ADHD and therapy

Attention-Deficit/Hyperactivity Disorder (ADHD) is often misunderstood as simply being "easily distracted" or "hyperactive." In reality, it is a complex neurodevelopmental condition that affects millions of people worldwide—including a significant number in the UK. ADHD influences not only how individuals focus and regulate their energy but also how they relate to others and engage in daily life.

How ADHD Presents

ADHD is typically categorized into three presentations:

Inattentive type – Common symptoms include difficulty sustaining attention, forgetfulness, trouble organizing tasks, and being easily distracted.

Hyperactive-impulsive type – Individuals may fidget, talk excessively, interrupt others, and struggle with impulse control.

Combined type – A mix of inattentive and hyperactive-impulsive symptoms.

These symptoms often appear in childhood, but ADHD is not just a childhood condition. Many adults also live with undiagnosed or late-diagnosed ADHD, often struggling for years with symptoms that impact work, relationships, and self-esteem.

ADHD in the UK: The Numbers

Recent estimates suggest that approximately 2.6 million people in the UK live with ADHD, including around 5% of children and 2.5% of adults. However, many remain undiagnosed due to stigma, lack of awareness, or limited access to assessment services. Diagnoses have risen in recent years as public understanding and recognition of adult ADHD grow.

The Impact on Daily Life and Relationships

Living with ADHD can be challenging in multiple areas:

Work and education: Trouble meeting deadlines, forgetfulness, or inconsistent focus can affect academic and career performance.

Social relationships: Difficulty reading social cues, impulsive speech, or emotional dysregulation can lead to misunderstandings or conflict.

Romantic relationships: ADHD may cause tension through forgetfulness, disorganization, or a perceived lack of attention, leaving both partners feeling frustrated or disconnected.

Despite these challenges, many people with ADHD also bring creativity, spontaneity, passion, and a unique perspective to their relationships and careers.

Therapy for ADHD: A Double-Edged Sword

Therapy can be a powerful tool for managing ADHD, but it's not always straightforward.

Why it can be difficult:

Traditional talk therapy may require sustained attention and organization, which can be challenging for those with ADHD.

Clients may struggle to remember appointments, apply strategies consistently, or stay engaged in sessions.

Some therapeutic environments may not accommodate neurodivergent needs.

Why it can be helpful:

Therapy can address co-occurring conditions such as anxiety or depression, which are common in individuals with ADHD.

Psychoeducation and coaching models can empower clients to understand their brains better and advocate for their needs.

Ultimately, therapy works best when it is flexible, collaborative, and ADHD-informed. Finding the right therapist—someone who understands the nuances of ADHD—can make all the difference.

Final Thoughts

ADHD is more than just a struggle with attention; it's a deeply individual experience that can affect every corner of a person's life. With growing awareness and understanding, more people are getting the support they need. Though therapy may pose some unique challenges for those with ADHD, it also offers hope—a space to be understood, build coping tools, and foster healthier relationships