I have ADHD and for me boredom can feel worse than physical pain, it can be really awful if I get 'stuck' and can't find something which will give me the dopamine reward I need to motivate me to do something. My son is the same, he has the same deficit as me with task initiation. It looks like procrastination, but it isn't, it's that you cannot get started or find something to do, but once engaged this can switch into hyper focus where you are totally immersed, to the point that you even forget to eat, drink or go to the toilet. My son is incredibly busy, creative and self motivated once he gets going, but trying to find an initial task that seems appealing and then help him bridge that gap to actually getting started, can be difficult. And I'm the same still now. Medication can help that bridge, and works well for many people to help them with these kinds of issues. It may be ADHD and it may not be, but just because some people with ADHD are really good at keeping themselves entertained doesn't mean that all will be. Certainly for me, and for my son, task initiation is one of the most difficult things for us to manage alone, and actually sometimes impossible. This can change almost instantly once an external motivator is added. This could be me actually sitting him down with some crayons and paper and instructing him to just draw a circle or a triangle or something, and a few seconds of crayon on paper and suddenly he is busy in art mode creating a surreal multimedia creation. For me, if you give me a deadline in 6 months for some simple paperwork I need to get done (that will take a few minutes) I will not be able to do it until the day before, probably the night before. However, knowing this means I have set up coping strategies. If I am given a form to fill out for me kids school, for example, I know if I take it home I will not be able to task initiate until the deadline pressure creates an external motivator, and by this time I might have lost the form due to my other executive function issues. So instead I do not leave the school site until I've done the form. Task initiation absolutely is an executive function so can be part of ADHD, and also other conditions that affect executive functioning including autism, dyspraxia, etc. On its own it's not diagnostic of anything for a kid to be bored and need a lot of input in finding activity to do, however I would look at executive functions and find out if there are more areas your child struggles with, at adhd and more broadly. There are many fantastic screening tools online which can give you a good idea if it worth pursuing a diagnosis. Good luck! 🍀