Exploring Neurodiversity
22 Oct – written by Katrin Kemmerzehl – Blog – published in Counselling Directory
Understanding Adult ADHD
ADHD does not disappear after becoming an adult. Adults can carry around difficulties with attention, with sustaining focus, and with regulating their emotions, unbeknownst to them. Adult ADHD is a far cry from the hyperactive image in our heads of children.
They may appear to be highly capable and in a rush, with a family and a busy life. But in their own homes, some people may be disorganised, scattered, or on the edge of burnout. Common experiences include:
- difficulty with prioritising or getting things done
- missing appointments or misplacing things
- struggling to maintain routines or stay on course
- restlessness, distractibility, or inner overwhelm
- over-the-top frustration or self-criticism when things fall apart
These are not procrastination or lack of will. These are variations in the executive function of the brain – the skills that allow us to organise, maintain concentration, and control impulses. When these systems operate differently, life is like climbing a mountain with a backpack full of rocks.
Living with Undiagnosed ADHD
For most adults, though, ADHD goes undiagnosed for years. It can be masked by behaviours such as workaholism, perfectionism, or avoidance. Not many are familiar with the trend when a child is diagnosed, or when they learn about ADHD stories, that it finally “clicks.”
Undiagnosed ADHD silently controls one’s life story. It can be the reason for decades of self-doubt (“Why can’t I just get organised like other people?”), masking challenges and subsequent burnout, or chronic drive and resulting burnout.
To be diagnosed, or even to know it oneself through therapy and self-reflection, is a relief, an emotional one at that. It puts everything into perspective. Instead of being “too sensitive,” “forgetful,” or “lazy,” one finally understands that he or she is someone whose brain works differently.
How ADHD Can Affect Daily Life and Relationships
ADHD often affects multiple areas of life. It manages to get into work, home, and relationships as well.
For relationships, it is usually in the form of miscommunication or disappointment. A partner might feel disappointed or unheard when plans are constantly cancelled or assignments are ignored. At the same time, the person with ADHD can feel criticised, misunderstood, or caught up in behaviours that they are powerless to change.
These dynamics over time can lead to cycles of shame and frustration. Sometimes the non-ADHD partner will fall into the “organiser” or “reminder” role, with the ADHD partner often feeling guilt or resentment. Understanding that these issues are symptoms, rather than evidence of disrespect, is an important first step towards healing and self-awareness.
Some typical ‘relationship patterns’ are:
- The loving but chronically late partner, who has difficulties with time management.
- The creative person who begins many good projects but fails to finish them.
- The overthinker who hides overwhelm in a disguise of perfectionism.
- The reactive partner who apologises for what is said in the heat of emotion.
- The avoidant partner who flees when overwhelmed.
Practical Strategies for Daily Life
It’s usually about creating structure and empathy, not flawlessness, in residing with ADHD. Functional strategies can simplify everyday life and minimise stress levels.
A handful of small, habitual routines can carry much influence:
- Establish routines: Employ calendars, reminders, or visual planners to ground your day.
- Break down tasks: Smaller steps minimise overwhelm and enable starting.
- Optimise your environment: Keep your setting open and distraction-free from diversions.
- Move: Short walks or stretch breaks can enhance focus and mood.
- Prep ahead: Meal planning, bag packing, or task preparation the night before can minimise morning stress.
Although strategies are useful, they work best when they are based on self-awareness, not enforcement to ‘improve.’
The Role of Self-Compassion
ADHD in adults bring with it decades of self-blame. They may internalise the messages that they’re unreliable, disorganised, or “too much.” All this consistent self-criticism can drain confidence and happiness.Self-compassion offers a gentler alternative. It means treating yourself with the same warmth and understanding you’d extend to a friend. It involves three key elements (Neff, 2003):
- Kindness instead of self-criticism: Recognising that mistakes are part of being human.
- Shared humanity: Understanding that you’re not alone in your struggles.
- Mindfulness: Allowing difficult feelings to exist without being swept away by them.
Building self-compassion can insulate the inner critic of shame and allow you to reconnect with your strengths. Instead of struggling more, you begin working with your brain instead of against it.
Taking care of relationships when there’s ADHD
ADHD relationships do work, but sometimes need slightly more open communication and understanding.
Some caring strategies are:
- See patterns: Remember that distractibility, forgetfulness, or intensity are ADHD signs, not cues to ignore.
- Use shared systems: Calendars, whiteboards, or apps can bring mental relief to both partners.Reschedule tasks: Be honest about fairness and emotional labour discussions.
- Fix immediately: Recognise what didn’t work and reconnect when conflict ignites, not retreat.
- Keep connection alive: Schedule time for activities, playfulness, or quiet times together.
In couples, ADHD can convert normally stressful childcare and household responsibilities into an even more demanding chore. These three ingredients – empathic communication, external help, and realistic expectations – are the keys to maintaining both partners contented and healthy.
How counselling can help
Counselling provides a quiet, confidential environment to explore how ADHD impacts your emotions, relationships, and day-to-day life.
It’s not about “curing” ADHD; it’s about learning to know yourself and developing tools that actually work for you.Therapy can help you:
- identify patterns of self-criticism or burnout
- strengthen self-compassion and resilience
- improve communication and boundaries in relationships
- develop personalised organisation or coping strategies
- reconnect with your sense of capability and worth
Counselling also involves liberation from decades of uncertainty, exchanging self-blame for knowledge and self-acceptance. Some people have been quoted as saying that therapy is the first time they’ve ever felt comfortable talking openly without apology about the everyday realities of living with ADHD.
Moving Forward
Adult ADHD is a lifelong neurodevelopmental imbalance, not personal failure. Awareness, and intelligent and empathetic coping, enable adults with ADHD to live rich, creative, and fulfilling lives.
Learning about how your brain works, getting to know and accepting yourself and having the grace to implement positive changes in your daily life, rather than trying to fit in, can turn frustration into possibility.
Either by peer support, by therapy, or by small adjustments in daily life, recovery starts with this one easy alteration: treating yourself kindly. If you’re interested in exploring therapy, please feel free to reach out.
References
- Kemmerzehl, K. (2025). Adult ADHD, self-compassion, and relationships. Counselling Directory.
- Barkley, R. A. (2015). Attention-Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment. Guilford Press.
- Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101.
- Young, S., Sedgwick, O., & Fridman, M. (2016). ADHD in couples: A systematic review of the relationship between ADHD and marital satisfaction. Journal of Couple & Relationship Therapy, 15(4), 322–341.
- Matza, L. S., et al. (2005). The importance of social support in managing ADHD. Journal of Attention Disorders, 9(3), 543–552.
Katrin Kemmerzehl
I am a qualified psychotherapeutic counsellor in Newcastle upon Tyne.
Please get in touch if you’re interested in arranging a consultation.