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What role does self-advocacy play in overcoming imposter syndrome with ADHD? 

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

For many adults with ADHD, imposter syndrome doesn’t come from lack of ability; it grows out of years of mixed feedback, emotional ups and downs, and feeling “different” from everyone else. Self-advocacy; understanding your needs and speaking up for them, can be a key way to loosen the grip of chronic self-doubt and “I’m a fraud” thinking. 

According to guidance from NICE and the Royal College of Psychiatrists, good ADHD care should support people to understand their condition, develop self-management skills and feel more confident in everyday life (NICE NG87RCPsych ADHD in adults). 

How ADHD feeds imposter-style feelings 

Adults with ADHD often live with: 

  • Emotional dysregulation and big reactions to criticism 
  • Inconsistent performance, especially under time pressure 
  • Rejection sensitivity and fear of letting people down 
  • Long-standing negative self-beliefs (“I’m not really capable”) 

These are all fertile ground for imposter syndrome; the fear of being “found out” despite objective evidence of competence. RCPsych notes that many adults with ADHD carry a history of under-recognised difficulties and self-blame, which can erode self-worth over time (RCPsych ADHD info). 

What self-advocacy looks like 

Self-advocacy is more than “being confident”. In ADHD it can include: 

  • Explaining how ADHD shows up for you (e.g. time-blindness, working-memory issues) 
  • Requesting adjustments or accommodations where appropriate 
  • Asking for clear instructions, deadlines or written follow-up 
  • Seeking constructive feedback instead of guessing how you’re doing 

These skills sit naturally inside CBT, psychoeducation and coaching approaches. They help shift people from silent overcompensation and masking to honest negotiation about what they need to perform well (ADHD Centre article). 

How self-advocacy reduces imposter syndrome 

Evidence from broader imposter-phenomenon research shows that realistic feedback, mentoring and open discussion of doubts can reduce imposter feelings over time (APA overview). In ADHD, self-advocacy seems to help in several ways: 

  • More accurate self-assessment: asking for feedback and clarity challenges the automatic “I’m doing terribly” assumption. 
  • Less masking, less fear: explaining ADHD needs reduces the pressure to hide difficulties, which is a major driver of imposter anxiety (NCL training resource). 
  • Stronger self-efficacy: each time someone advocates for themselves, and things go better than expected, it becomes a real-world piece of evidence against “I shouldn’t be here”. 

Self-compassion research in adults with ADHD also suggests that learning to respond to struggles with kindness rather than attack improves mental health and resilience, which supports more balanced self-advocacy rather than apologetic over-explaining (self-compassion study). 

Strengths-based self-advocacy 

Imposter syndrome thrives on tunnel vision: only seeing what you can’t do. Strengths-based work and psychoeducation help people map both strengths and challenges, and NICE-aligned approaches increasingly encourage this balanced view (NICE NG87). When you can say: 

“My ADHD means I need X to work at my best – and I bring Y strengths to this role,” 

you’re no longer trying to prove you belong; you’re clearly stating the terms on which you can thrive. 

Takeaway 

Self-advocacy doesn’t magically erase imposter syndrome, and direct ADHD-specific trials are still limited. But current evidence and clinical guidance strongly support the idea that: 

  • understanding ADHD, 
  • communicating needs clearly, and 
  • claiming your strengths 

are protective against the shame, self-doubt and over-masking that keep impostors’ feelings alive. Over time, self-advocacy helps adults with ADHD move from “I’m faking it” to “I’m valid, I have needs, and I still deserve to be here.” 

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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