ADHD in Men

How ADHD Symtoms Manifest in men

Hyperactivity and Impulsivity

Men with ADHD often show stronger signs of impulsivity and hyperactivity compared to women.

• Hyperactivity may appear as restlessness, difficulty sitting still, or the need to constantly move between activities. Some men talk rapidly, interrupt conversations, or find it nearly impossible to wait their turn.

• Impulsivity often leads to hasty decisions without considering long-term consequences, which can affect financial stability, career choices, and relationships.

These traits can create difficulties in social situations, friendships, and romantic relationships. In the workplace, impulsivity may be seen as unreliability, while in personal life it can lead to misunderstandings or conflict. Recognising and openly discussing these challenges can reduce stigma and improve empathy from others.

Inattention

The second core symptom of ADHD is inattention, which can be equally disruptive.

Men with ADHD often struggle to:

• Focus for extended periods.

• Follow instructions and decide on task order.

• Stay organised and manage deadlines.

• Avoid distractions from both external noise and internal thoughts.

At work, inattention may lead to incomplete projects and missed deadlines, creating tension with colleagues and managers. At home, disorganisation and forgetfulness can strain relationships with partners and children. Over time, repeated difficulties may reduce trust in relationships and contribute to stress and low self-esteem.

Adult Men With ADHD – Common Challenges

As boys, many men with ADHD received some understanding for their difficulties. In adulthood, however, expectations increase dramatically – managing a household, handling bills, working full-time, maintaining relationships, and balancing social life.

Key challenges for adult men include:

• Executive function demands: As responsibilities grow, deficits in planning, organisation, and impulse control become more visible.

• Social expectations: Impulsivity and emotional reactivity, seen as “immaturity” in adulthood, can cause misunderstandings with friends and partners.

• Relationships: Difficulty focusing in conversations may lead to missed cues, leaving others feeling unheard. This can create feelings of exclusion or shame.

Many men with ADHD describe feeling “out of sync” with social and professional expectations, which can erode self-confidence if support is lacking.

Getting Help – Where Can Men With ADHD Turn?

Accessing the right support can make a huge difference in daily life. Men with ADHD often benefit from a combination of medical, psychological, and practical support:

• GP and specialist referral: A GP can refer to assessments or discuss medication options.

• Medication: Prescribed by a doctor, ADHD medication can improve focus and reduce impulsivity, though careful monitoring is important.

• Therapy: Psychological support, such as Cognitive Behavioural Therapy (CBT), can help manage emotional regulation, impulsivity, and negative thought patterns.

• Occupational therapy: Practical strategies for structuring daily routines, organising tasks, and managing stress.

• Peer and community support: ADHD support groups provide understanding, shared experiences, and a sense of belonging.