Hi, How Can We Help?
Advertisement
5

How to talk to a boss about ADHD and underperformance? 

Posted:    Author:  

Hannah Smith, MSc

   Reviewed by:  

Dr. Rebecca Fernandez, MBBS

Talking to your boss about ADHD can feel daunting, especially if you are worried about being judged or misunderstood. But according to NHS and ACAS guidance, being open about how ADHD affects your work can help you access the right support and reasonable adjustments. This can improve both your performance and wellbeing. 

Understanding why performance issues happen 

ADHD is not a lack of effort. It is a neurodevelopmental condition that affects executive functions such as focus, time management, organisation, and emotional regulation. According to NICE guidance (NG87), these challenges can affect productivity, communication, and task completion, but they do not define your capability. Many adults with ADHD thrive once tasks are structured and expectations are clear. 

If you have noticed issues such as missed deadlines or difficulty staying organised, preparing examples can help your boss understand what is happening. This is not an excuse, but a way to create practical solutions together. 

How to start the conversation 

Experts at ACAS recommend focusing on what you need rather than on your diagnosis. You might say: 

“I have been diagnosed with ADHD, which means I sometimes find it harder to manage distractions or deadlines. I’d like to discuss some ways I can work more effectively.” 

It helps to: 

  • Choose a calm, private time to talk 
  • Prepare examples of what helps you stay focused, such as quieter workspaces or written follow-ups 
  • Bring any professional recommendations you have received, such as occupational health notes or clinician reports 

Under the Equality Act 2010, ADHD is recognised as a disability. Employers therefore have a legal duty to consider reasonable adjustments. These may include flexible working, written task reminders, or adjusted deadlines, in line with NHS and ACAS workplace guidance. 

Support beyond the workplace 

If you are still struggling, post-diagnostic coaching or therapy can make a real difference. Evidence from recent studies (2023–2025) shows that CBT-based coaching helps adults with ADHD manage stress and improve executive function. 

Services such as Theara Change focus on behavioural coaching and psychological tools to support people with ADHD in professional settings. These approaches complement NHS care but do not replace it. 

Takeaway 

Talking to your boss about ADHD is not about disclosing a flaw. It is about building the conditions you need to succeed. According to the NHS ADHD Taskforce and NICE, clear communication and tailored adjustments can transform work performance. A supportive conversation is often the first step toward that improvement. 

Advertisement
6
Hannah Smith, MSc
Written By Hannah Smith, MSc

Hannah Smith is a clinical psychologist with a Master’s in Clinical Psychology and over three years of experience in behaviour therapy, special education, and inclusive practices. She specialises in Applied Behavior Analysis (ABA), Cognitive Behavioural Therapy (CBT), and inclusive education strategies. Hannah has worked extensively with children and adults with Autism Spectrum Disorder (ASD), ADHD, Down syndrome, and intellectual disabilities, delivering evidence-based interventions to support development, mental health, and 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. 
Dr. Rebecca Fernandez, MBBS
Reviewed By Dr. Rebecca Fernandez, MBBS

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. 

Advertisement
2
Autism desk