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The Real Work Required if You Have ADHD

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  3. The Real Work Required if You Have ADHD

Introduction: Beyond the Stereotypes

When we talk about ADHD, too often the conversation stays stuck at the surface level. People imagine hyperactivity, distraction, and disorganisation — they see the outward signs. What rarely gets acknowledged is the real work that goes on behind the scenes for those living with ADHD. It’s not just about “trying harder” or “learning better time management.” It’s about learning to live with a brain that doesn’t fit the mould society has been built around.

In this article, I want to share an honest perspective on what that work actually looks like. I’ve worked with countless clients who live with ADHD, and I’ve also listened deeply to their struggles and triumphs. The real work is not glamorous. It is emotional, daily, and often invisible. Yet it is also rewarding — because it is about reclaiming your life, your identity, and your sense of self-worth.

Misconceptions: “If You Just Tried Harder”

One of the most damaging myths about ADHD is that it’s simply a matter of willpower. You’ll hear people say:

  • “If you just focused more, you’d get things done.”
  • “Have you tried a planner or a time-management app?”
  • “Everyone gets distracted sometimes.”

These statements may sound benign, but they carry an implicit accusation: that ADHD is laziness or lack of discipline. For someone living with ADHD, this kind of commentary adds another layer of shame. The truth is, ADHD is not about a lack of effort. In fact, most people with ADHD are putting in more effort than neurotypical people but that effort often goes unseen, because it’s directed toward simply getting through the day.

The Hidden Effort of Living With ADHD

The real work of ADHD happens in places other people don’t notice. Here are some of the areas where that hidden labour lies:

1. Executive Functioning

Executive function is the set of mental skills that help us plan, organise, start tasks, and follow through. For someone with ADHD, this is like trying to run a marathon with your shoelaces tied together. Every single step requires energy, and the risk of tripping is constant.

2. Managing Emotional Regulation

ADHD isn’t just about distraction — it also involves difficulty regulating emotions. Small setbacks can feel enormous. A passing comment can spiral into hours of rumination. The real work here is not only about controlling emotional outbursts but about learning to soothe yourself afterwards, without falling into cycles of shame.

3. Masking and Social Costs

Many people with ADHD spend years trying to “mask” their symptoms — working extra hard to appear put-together, reliable, and calm. This masking takes huge amounts of energy and often leads to burnout. The work, then, is about unlearning those patterns and finding safer spaces to be authentic.

4. Energy Management

Neurotypical productivity systems assume a relatively stable level of focus throughout the day. With ADHD, focus can swing dramatically between hyperfocus and mental exhaustion. The real work lies in learning to anticipate these shifts, rather than fighting against them.

Practical Strategies: Where the Real Work Happens

If the challenge of ADHD is invisible labour, then the solutions have to go beyond superficial “tips and tricks.” The real work is about reshaping your environment, your routines, and your mindset.

1. Building Systems That Remove Friction

It’s not enough to rely on willpower. Instead, create systems that reduce the need for constant decision-making. For example:

  • Visual reminders: Post-its on the door, colour-coded calendars, or physical cues.
  • Automation: Direct debits, reminders on your phone, or even apps that block distractions.
  • Decluttering: Fewer items mean fewer decisions and less overwhelm.

The work here is not about proving discipline but about reducing barriers so that daily life runs more smoothly.

2. Scheduling Recovery Time

Living with ADHD requires more emotional and mental effort. That means building recovery time into your routine is not a luxury, but a necessity. Breaks, naps, and unstructured time are all part of the work.

3. Self-Compassion as a Daily Practice

Many people with ADHD carry deep shame — shame for being late, forgetting commitments, or falling short of expectations. The real work is in countering that shame with self-compassion. That doesn’t mean ignoring mistakes, but it means reframing them as part of a different neurological wiring rather than moral failings.

4. Asking for Help Without Shame

Another piece of the real work is learning to ask for support. Whether it’s requesting workplace adjustments, delegating tasks at home, or seeking therapy, asking for help is not weakness — it’s recognising that ADHD requires community and support.

Identity and ADHD: Moving From Shame to Acceptance

At its core, ADHD is not just a set of symptoms. It shapes how you see yourself, your relationships, and your place in the world. For many people, the hardest work is learning to accept ADHD as part of their identity.

That might mean letting go of the fantasy of being “neurotypical.” It might mean grieving the years spent feeling “less than.” And it often means finding new pride in being neurodivergent — recognising the creativity, resilience, and unique perspectives that ADHD brings.

The real work is not about becoming like everyone else. It’s about building a life where your ADHD brain can thrive.

A Week of Real Work: What It Looks Like in Practice

Here’s what the real work of ADHD might look like in one ordinary week:

  • Monday: You oversleep because your brain struggles with transitions. Instead of spiralling into guilt, you forgive yourself and adjust your day.
  • Tuesday: You forget a deadline. Rather than berating yourself, you reach out, apologise, and negotiate a new timeline.
  • Wednesday: You hyperfocus for hours on a project, losing track of meals. The work here is in noticing when you need to pause and caring for your body.
  • Thursday: You feel emotionally raw after a meeting. Instead of masking, you journal and take space to recover.
  • Friday: You experiment with a new reminder system. It doesn’t work perfectly, but you celebrate that you tried.
  • Weekend: You allow yourself rest without labelling it “laziness.”

Each of these moments is work. Work that is often invisible but deeply meaningful.

Professional Help: Therapy and Beyond

While self-help strategies are vital, professional support can make an enormous difference. Cognitive-behavioural therapy (CBT) tailored for ADHD, coaching, and sometimes medication all play a role in reducing the daily burden.

The work is not about finding a “cure” — ADHD is lifelong — but about building resilience, strategies, and support networks that help you thrive.

Conclusion: Embracing the Real Work

The real work required if you have ADHD is not glamorous. It’s not about quick fixes, and it’s not about becoming “better” in the eyes of a neurotypical world. It’s about managing energy, finding systems, cultivating compassion, and reshaping identity.

If you are living with ADHD, know this: every small step you take is part of that real work. Even when it doesn’t feel visible or impressive, it matters. You are not failing. You are already working harder than most people realise.

And in that effort, there is profound courage.

About the author

Dr Becky Spelman is a leading HCPC registered Paychologist from Ireland who’s had great success helping her clients manage and overcome a multitude of mental illnesses.

***If you feel that talking to a professional could help with the issues discussed in this article, we offer a FREE 15-MINUTE CONSULTATION with one of our specialists. This session is designed to help you explore your options and find the best path forward. Book your consultation here

References

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: APA.

Barkley, R. A. (2015). Attention-Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment (4th ed.). New York: Guilford Press.

Brown, T. E. (2013). A New Understanding of ADHD in Children and Adults: Executive Function Impairments. Routledge.

Kooij, S. J. J., Bijlenga, D., Salerno, L., Jaeschke, R., Bitter, I., Richarte, V., … Asherson, P. (2019). Updated European Consensus Statement on Diagnosis and Treatment of Adult ADHD. European Psychiatry, 56, 14–34.

Ramsay, J. R., & Rostain, A. L. (2015). Cognitive-Behavioral Therapy for Adult ADHD: An Integrative Psychosocial and Medical Approach (2nd ed.). Routledge.

National Institute for Health and Care Excellence (NICE). (2018). Attention Deficit Hyperactivity Disorder: Diagnosis and Management (NG87). Retrieved September 17, 2025, from Link

Categories: ADD/ADHD, News - By Dr Becky Spelman - September 17, 2025

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Private Therapy Clinic was set up in 2011 by HCPC registered Irish Psychologist Dr Becky Spelman who is an entrepreneur and mental health content creator. Dr. Spelman has 23 years experience working in the field of mental health.

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