Table of Contents
Print

What is deficient emotional self-regulation (DESR) in ADHD? 

DESR in ADHD refers to a pattern of emotional overreaction, low frustration tolerance, and difficulty managing feelings particularly anger, sadness, or excitement. It’s not an official diagnostic label, but it’s commonly used in research and clinical settings to describe one of the most challenging aspects of ADHD

People with DESR may experience strong emotions that appear suddenly, feel overwhelming, and are hard to calm down from. These emotional spikes often seem out of proportion to the situation and can lead to impulsive behaviours or strained relationships. 

How DESR Affects Daily Life 

Here’s what sets DESR in ADHD apart from typical emotional ups and downs: 

Poor self-control under stress  

Students and adults with DESR may react quickly and intensely to minor setbacks, lacking the pause needed for thoughtful responses. This ties closely to issues with self-control and impulse management. 

Low frustration tolerance  

A small challenge like a change in routine or a difficult task can lead to outbursts, shutdowns, or visible agitation. 

Emotion-driven impulsivity  

The emotional intensity in DESR often triggers impulsivity, such as speaking out of turn, slamming doors, or withdrawing abruptly. 

In conclusion, although DESR in ADHD isn’t always formally recognised, understanding it can help families, educators, and clinicians provide more targeted support not just for focus and behaviour, but for the emotional experiences that shape daily life.  

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 Emotional Regulation in ADHD.  

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.