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This article aims to define Trauma-Derived Procrastination (TDP) as a clinical formulation and differentiate it from other types of procrastination.

June 13, 2026Open Access

Trauma-Derived Procrastination as a Candidate Clinical Formulation: A Differential Framework for Adult Practice

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This article defines trauma-derived procrastination in adults, suggesting implications for clinical practice and interventions.

This article aims to define Trauma-Derived Procrastination (TDP) as a clinical formulation and differentiate it from other types of procrastination.
Integrates four literatures: procrastination, neural signatures, action control, and developmental adversity.
Defines TDP based on chronic procrastination and a developmental history of threat-system calibration.
Outlines clinical shifts to address TDP, including naming feelings, fostering self-compassion, and promoting task initiation.
Identifies childhood trauma as a predictor of procrastination mediated by trait anxiety and reduced self-control.
Defines TDP distinctly from other procrastination types, emphasizing its links to emotional threat rather than laziness or ADHD.
Recommends phase-oriented trauma treatment for clients with a history of complex interpersonal adversity.

Ashok Riehm (2026) studied this question.

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