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Why do I feel like I’m not living up to my potential with ADHD? 

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Many adults with ADHD describe a painful sense of “not living up to their potential.” It is not just perception; according to NHS advice on adult ADHD, the condition can cause real, measurable difficulties in focus, organisation, and emotional regulation. This means that even when someone knows they are capable, their ability to consistently perform can be disrupted by challenges in executive function, the mental skills that help us plan, prioritise, and follow through. 

Guidance from NICE NG87 confirms that adult ADHD must cause at least moderate psychological, social, or occupational impairment. These are the very struggles that often create the day-to-day gap between intelligence, intention, and outcome. 

Why it feels so personal 

The Royal College of Psychiatrists’ guidance on ADHD in adults notes that many adults experience chronic underachievement, self-doubt, and low self-esteem. When you know you can do more but can’t seem to get there, it can feel like a personal failure — even though it’s rooted in neurobiology, not motivation or effort. 

Recent research, such as the BMJ Open study on functional impairment in newly diagnosed adults with ADHD and findings from Frontiers in Psychiatry (2023), shows that adults with ADHD report significantly lower quality of life and higher emotional distress. Emotional dysregulation, those rapid mood shifts and intense reactions to setbacks, can magnify the sense of “not being enough,” even when progress is happening beneath the surface. 

Why diagnosis and support can help 

NICE recommends combining evidence-based medication, ADHD-focused psychological therapies, and psychoeducation to improve functioning and self-confidence (NICE NG87). The NHS highlights that CBT and practical coaching can help adults manage their symptoms and rebuild confidence in their abilities. 

Private services like ADHD Certify also provide structured ADHD assessments and medication reviews for adults and children, an option for those seeking diagnosis or post-diagnostic support, while NHS waiting times remain long. 

Reframing potential 

Building self-compassion is increasingly recognised as a key protective factor. A 2022 study in the Journal of Clinical Psychology found that adults with ADHD who practise self-compassion experience better mental health, even when daily performance remains inconsistent. Reframing “potential” as something dynamic, not fixed or wasted, helps shift focus from self-criticism to growth and adaptation. 

Takeaway 

Feeling “behind” or “not good enough” is a common, human part of living with ADHD, but it’s not a reflection of your worth. With diagnosis, psychoeducation, and ADHD-informed support, it is possible to close the gap between what you know you can do and what you feel able to do, one step, one strategy, one success at a time. 

Victoria Rowe, MSc
Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

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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