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Why do I feel emotions so intensely with ADHD? 

Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Many adults with ADHD describe emotions that feel fast, strong, and overwhelming. According to the NHS, emotional intensity is common in ADHD even though it is not part of the formal diagnostic criteria. These experiences relate to how the brain regulates attention, stress, and self-control. 

Why ADHD can make emotions feel stronger 

The NHSand the Royal College of Psychiatrists explain that difficulties with impulse control, managing frustration, and coping with stress can make emotions rise quickly and feel harder to settle. Research summarised in BMJ Open and d The Lancet Psychiatry shows challenges in the brain networks that support emotional regulation and executive control. These differences can lead to quicker emotional activation and difficulty stepping back once feelings intensify. 

Some people also experience rejection sensitivity, where even small signs of criticism or disapproval feel painful. The Cleveland Clinic notes that this can trigger sudden waves of shame, anxiety, or sadness. Although not part of NICE NG87diagnostic criteria, clinicians recognise it as a common lived experience. 

NICE NG87highlights that these emotional patterns are linked to executive functioning. When working memory and cognitive control are under strain, it becomes harder to pause, evaluate a situation, and respond calmly. . 

Strategies that can help regulate emotional intensity 

NHS recommends psychological support to help adults understand and manage emotional patterns. Approaches such as CBT, mindfulness, and grounding techniques can strengthen self-regulation skills. These methods encourage pausing before reacting, reframing urgent emotional thoughts, and responding in a more flexible way. 

Evidence reviewed in peer-reviewed studies suggests that DBT-informed skills, self-compassion, and structured coping plans can reduce the impact of sudden emotions and support recovery after an intense moment. These strategies may be especially helpful when emotional shifts feel unpredictable. 

If you are looking to understand your emotional profile in the context of ADHD, some adults choose to seek an ADHD assessment through NHS pathways or private services such as ADHD Certify, which provides assessments for adults and children in the UK. 

Takeaway 

Feeling emotions intensely is a common part of adult ADHD and reflects how the brain processes stress and self-regulation. Emotional intensity varies widely across individuals, and support such as CBT, mindfulness, and psychoeducation can make a meaningful difference. Intense emotions are not a personal failing. They are a recognised part of the condition, and with the right strategies you can learn to navigate them with greater stability and confidence. 

Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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
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. 

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