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How Does ADHD Affect Self-Esteem? 

PostedOctober 13, 2025
UpdatedOctober 13, 2025
ByMy Patient Advice
Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Self-esteem issues in ADHD are common, as individuals with ADHD often face challenges in managing tasks, staying organised, and meeting expectations, which can lead to feelings of inadequacy or frustration. These difficulties, especially when unrecognised or untreated, can significantly impact confidence and overall emotional wellbeing. 

From an early age, children with ADHD may struggle to keep up with their peers academically, socially, or in extracurricular activities. These struggles, compounded by frequent criticism for their impulsive behaviours or inattentiveness, can lead to negative self-perception.  

Take an ADHD test

How ADHD Affects Self-Esteem 

Here’s how ADHD can affect self-esteem:  

Academic and Social Struggles  

In school, children with ADHD often face academic setbacks, such as poor grades or difficulty completing assignments on time. These challenges can lead to feelings of failure or comparison with more organised peers, which can undermine their self-esteem.  

Emotional Regulation and Impulsivity  

Self-esteem issues in ADHD are often tied to emotional wellbeing. Individuals with ADHD may experience mood swings, frustration, or impulsivity, leading to emotional outbursts. These emotional responses can impact personal relationships and create feelings of shame or self-doubt. 

Internalising Negative Feedback  

The repeated experience of negative feedback whether from teachers, family members, or colleagues can lead individuals with ADHD to internalise these messages, diminishing their self-esteem and creating a self-fulfilling cycle of low confidence. 

In conclusion, supportive interventions, such as therapy, medication, and skill-building, can help individuals with ADHD build their self-esteem by managing their symptoms and focusing on their strengths. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Signs, Symptoms, and Self-identification of ADHD.  

Take an ADHD test
Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk
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, author and a reviewer for my patient advice - mypatientadvice.co.uk
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.