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Is it common to feel misunderstood with ADHD? 

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

Many people with ADHD, both adults and children often feel misunderstood or misjudged by others. This is due to challenges with impulsivity, emotional regulation, and communication. According to NHS advice, individuals with ADHD frequently struggle to express emotions or intentions clearly, which can lead to others misinterpreting their actions. For example, impulsive behaviour might be seen as rudeness, or emotional outbursts as overreaction. 

Why people with ADHD feel misunderstood 

ADHD affects brain circuits responsible for impulse control, emotional regulation, and social cognition, which can lead to missed social cues and misunderstandings. Additionally, emotional sensitivity and rejection sensitivity can contribute to feeling isolated or judged. Research shows that these challenges often result in feelings of loneliness and self-doubt, particularly when coupled with societal stigma or lack of ADHD awareness. 

Evidence-based strategies to improve social interactions 

NICE guideline NG87 recommends open communication about ADHD, alongside therapies such as Cognitive Behavioural Therapy (CBT), mindfulness, and social skills training to improve emotional awareness and social interactions. NHS support groups and psychoeducation also help individuals with ADHD understand and manage social dynamics more effectively, reducing isolation and improving confidence. 

Private services such as ADHD Certify offer assessments and tailored support to help individuals navigate these challenges, promoting better social understanding and connection. 

Key takeaway 

Feeling misunderstood is common for people with ADHD, but it can be managed. With the right communication strategies, support, and self-awareness, individuals with ADHD can improve their social interactions and reduce feelings of isolation. 

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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