How can I build self-confidence with ADHD? 

Many people with ADHD struggle with self-confidence, often feeling like they’re “not good enough” despite trying hard. According to NHS guidance on ADHD,, emotional regulation differences, rejection sensitivity, and executive function challenges can make it harder to maintain a strong sense of self-worth. The good news is that confidence can be rebuilt with understanding, support, and evidence-based tools. 

Why ADHD can affect confidence 

ADHD often involves a lifetime of mixed feedback being told you’re “distracted”, “lazy”, or “not reaching your potential”. Over time, this can erode self-esteem. A 2025 NHS Healthwatch report found that over half of adults with ADHD reported low confidence before diagnosis. 

Emotional dysregulation and rejection sensitivity also play a role. Research from SAGE Journals (2024) shows that people with ADHD often experience stronger emotional reactions to criticism or perceived failure, reinforcing self-doubt and social anxiety. 

Private assessment and ongoing care through services like ADHD Certify can help individuals better understand their symptoms, reframe past experiences, and access structured treatment and coaching pathways that promote self-belief. 

Evidence-based ways to build self-confidence 

According to NICE guidance (NG87), psychological support such as Cognitive Behavioural Therapy (CBT) and psychoeducation can help reframe negative self-talk and build resilience. CBT teaches practical strategies to recognise unhelpful thoughts like “I can’t do anything right” and replace them with more balanced, realistic perspectives. 

Mindfulness and self-compassion also play a powerful role. A 2025 PubMed review found that mindfulness-based approaches improve emotional regulation and overall wellbeing in adults with ADHD. 

A gentle takeaway 

Low confidence with ADHD is not a sign of weakness it’s often the result of years of misunderstanding. With the right support, evidence-based therapy, and self-awareness, it’s entirely possible to build genuine self-confidence and thrive on your own terms. 

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

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.