Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS
Many people with ADHD struggle with low self-esteem, driven by challenges such as emotional dysregulation, impulsivity, and difficulties in social communication. According to NHS advice, these symptoms can lead to negative feedback and feelings of inadequacy, reinforcing self-doubt and guilt.
Why ADHD affects self-esteem
ADHD symptoms, including struggles with attention, time management, and emotional control, often lead to setbacks or criticisms, which can lower self-esteem. Research from PubMed confirms that negative self-talk and internalised shame are common in people with ADHD, especially when they lack strong social support.
Evidence-based strategies to improve self-esteem
NICE guideline NG87 recommends Cognitive Behavioural Therapy (CBT), self-compassion, and emotional regulation training to help manage negative thoughts and rebuild self-worth. Practising mindfulness, focusing on effort rather than perfection, and celebrating small achievements can help shift self-criticism to self-acceptance.
Seeking support through ADHD-focused therapy, support groups, or educational resources can also be transformative. Private services like ADHD Certify offer tailored assessments and therapeutic support to help individuals with ADHD build emotional resilience and improve self-esteem.
Key takeaway
Improving self-esteem with ADHD is possible. With the right interventions, self-compassion, and support, you can challenge negative self-talk and build a positive self-image, enhancing your relationships and emotional well-being.
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.
