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How do deficits in social cognition lead to reduced prosocial behaviour? 

When someone struggles with ADHD social cognition, they may find it harder to understand what others are thinking or feeling in real time. This can limit their ability to respond in ways that seem naturally supportive or cooperative. As a result, prosocial behaviour, such as helping, comforting or sharing, might be less frequent, not because of a lack of care, but due to missed emotional and social cues. 

Deficits in ADHD social cognition often overlap with challenges in emotional regulation, making it more difficult to pause, interpret a situation and act in a thoughtful way. These challenges can strain ADHD peer relationships, especially when others misread the behaviour as disinterest or selfishness. 

Social Impacts to Watch For 

Misunderstanding group dynamics 

People with ADHD may interrupt, dominate, or withdraw from group settings simply because they haven’t picked up on how the group is functioning. 

Difficulty reading intentions 

Missing sarcasm, jokes or unspoken rules can lead to awkward or strained moments, even if the intention was friendly. 

Struggles with emotional give-and-take 

Without clear insight into others’ emotions, responding with empathy in the moment becomes harder, impacting prosocial behaviour. 

While ADHD social cognition challenges are real, they’re not fixed. With awareness and support, many individuals improve their social insight, build stronger ADHD peer relationships, and engage in more consistent and rewarding prosocial behaviour. 

Visit providers like ADHD Certify for personal consultations and expert advice tailored to your needs.    

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Social Relationships.

Harriet Winslow, BSc - My patient advice author - mypatientadvice.co.uk

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, 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.