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Luke Row is a BACP registered psychodynamic therapist in Croydon, South London, with advanced training at Tavistock Relationships. He works with individuals who've tried managing their symptoms and couples tired of managing each other, people ready to understand what's underneath. Book a session →

Defences & Patterns
You want connection more than almost anything. And every time you get close to having it, you find a way to destroy it.

Defences & Patterns
Someone asks how you feel about something that just happened - a breakup, a job loss, your father's cancer diagnosis - and you go blank.

Defences & Patterns
You know all the words now. Gaslighting. Narcissist. Triggered. Boundaries. And somehow your relationships still aren't working.

Photo by Adam Custer on Unsplash
You've tried every productivity system going. Notion boards, Pomodoro timers, habit trackers, accountability partners. None of them lasted more than a fortnight.
Not because you didn't want them to work. You wanted them to work desperately. Each new system felt like this might be the one that finally made you function like everyone else seems to. And each time it fell apart, you added another piece of evidence to the case you've been building against yourself since childhood.
You're lazy. Undisciplined. You have so much potential if you'd just apply yourself.
You know the script. You've been hearing it your whole life.
Here's what the productivity gurus won't tell you: the problem was never your system. The problem is what happens inside you every time you fail to use it.
Shame. Not guilt - guilt says "I did something wrong." Shame says "I am something wrong." And if you have ADHD, shame has been your constant companion for as long as you can remember.
You forgot your homework. You interrupted someone mid-sentence. You lost track of what you were saying. You arrived late, again, to something that mattered. And every time, you saw the look - the frustration, the disappointment, the thinly veiled "what is wrong with you?"
So you learned to hide it. You developed an entire repertoire of strategies to look like you had it together. You became the funny one, the spontaneous one, the one who's charmingly chaotic. Anything to reframe the chaos as personality rather than failure.
But underneath the performance, the shame is running constantly. A low hum of wrongness that colours everything.
By the time most people with ADHD reach adulthood, they've become extraordinarily good at passing. The effort this takes is invisible to everyone around them.
You spend three hours doing what takes your colleague forty minutes - not because you can't do it, but because you had to fight your own brain for every minute of focus. You stay up until 2am finishing something you should have started weeks ago. You arrive at meetings having frantically prepared in the car park. You smile and say "no problem" when inside you're drowning.
And because the output looks acceptable, nobody sees the cost. They see someone who's managing. What they don't see is the exhaustion, the self-loathing, the constant dread that today might be the day everyone finds out you're faking it.
This is not impostor syndrome. Impostor syndrome is doubting achievements that are genuinely yours. This is something different - a bone-deep conviction that the way you function is fundamentally deficient, and that all your energy goes into concealing this from the world.
ADHD coaching has its place. Strategies help. Medication helps. But none of them touch the shame.
Because the shame isn't a symptom of ADHD. It's a symptom of growing up with ADHD in a world that was designed for a different kind of brain. Every classroom that punished you for not sitting still. Every report card that said "could do better." Every friendship that ended because you forgot to reply for three weeks. Every relationship where you were called selfish for something you couldn't control.
These experiences accumulate. They form a story about who you are. And that story runs beneath everything, shaping how you see yourself even after diagnosis, even after you understand the neurology, even after you can explain exactly why your brain works differently.
Understanding doesn't undo shame. You can know intellectually that ADHD is neurological, not moral. You can recite the dopamine explanation. But knowing and feeling are different countries, and shame lives in the body, not the intellect.
If you were diagnosed as an adult, there's something else underneath the shame that often surprises people when it surfaces: grief.
Grief for the years spent thinking you were broken. For the opportunities missed because you couldn't make yourself do the thing. For the version of yourself that might have existed if someone had noticed sooner, if the adults around you had understood that a child who can't concentrate isn't choosing defiance.
And alongside the grief, anger. At the teachers who called you disruptive. At the parents who thought you needed more discipline. At the system that tested for everything except the thing that was actually wrong. At yourself, sometimes, for not figuring it out sooner - even though there's no way you could have.
This grief is complicated because it coexists with relief. Finally having an explanation feels like putting down something you've been carrying for decades. But relief doesn't cancel grief. You can be grateful for the diagnosis and furious about everything that came before it, at the same time.
The work isn't learning more strategies. It's understanding what all those years of shame have done to how you relate to yourself and other people.
It's noticing that you apologise constantly - not out of politeness but out of a deep belief that your existence is an imposition. That you over-explain everything because you learned early that your reasons would be questioned. That you avoid starting things not because you're lazy but because the prospect of failing again feels unbearable.
It's sitting with someone who doesn't need you to perform competence. Who isn't measuring your output or tracking your progress. Who's interested in what it actually feels like to live in your particular brain, rather than what you should be doing differently about it.
Gradually, something shifts. Not the ADHD - that stays. But the shame loosens. The internal monologue changes from "what's wrong with me" to something more like curiosity. The gap between who you are and who you think you should be gets smaller. Not because you've finally become the person you were supposed to be, but because you've stopped believing that person exists.
You're not lazy. You never were. You're exhausted from decades of trying to be someone your brain was never designed to let you be.
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