When we think of ADHD, the more recognized symptoms of inattentiveness and hyperactivity come to mind. While these are core aspects of the disorder, many other symptoms and traits can go unnoticed. These lesser-known manifestations can significantly impact those living with ADHD, yet they’re rarely recognized or discussed. 

In a previous blog post, I explored how ADHD often presents differently in women, frequently leading to misdiagnoses and later-in-life diagnoses. This gap in understanding stems from the diverse ways ADHD can manifest across genders and ages. In exploring some of these symptoms, as well as working with many adult clients beginning to understand their ADHD diagnosis in adulthood, I’ve noticed a recurring pattern of experiences that are commonly shared yet not readily associated with ADHD.

As you read through this list, remember that resonating with one or more symptoms doesn’t necessarily mean you have ADHD. Many of these experiences can also be relatable to neurotypical individuals, but what sets them apart in ADHD is the severity, intensity, and impact they have on daily life.

Rejection Sensitive Dysphoria (RSD):

RSD refers to an intense emotional sensitivity activated by perceived rejection or criticism. This feeling of rejection leads to intense emotional turmoil which can manifest in feelings of shame, isolation, or withdrawal. Because the experience of rejection is so devastating and painful, many individuals with RSD seek to avoid rejection at all costs. To avoid the pain of rejection, those with RSD might engage in people-pleasing behaviors, set unrealistic standards for themselves, or develop social anxiety. The result is often an overly critical inner dialogue that can be exhausting to manage.

Time Blindness:

Time blindness is the difficulty—or inability—to accurately perceive the passage of time. This can make time management a significant challenge for those with ADHD. Whether it’s underestimating how long tasks will take or becoming paralyzed by indecision, time blindness often disrupts daily routines, schedules, and plans. Procrastination, anxiety, and difficulty living in the present are also common side effects.

Sensitivity to Stimuli

People with ADHD are often highly sensitive to sensory stimuli. This sensitivity can manifest as an aversion to loud noises, bright lights, certain textures, strong smells, or specific foods. As a result, environments like concerts, movie theaters, and crowded restaurants can become overwhelming. Overstimulation can lead to anxiety and panic in situations where one feels trapped. 

Impulsivity

Impulsivity in ADHD can show up as interrupting during conversations, having trouble waiting your turn, or speaking without fully forming your thoughts—often leading to a lack of a “filter.” This impulsivity can make social interactions and work environments challenging, as individuals may struggle to keep up with their fast-paced thoughts. It can also lead to impulsive decisions, such as spontaneous purchases or prioritizing short-term gratification. Notably, there’s a high comorbidity between ADHD, substance use disorders, and eating disorders related to the lower levels of dopamine associated with ADHD. 

Sleep Struggles

An estimated 75% of people with ADHD experience sleep difficulties. Falling asleep can be tough due to racing thoughts and restlessness, both mentally and physically. This often results in difficulty staying asleep and achieving deep, restful sleep. The consequences are groggy mornings and difficulty maintaining a consistent sleep-wake cycle, further impacting daily functioning.

Beyond these five symptoms, ADHD can present in many other ways. Some additional, often invisible symptoms include:

·  Abrupt mood shifts

·  Intrusive thoughts

·  Choice Paralysis

·  A critical inner voice

·  Challenging interpersonal relationships

·  Working memory struggles

·  Lack of object permanence

·  Emotional dysregulation

·  Overwhelm

·  Difficulty with transitions

If you’re living with ADHD and recognizing yourself in these descriptions, know that you’re not alone. Many of these symptoms are common among neurodivergent individuals, yet they’re often overlooked or misunderstood. Whether you’ve been diagnosed with ADHD or are wondering if you might have it or just relate to some of these experiences, therapy can provide validation, support, and strategies to manage these experiences. At Root to Rise, our therapists are here to help you navigate these challenges and develop tools to make life feel more manageable. Whether it’s through acceptance, understanding, or change, we’re here to support you. Reach out to our client care coordinator today to find the right therapist for your needs!

Best,

Jessica Leader LMFT