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When Burnout Doesn’t Go Away: Could It Be Undiagnosed ADHD?
April 27, 2025 at 4:00 AM
by Zaneb Mansha, MSW
Artistic photo of burned matchsticks on pink background symbolizing burnout.

You’re smart, capable, and successful—but lately, you’re:

  • Forgetting appointments
  • Zoning out in conversations
  • Staring at a screen for hours without getting anything done

You’ve blamed it on stress, overwhelm, or a lack of motivation. Maybe you’ve told yourself, “I just need to get it together.”

But what if it’s something deeper?

More and more high-achieving professionals in Boca Raton are discovering that what they thought was anxiety or burnout might actually be undiagnosed ADHD—and gaining that clarity can be transformational.

ADHD Isn’t Always Loud or Chaotic—Sometimes It Looks Like This:

  • Struggling to start tasks, even when they matter
  • Constantly feeling behind, no matter how hard you work
  • Forgetting texts, keys, names, or emails you swore you'd send
  • Mentally exhausted from trying to "hold it all together"
  • Overthinking conversations and criticizing yourself afterward
  • Feeling like you’re working twice as hard as everyone else just to keep up

This experience is especially common in:

  • Women
  • First-generation professionals
  • People from immigrant or culturally traditional families

In these communities, masking symptoms—or pushing through without asking for help—is often normalized. You’re taught to succeed quietly and perform highly, even if it’s at the cost of your mental health.

Why So Many Adults in Boca Are Missed

ADHD is still widely misunderstood. For decades, it was seen as a childhood condition—typically diagnosed in hyperactive boys. But we now know that ADHD can persist into adulthood, and it often looks different in high-functioning adults.

According to the DSM-5, ADHD includes inattentive symptoms (like forgetfulness, poor organization, and procrastination) that are easy to miss when someone is excelling outwardly (American Psychiatric Association, 2013).

Many adults develop sophisticated coping strategies that mask their struggles. They might thrive in structured environments but collapse under unstructured demands—like managing work, home, and relationships all at once.

This internal chaos is known as executive dysfunction, a common feature of ADHD (Barkley, 2011). It affects planning, time management, working memory, and emotional regulation—even in the most brilliant minds.

Success Doesn’t Cancel Out Struggle

You can be organized in one area and disorganized in another. You can meet deadlines and still feel like you’re drowning.
What you’re experiencing isn’t laziness, a lack of discipline, or failure. It’s likely a neurobiological pattern that needs understanding—not judgment.

In fact, studies show that undiagnosed ADHD in adults is linked to higher rates of anxiety, depression, and burnout—especially when high-functioning individuals blame themselves for falling short (Able et al., 2007; Ramsay & Rostain, 2015).

You Don’t Need a Diagnosis to Get Support

Whether you’ve been officially diagnosed or are just starting to wonder, therapy and coaching can help you:

  • Understand how your brain works
  • Learn tools for focus, organization, and self-regulation
  • Break free from shame and self-criticism
  • Reduce overstimulation and mental fatigue
  • Build routines that support—not fight—your natural wiring

What We Can Work on Together

I specialize in supporting high-achieving adults in Boca Raton who are navigating ADHD, cultural pressure, and executive dysfunction. Together, we’ll explore:

  • The root of your focus, time, or motivation challenges
  • Practical strategies for task initiation, follow-through, and planning
  • Internalized beliefs about failure, perfectionism, or “not doing enough”
  • Emotional intensity, overstimulation, and rejection sensitivity
  • Creating a sustainable, values-aligned lifestyle that fits your brain

Clients often tell me, “I finally feel understood—and it’s such a relief to know I’m not broken.”

If You’re Always “On” But Still Feel Behind, It’s Time to Look Deeper

There’s nothing wrong with your intelligence or ambition.
But you don’t have to keep over-functioning just to keep up appearances.

If you’re in Boca Raton and ready to explore ADHD or get support for executive functioning challenges, I’d love to support you. I offer therapy and coaching both in-person and online, tailored to your goals and pace.

You’re not lazy. You’re not failing. You’re just wired differently—and that deserves compassion, not criticism.

_____

References

  • Able, S. L., Johnston, J. A., Adler, L. A., & Swindle, R. W. (2007). Functional and psychosocial impairment in adults with undiagnosed ADHD. Psychological Medicine.
  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
  • Barkley, R. A. (2011). Executive Functions: What They Are, How They Work, and Why They Evolved. Guilford Press.
  • Ramsay, J. R., & Rostain, A. L. (2015). The Adult ADHD Tool Kit: Using CBT to Facilitate Coping Inside and Out. Routledge.

Your story matters. Let’s prioritize it.

If you’re ready to break patterns, build clarity, and feel seen— Book a free consultation or schedule your first session today!