Can teacher feedback trigger shame in ADHD students?

PostedOctober 31, 2025

UpdatedNovember 5, 2025

ByMy Patient Advice

Author: Harriet Winslow, BSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Children and adolescents with ADHD often experience strong emotional reactions to feedback, especially when it is critical or delivered in a disciplinary tone. According to NHS guidance, many pupils with ADHD have lower emotional resilience and heightened sensitivity to perceived rejection. This means that even well-intentioned feedback can unintentionally evoke shame or anxiety.

The Royal Devon University NHS resource for schools explains that children with ADHD may feel sad, anxious, or ashamed when they struggle to meet expectations in class. It encourages teachers to praise effort rather than results and to give feedback calmly and privately to avoid emotional distress. This aligns with NICE ADHD guidance (NG87), which highlights that young people often report embarrassment or frustration about their ADHD diagnosis or school experience when feedback is negative or public.

How teacher feedback can trigger shame

Teacher feedback can be a powerful emotional trigger for students with ADHD because of how their brains process criticism and disappointment. Research published in the Journal of Attention Disorders (2024) found that children with ADHD often interpret corrective comments as signs of personal failure, activating emotional stress responses. This can lead to withdrawal, defensiveness, or disruptive behaviour in class.

The role of rejection sensitivity and classroom stress

Rejection sensitivity, a common emotional trait in ADHD, intensifies reactions to feedback. When a child perceives criticism as rejection, their stress levels increase, reducing their ability to regulate emotions. Studies cited by YoungMinds show that this emotional cycle can cause avoidance of participation, academic disengagement, or angry outbursts. Stress and sensory overload in busy classrooms can further lower tolerance for correction or redirection.

Supporting students through feedback

Evidence from NHS and UK charities such as YoungMinds and the Children and Young People’s Mental Health Coalition suggests that emotionally attuned communication helps protect self-esteem. Effective strategies include task-focused comments, calm private discussions, and recognising effort before addressing mistakes. NICE and Department for Education reviews also recommend training teachers in ADHD awareness and emotional regulation techniques to improve feedback delivery.

Key takeaway

Teacher feedback can unintentionally trigger shame or anxiety in students with ADHD due to emotional sensitivity and rejection fears. Supportive, calm, and private feedback helps children stay engaged and confident in the classroom. When educators focus on encouragement and emotional understanding, students with ADHD are more likely to build resilience, self-esteem, and positive learning relationships.

Harriet Winslow, BSc

Author

Harriet Winslow is a clinical psychologist with a Bachelor’s in Clinical Psychology and extensive experience in behaviour therapy and developmental disorders. She has worked with children and adolescents with ADHD, autism spectrum disorder (ASD), learning disabilities, and behavioural challenges, providing individual and group therapy using evidence-based approaches such as CBT and DBT. Dr. Winslow has developed and implemented personalised treatment plans, conducted formal and informal assessments, and delivered crisis intervention for clients in need of urgent mental health care. Her expertise spans assessment, treatment planning, and behavioural intervention for both neurodevelopmental and mental health conditions.

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.