top of page

ADHD Masking: How Smart, Anxious, or People-Pleasing Adults Hide Their Symptoms

  • Writer: Dr. Tilbe Ambrose
    Dr. Tilbe Ambrose
  • Jan 13
  • 2 min read

ADHD Masking: How Smart, Anxious, or People-Pleasing Adults Hide Their Symptoms


Most adults with ADHD aren’t disorganized, visibly inattentive, or chaotic. In fact, many are the opposite:

  • Overly responsible

  • Highly attentive to others’ needs

  • Emotionally self-aware

  • Driven, high-achieving, or perfectionistic

  • Chronic over-thinkers

  • People who show up early, over-prepare, and never miss deadlines


These are the adults who often say:

  • “No one would ever guess I have ADHD.”

  • “I’m so organized — how could I possibly have ADHD?”

  • “I’ve always worked harder than everyone else just to keep up.”


These individuals aren’t symptom-free — they’re masked.

Masking is when adults compensate for ADHD through intense effort, coping strategies, emotional labor, or perfectionism. But the internal cost is enormous.


smart young adult hiding adhd through people pleasing and anxious attachment

What Is ADHD Masking?

ADHD masking is the process of hiding symptoms so well that others don’t notice the struggle underneath. It can be conscious (“I don’t want people to see me drop the ball”) or unconscious (“This is just who I’ve always been”).

Common masking strategies include:


1. Overworking to avoid appearing inconsistent

Internally: exhaustion


2. People-pleasing to compensate for forgetfulness or social anxiety

Maskers become overly attuned to others.


3. Perfectionism to prevent mistakes caused by executive dysfunction

Often developed in childhood as protection from criticism.


4. Staying quiet to avoid revealing impulsivity or disorganization

Masking by withdrawal.



Why Smart or Gifted Adults Mask So Well

Gifted individuals often succeed academically despite ADHD because they can “wing it” — until life demands change (college, career, parenthood).


They interpret their struggles as personal flaws rather than symptoms.


The Cost of Masking ADHD

Masking works… until it doesn’t. Adults often experience:

  • Burnout cycles

  • Emotional overwhelm

  • Difficulty maintaining routines

  • Irritability or shutdowns

  • Shame spirals

  • Crashes after high productivity

  • Chronic anxiety

  • Confusion about identity (“Who am I if I stop over-functioning?”)


Masking helps you survive — but testing helps you understand yourself without shame.


Why Testing Uncovers What Masking Hides

  • Identifies your real strengths

  • Separates anxiety from ADHD

  • Clarifies whether perfectionism is coping or personality

  • Reveals patterns of overcompensation

  • Gives you permission to stop blaming yourself


Ready to Unmask and Understand Yourself?

Schedule an ADHD evaluation with Restore Psychology today! Fill out the form below.

 
 
 

Comments


Contact Us

Finding the right therapist in San Diego is essential to make sure you feel safe and supported when you're moving towards growth. If you have any questions or are ready to schedule a session, please don't hesitate to contact us.

The easiest way to schedule an appointment with our therapists is to fill out this questionnaire and our team will get back to you within 3 business days.

 

Please be aware that we are currently able to provide services to California residents only as our therapists are licensed in CA

Welcome to HIPAAtizer!

To complete setup, click 'Settings' on this widget to connect your HIPAAtizer form builder and start embedding secure, HIPAA-compliant forms on your site.

If you or someone you know is experiencing an emergency, please call 911 for crisis services. Go to the nearest hospital emergency room. Call or text 988 to connect with the 988 Suicide & Crisis Lifeline . The Lifeline provides 24-hour, confidential support to anyone in suicidal crisis or emotional distress.

bottom of page