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Do people with ADHD have unstable friendships? 

ADHD friendships can often feel intense, short-lived or full of highs and lows. Many people with ADHD struggle to maintain long-term friendships, not because they don’t care, but because ADHD social challenges can get in the way. Impulsivity, missed social cues, or emotional outbursts can sometimes make it difficult to build steady connections. 

What looks like relationship instability is often a mix of misunderstanding and miscommunication. A friend may feel ignored or hurt by an unreturned message, while the person with ADHD may have simply been overwhelmed or distracted. These patterns can lead to peer rejection, especially during childhood and adolescence, where social dynamics are more fragile. 

Why Friendships Struggle 

Difficulty with consistency 

Friendships thrive on reliability. But people with ADHD might forget plans, show up late or lose track of conversations, leading to feelings of being let down. 

Emotional intensity 

Strong feelings and quick reactions can cause tension. Small disagreements might escalate quickly, making it harder to repair the connection. 

Misinterpreting social feedback 

Those with ADHD may not always notice when someone is pulling away or upset, which makes it harder to adjust behaviour in time. 

Despite the bumps, many ADHD friendships are full of loyalty, humour and creativity. With awareness and support, people can learn to navigate these ups and downs more smoothly and form stronger, lasting bonds. 

Visit providers like ADHD Certify for personal consultations and expert advice tailored to your needs.    

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Social Relationships.

Harriet Winslow, BSc - My patient advice author - mypatientadvice.co.uk

Harriet Winslow, BSc

Author

Harriet Winslow is a clinical psychologist with a Bachelor’s in Clinical Psychology and extensive experience in behaviour therapy and developmental disorders. She has worked with children and adolescents with ADHD, autism spectrum disorder (ASD), learning disabilities, and behavioural challenges, providing individual and group therapy using evidence-based approaches such as CBT and DBT. Dr. Winslow has developed and implemented personalised treatment plans, conducted formal and informal assessments, and delivered crisis intervention for clients in need of urgent mental health care. Her expertise spans assessment, treatment planning, and behavioural intervention for both neurodevelopmental and mental health conditions.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.