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How to ask for accommodations when underperforming with ADHD 

Author: Dr. Rebecca Fernandez, MBBS

If you live with ADHD, asking for support at work can feel daunting, especially when you are trying your hardest yet still underperforming. According to NICE guidance, ADHD affects executive function, working memory, time management, and emotional regulation. These differences can make consistency difficult even when effort is strong. Workplace adjustments are not special treatment; they are tools that create fair conditions for performance. 

Understanding your rights and needs 

Under the Equality Act 2010, ADHD can be considered a disability if it has a significant, long-term impact on daily functioning. This means you are legally entitled to reasonable workplace adjustments. NHS and Royal College of Psychiatrists guidance recommend identifying the areas that cause the most strain, such as organisation, concentration, or managing deadlines, before requesting changes. 

NICE evidence shows that simple supports such as written instructions, structured check-ins, or quiet spaces can make a substantial difference to focus and follow-through. 

How to approach the conversation 

Start with openness and preparation. Explain that ADHD affects how your brain manages information and time, and that specific supports will help you perform at your best. You do not need to share personal details, only what you need to succeed. 

The NHS ADHD Taskforce (2025) recommends discussing adjustments with your line manager, HR, or occupational health team. Bringing a written list of practical examples can help guide the conversation. Some helpful accommodations include: 

  • Flexible scheduling or quiet work zones 
  • Clear written deadlines and visual reminders 
  • Regular feedback and goal-setting meetings 
  • Task management or digital planning tools 
  • Occasional remote-working options 

Getting professional and clinical support 

If you have not yet had a formal diagnosis, your GP can refer you for an adult ADHD assessment through the NHS. Private options such as ADHD Certify also provide diagnostic assessments and post-diagnosis medication reviews in line with NICE NG87. Having a confirmed diagnosis can help you access workplace adjustments more easily and understand your individual strengths and challenges. 

Takeaway 

Requesting workplace accommodations is about creating an environment where your abilities can thrive, not about asking for leniency. With the right adjustments and understanding, people with ADHD can perform more consistently, reduce burnout, and build sustainable confidence at work. 

Dr. Rebecca Fernandez, MBBS
Author

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 author's privacy. 

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