time,” she said. “But generally, I am a lot more reliable now.”
The case highlights how understanding conditions like ADHD can help those affected manage time more effectively while reminding the public that punctuality remains a shared responsibility.
Health
Global Mental Health Cases Near 1.2 Billion as Anxiety and Depression Drive Sharp Worldwide Rise
A major global analysis has found that mental health conditions have surged to an estimated 1.2 billion people worldwide, driven largely by steep increases in anxiety and depression over the past three decades.
The findings, published in The Lancet as part of the Global Burden of Disease Study 2023, show that the number of people living with mental disorders has almost doubled since 1990, marking a 95% rise. Researchers say major depressive disorder and anxiety disorders have seen even sharper growth, increasing by 131% and 158% respectively, making them the most prevalent mental health conditions globally.
The report describes mental illnesses as widespread conditions that create long-term disability and significant human suffering. It also highlights broader consequences for economies and public services, including reduced productivity, lower workforce participation and increasing pressure on health and welfare systems.
Researchers estimate that in 2023 alone, around 620 million females and 552 million males were affected by mental health conditions. While the overall burden is rising across both sexes, the study points to notable differences in the types and prevalence of disorders.
Among women, depression and anxiety were the most commonly reported conditions, alongside higher rates of eating disorders such as anorexia nervosa and bulimia nervosa. The report links this disparity to a mix of biological, social and structural factors, including exposure to domestic violence, sexual abuse, gender inequality and reproductive health-related changes.
In contrast, neurodevelopmental and behavioural disorders, including attention deficit hyperactivity disorder (ADHD), conduct disorder and autism spectrum conditions, were more frequently diagnosed in men.
Teenagers aged 15 to 19 were identified as the group experiencing the highest mental health burden globally, raising concerns about early onset of conditions and insufficient preventive care for young people.
The study identifies several key risk factors associated with mental illness, including childhood sexual violence, bullying and intimate partner violence. These factors are strongly linked to conditions such as depression, schizophrenia, bipolar disorder and anxiety disorders. However, researchers note that such exposures have remained relatively stable over time and account for only a portion of the overall rise.
According to the authors, broader drivers are likely contributing to the increasing prevalence of mental disorders. These include genetic and biological influences, poverty, inequality, and the growing impact of global crises such as armed conflict, pandemics, natural disasters and climate-related stress.
While mental health conditions have long been a leading cause of disability worldwide, the report warns that the situation is worsening. At the same time, health systems have not expanded services at a pace matching demand.
The authors caution that the gap between rising need and limited access to care is becoming more pronounced, leaving millions without adequate treatment or support.
Health
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Health
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