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Why You’re Always Late — It’s Not Laziness In this video, Dr Sanil Rege explains why chronic lateness and time blindness happen, and how the brain’s timing, reward and effort systems can keep people stuck in a cycle of delay. If you are always late, it is often assumed that you do not care, are lazy, or simply need to “try harder.” But chronic lateness is usually more complex than that. In this video, Dr Sanil Rege explores chronic lateness through the lens of neuroscience, ADHD, interoception, reward prediction, effort calculation and executive control. He explains why the brain can underestimate time, overestimate effort, discount future rewards and rely on panic or urgency to finally initiate action. The video introduces a practical brain-based loop: liking → wanting → seeking → action. This loop helps explain why someone can genuinely care about being on time but still fail to move early enough. This discussion is relevant for people with ADHD, but it is not limited to ADHD. The principles also apply to anyone who struggles with time perception, transitions, procrastination, urgency, task initiation, avoidance, burnout or executive dysfunction. Dr Rege also outlines practical strategies to reduce chronic lateness by making time visible, creating interoceptive anchors, reducing transition costs, using artificial deadlines and front-loading reward. Chapters 00:00 – Why chronic lateness is misunderstood 02:40 – What is time blindness? 03:32 – Interoception: why you may not “feel” time passing 04:16 – The effort loop: liking, wanting, seeking and action 07:26 – A real-life example: getting to a date on time 11:04 – How panic becomes the motivator 12:25 – How to fix lateness by changing the loop 14:36 – Reduce transition cost and micro-decisions 15:32 – Front-load reward to make starting feel better 17:32 – When to think clinically: ADHD, sleep, anxiety, mood and burnout Key Ideas Covered – Why chronic lateness is often a timing and effort-computation problem – How time blindness differs from simply not knowing the time – Why people may not feel urgency until it is too late – The role of interoception in sensing readiness, tension and urgency – How the brain calculates effort, reward and future value – Why delayed rewards are often discounted – How ADHD can affect time perception and task initiation – Why panic can become the only reliable trigger for action – Practical strategies to make leaving easier and more automatic – Why medication may help signal-to-noise in ADHD but does not replace learned routines Dr Sanil Rege is a consultant psychiatrist and educator. He has trained thousands of clinicians in neuroscience, psychiatric formulation and clinical practice, with a focus on translating complex brain-based concepts into practical clinical understanding. For clinicians interested in practical neurobiology, psychiatric formulation and management, visit The Academy by Psych Scene: https://academy.psychscene.com #TimeBlindness #ADHD #ChronicLateness #ExecutiveFunction #DrRege #Psychiatry #MentalHealth #Neuroscience #Procrastination #Interoception #ADHDTips #BrainScience #TaskInitiation #Psychiatrist #PsychScene Related Videos: Your Brain Doesn’t Care If You’re Happy – Your Brain Wants THIS Instead https://youtu.be/zUkm8jR6BM8 🎓RESOURCES BY PSYCH SCENE: 🌐The Academy by Psych Scene: PSYCHIATRY EDUCATION REDEFINED https://academy.psychscene.com/ Revolutionary psychiatry learning. 🌐Psych Scene Hub: PSYCHIATRY TEXTBOOK OF THE FUTURE https://psychscenehub.com/ The Hub is devoted to making you a better mental health professional. Our team of academic and clinical experts bring you powerful summaries, videos and interviews in psychiatry and neurosciences. 🌐Psych Interview Online: REAL WORLD SKILLS FOR REAL WORLD SUCCESS https://www.psychinterview.com/ The Psych Interview online courses offer high-quality training to help you improve your psychiatric interview skills through self-study. 🌐Psych Scene Online: THE ONLINE COURSES TO HELP YOU SUCCEED https://ranzcpexams.psychscene.com/ Learn at your own pace with the RANZCP Written Exam prep online courses. 🌐Psych Scene: THE PSYCHIATRY TRAINING EXPERTS https://psychscene.com/ Psych Scene offers specialised training and professional development for Psychiatry Trainees, Psychiatrists, General Practitioners and Mental Health Practitioners. -- 📱SOCIALS Subscribe for weekly videos on Psychiatry and Neuroscience: Facebook: https://m.facebook.com/PsychSceneHub Instagram: https://www.instagram.com/psychiatry.excellence/ – 👋 LET’S CONNECT! Follow Sanil Rege on LinkedIn: https://www.linkedin.com/in/sanilrege https://www.youtube.com/watch?v=Ry2kn3DqcA8