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Why do individuals with ADHD feel misunderstood by others? 

Author: Phoebe Carter, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Many people with ADHD describe feeling misunderstood, not because they lack insight or care, but because their communication patterns, attention, and emotional responses can be interpreted differently from how they are intended. According to NHS guidance, inattention, impulsivity, and emotional intensity all shape how someone expresses themselves and how others interpret that expression. 

Why misunderstandings happen 

ADHD affects attention, self-regulation, and social cue processing. NICE explains that these cognitive differences can make it harder to read intentions, follow conversational timing, or stay engaged consistently, all of which can lead others to misinterpret behaviour. 

The Royal College of Psychiatrists adds that adults with ADHD often feel judged or misread because their intentions don’t always match the behaviour others see, particularly during fast-paced or emotionally charged interactions. 

Common reasons people with ADHD feel misunderstood 

Communication differences 

Impulsivity may lead to interrupting, finishing other people’s sentences, or jumping between topics. The NHS notes that this can be mistaken for impatience or rudeness, even when someone is simply trying to keep up with their own thought process. 

Difficulty reading or responding to social cues 

According to NICE, ADHD can make facial expressions, tone, or subtle shifts in conversation harder to interpret. This increases the chance of miscommunication on both sides. 

Emotional intensity 

The WHO highlights that rapid emotional responses can feel “too much” to others, even though they are a natural part of ADHD-related regulation differences. 

Rejection sensitivity 

Peer-reviewed research, such as findings in BMJ and the Journal of Attention Disorders JAD, shows higher rates of rejection sensitivity in ADHD. This can make minor social missteps feel bigger or more personal, intensifying the sense of being misunderstood. 

Stereotypes and stigma 

UK charities such as ADHD UK and Mind report that many people feel labelled as “lazy”, “careless”, or “unpredictable”; stereotypes that overlook the neurological basis of ADHD symptoms. 

What can help? 

Understanding the root of these misunderstandings can be empowering. Behavioural tools, emotional-regulation strategies, and clearer communication can all help bridge gaps between intention and perception. 
Supportive services; such as Theara Change for behavioural and skills-based coaching, can help individuals develop confidence in social communication. 
For diagnostic clarity and structured treatment, private pathways such as ADHD Certify offer assessments and medication reviews within UK clinical standards. 

Takeaway 

Feeling misunderstood is common among people with ADHD, and the reasons are grounded in real, evidence-based neurological differences, not personality flaws. With education, empathy, and the right support, social interactions can become clearer, more connected, and far less stressful. 

Phoebe Carter, MSc
Author

Phoebe Carter is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Applied Psychology. She has experience working with both children and adults, conducting psychological assessments, developing individualized treatment plans, and delivering evidence-based therapies. Phoebe specialises in neurodevelopmental conditions such as autism spectrum disorder (ASD), ADHD, and learning disabilities, as well as mood, anxiety, psychotic, and personality disorders. She is skilled in CBT, behaviour modification, ABA, and motivational interviewing, and is dedicated to providing compassionate, evidence-based mental health care to individuals of all ages.

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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