ADHD Burnout: Navigating Mental & Emotional Exhaustion

Attention-Deficit/Hyperactivity Disorder (ADHD)
Read Time: 5 Minutes
Written by:Bisma Anwar, MA, MSc, LMHC

Published On: July 24, 2024

Medically reviewed by: Famous Erwin, LMHC, LPC, CAM 2

Reviewed On: July 24, 2024

Updated On: July 24, 2024

Overview

Attention deficit hyperactivity disorder (ADHD), affecting more than 8% of the population, is a prevalent condition. For people living with ADHD, burnout can be a significant yet frequently overlooked consequence. Whether it’s struggling to maintain focus or difficulty managing time effectively, people with ADHD often find themselves trying to navigate a world that feels increasingly overwhelming. 

Burnout from ADHD isn’t just feeling tired or overly stressed. It’s a physical state of emotional exhaustion and mental exhaustion directly linked to the demands and frustrations of trying to manage the symptoms of ADHD.

Learning about ADHD burnout can help you overcome the challenges it can cause in your daily life. Recognizing the signs of ADHD burnout early means you can address it with intervention and the right coping strategies.

What is ADHD Burnout?

ADHD burnout goes beyond ordinary exhaustion, impacting your physical, emotional, and mental well-being. Unlike typical burnout, ADHD burnout stems from the relentless fatigue and escalating frustration unique to managing ADHD symptoms. The constant battle to stay organized, meet looming deadlines, maintain focus, and juggle life’s demands can wear you down.

For many struggling with ADHD, these challenges aren’t just tasks—they’re relentless waves that compound over time, leaving individuals feeling thoroughly drained and overwhelmed. This cumulative burden often results in a deep sense of depletion that goes beyond mere tiredness.

The ADHD Burnout Cycle

The ADHD burnout cycle refers to the recurring pattern where stress leads to emotional exhaustion, which then leads to more stress. The cycle can impact your overall well-being and your ability to manage daily tasks. Knowing how the stages of the cycle work can help you break the pattern and find better, healthier coping skills.

  1. High energy and commitment: Initially, ADHD can cause high energy and a willingness to take on tasks. You might accept more responsibilities and even be very motivated and enthusiastic about them.
  2. Overwhelm and overstimulation: As your responsibilities grow, you might feel overwhelmed. The pressure to meet expectations and the high level of sensory input can lead to overstimulation, which can make it difficult to focus and process information.
  3. Unhealthy compensatory efforts: As you try to manage overwhelming feelings, you might resort to unhealthy tactics. Some people overwork, neglect self-care, punish themselves, or push themselves to do more instead of addressing the root cause of what they’re experiencing.
  4. Exhaustion and reduced productivity: The pressure you put on yourself can lead to extreme exhaustion. Significant fatigue and a drop in energy and productivity are common during this stage.
  5. Recovery and guilt: Once you reach your breaking point, you will enter the recovery phase where you — out of necessity — attempt to rest and recuperate. Many people experience extreme feelings of guilt and are highly self-critical during this time.
  6. Restart with increased pressure: The cycle will restart as you regain some energy. Feeling increased pressure to compensate for lost time and productivity in future cycles is not unusual.

Signs & Symptoms of ADHD Burnout

Recognizing the major symptoms of ADHD burnout is a crucial step in preventing it. ADHD fatigue can manifest in several ways and affect both mental and physical health. Symptoms to look out for include:

  • Chronic fatigue: If you feel persistently tired and even rest doesn’t help, it can be difficult to complete even basic daily tasks, like showering, brushing your teeth, or getting dressed.
  • Executive dysfunction: Losing track of time, being easily distracted, procrastinating, and impulsive decision-making are all markers of ADHD executive dysfunction.
  • Increased irritability: Heightened sensitivity and feeling increasingly frustrated over minor issues can lead to high-stress levels and frequent mood swings that are difficult to navigate.
  • Finding it hard to concentrate: Difficulty focusing and concentrating is a hallmark sign of ADHD. When you’re experiencing burnout, it can become even more challenging to focus on tasks you could previously manage (even if they took a little extra effort).
  • Feeling emotionally overwhelmed: Feeling emotionally drained can cause anxiety, depression, and a sense of hopelessness that’s common with ADHD burnout.
  • Physical symptoms: Headaches, gut issues, and other physical ailments that don’t have any clear medical cause can be the result of ADHD burnout. Physical symptoms can come from prolonged stress and exhaustion caused by your ADHD.
  • Experiencing an intense lack of motivation: Although a lack of motivation is common with ADHD, a noticeable loss of interest or enthusiasm for hobbies, people, or your job can be a sign of burnout.
  • Sudden sleep disturbances: If you have difficulty falling or staying asleep or feel unrested when you wake up, it might be due to ADHD burnout.
  • Cynicism: Feeling down on life or cynical about your relationships, job, or future is common if you have ADHD burnout.

Depression vs. ADHD Burnout

Sometimes, ADHD burnout symptoms can look a lot like depression — which means getting an accurate diagnosis is vital for implementing an effective treatment plan. While these conditions do have some overlap, they differ in origins, symptoms, and treatments.

iconExpert Insight

“One major way to distinguish between depression and symptoms of burnout from ADHD is by looking at the symptoms. Depression often manifests as feelings of sadness, hopelessness, and a loss of interest in enjoyable activities. In contrast, burnout from ADHD is usually related to chronic stress, specifically related to focus and task demands. Individuals with ADHD may feel overwhelmed and mentally drained, but not necessarily sad or hopeless outside of those situations.”
Licensed Mental Health Counselor (LMHC), MA, MSc Bisma Anwar

Depression

Depression is a mental health condition characterized by persistent and intense feelings of sadness, hopelessness, and a lack of interest in activities you once enjoyed. It can significantly impair your ability to function daily and often presents with symptoms like:

  • Persistent sadness
  • Uncontrollable crying
  • Hopelessness
  • Change in appetite
  • Sleep disturbance
  • Fatigue
  • Difficulty concentrating
  • Feeling worthless
  • Physical symptoms like unexplained aches and pains
  • Thoughts of suicide

ADHD Burnout

A state of exhaustion that occurs because of the chronic stress and demands you experience while trying to manage your ADHD. Although it shares some similarities with depression, like fatigue and difficulty concentrating, it’s important to understand that ADHD burnout is explicitly caused from trying to manage your condition. Symptoms can include:

  • Chronic fatigue
  • Feeling emotionally overwhelmed
  • Increased irritability
  • Difficulty concentrating
  • Physical symptoms that stem from stress like headaches, back, neck, and shoulder pain, and gut issues

Common Causes of ADHD Burnout

The ADHD burnout cycle is the result of extreme and prolonged stress and exhaustion. Attempting to handle the daily demands and challenges you experience because of your ADHD can become overwhelming over time.  

Chronic overstimulation

People with ADHD often experience chronic overstimulation because of their heightened sensitivity to external stimuli. The brain struggles to process and manage what it perceives as overwhelming information, and the sensory input leads to mental exhaustion and burnout, causing ADHD overstimulation.

Struggle with routine tasks

Tasks that might be routine and simple for some people can be daunting when you have ADHD. The effort required to complete everyday things — like organizing, planning, and following through with responsibilities — can be exhausting.

Emotional dysregulation

Emotional dysregulation leads to wildly fluctuating and intense emotions. It causes significant stress on both relationships and mental health, which can exacerbate your risk of burnout.

Untreated symptoms of ADHD

If you don’t address ADHD symptoms, it can cause a buildup of frustration and stress in your life. Eventually, it can become increasingly difficult to cope with daily life.

ADHD masking

ADHD masking involves intentionally hiding symptoms to appear “normal” according to society’s expectations. It takes incredible, constant effort to suppress the natural behaviors and symptoms of ADHD so that nobody notices them, and it can be incredibly draining.

Lack of routine

Not having a consistent routine prevents you from having structure in your life. ADHD already makes it tough to manage tasks effectively, but it can be increasingly stressful when you don’t have a plan to follow. Consistent schedules can be essential for managing ADHD symptoms and getting you through your days.

Constant effort to compensate

Compensating for ADHD-related challenges like time blindness, forgetfulness, and being disorganized takes mental and physical energy. The ongoing effort to try and keep up with demands can become too much to take.

Impacts of medication

While some ADHD medications can be beneficial in treating symptoms, all drugs have a risk of side effects. Some of these side effects, like insomnia, can contribute to burnout.

How to Manage & Prevent ADHD Burnout

Managing ADHD burnout is easier when you have strategies and coping skills that address your symptoms of ADHD and other contributing factors. The following ADHD treatment strategies help.

Establish a structured daily routine

Having a routine provides structure and predictability to your days. For people who experience ADHD burnout, routines help reduce feelings of anxiety.

Prioritize tasks & set realistic goals

If you struggle to prioritize tasks and responsibilities, break them down by importance and urgency. Be realistic with your goals so you can be successful.

Take regular breaks during work or study

Regular breaks are critical to preventing or reducing mental fatigue. Scheduling them throughout your days allows you to rest, relax, and reset.

Use tools for time management & organization

Try various time management tools until you find one that works for you. Planners, calendars, and apps are all great options for helping you keep track of your tasks and deadlines so you feel organized and can manage your time successfully.

Set boundaries to avoid overcommitment

Boundaries are paramount if you’re heading towards burnout. Saying no to additional tasks and commitments protects your time and energy so you can focus on priorities without overextending yourself.

Seek therapy for ADHD

Professional help is a lifeline for those living with ADHD. Therapy for ADHD can be highly effective in helping you manage symptoms. Cognitive behavioral therapy (CBT) helps you identify unhealthy or unhelpful thought and behavior processes so you can find ways to change those patterns.

Use stress-relief techniques 

Incorporating stress relief tactics like mindfulness, meditation, deep breathing exercises, and physical activity can help calm your mind and reduce stress. Consider incorporating other natural remedies for ADHD, as you might discover ADHD hacks that allow you to manage your symptoms without medication.

Adjust or review medication with a healthcare provider

Talk to your doctor or a healthcare professional about any medication you take. Even if a medication has worked well in the past, it’s important to regularly review what you’re taking with your doctor to determine if the medication is still appropriate. A doctor can adjust your dosage or change your ADHD medication if necessary.

Lean on your support network

Having solid support is a crucial part of any ADHD treatment plan. When feeling isolated, stressed, or overwhelmed, lean on your support systems for emotional help.

Ensure adequate sleep and nutrition

Getting enough sleep and eating well can reduce the risk of burnout. Establish a healthy sleep routine and eat nutritious meals.

Recover and Thrive with Professional Support

ADHD burnout doesn’t have to control your life. You can figure out how to manage it through simple, easy-to-implement techniques, like having a structured routine, prioritizing your daily tasks, taking breaks when needed, and using stress relief tools.

If you need help with ADHD burnout recovery and aren’t sure where to go from here, Talkspace offers a convenient and effective option. You can connect with licensed mental health professionals who specialize in ADHD and burnout. Online therapy makes it easy to get professional support from the comfort of your own home.

Connect with an online mental health provider today to figure out how you can manage your ADHD burnout through therapy and medication if prescribed.

 

See References

Bisma Anwar

Bisma Anwar is the Team Lead for the Talkspace Council of Mental Health Experts. A major focus in her work has been anxiety management and helping her clients develop healthy coping skills, reduce stress and prevent burnout. She serves on the board of a non-profit organization based in NYC called The Heal Collective which promotes advocacy and awareness of mental health issues in BIPOC communities.

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