Trauma and Neurodivergent Coach

πŸ˜΅β€πŸ’« Do you have ADHD?

Are you trying to assess if you have brain fog (created by trauma or stress) or if you actually qualify for an official ADHD diagnosis?

Follow the order of this document to find out:

  1. DSM-5 Criteria for ADHD

Take a look at these list of specific examples based on the symptoms described in the DSM (the psychiatrist's bible of diagnostics)

  1. High-masking ADHD Profile or compensated ADHD.

Read with an open mind the list of characteristics of this type of ADHD that looks like the complete opposite of someone with ADHD: an organization freak who is always on time and hyper-responsible.

  1. Consequences of ADHD in life

See how ADHD actually manifests in all the different areas of life: health, life safety and risk-taking, financial and job instability, social and relationship issues, legal and administration problems, and learning difficulties.

1. DSM-5 Criteria for ADHD

To be diagnosed with ADHD, a person must exhibit at least 5 symptoms (for those 17 and older) or 6 symptoms (for children) in inattention and/or hyperactivity-impulsivity for at least six months in multiple settings, in a way that interferes with daily life.

πŸ˜ͺ A. Inattention

Manifestations of difficulties sustaining attention, organizing tasks, and following through.

  1. Often fails to give close attention to details or makes careless mistakes in work or other activities

Submitting reports, emails, or assignments with simple errors (e.g., typos, miscalculations) due to rushing.

Skipping entire questions on tests or forms without realizing.

Misplacing decimal points or numbers when handling finances.

Forgetting to attach files when sending emails.

Writing down appointments incorrectly, leading to missed meetings.

Overlooking details in recipes, or forgetting the pan in the stove leading to inedible meals.

Not noticing instructions for a task change, resulting in doing extra or unnecessary work.

Accidentally leaving important personal items behind, like wallet, ID or keys.

Forgetting the shopping list at home

  1. Often has difficulty sustaining attention in tasks or play activities

Getting up multiple times while watching TV because they remember something else to do.

Losing track of what they were saying mid-sentence.

Constantly re-reading the same passage in a book without absorbing it.

Drifting off mentally during conversations, needing to ask people to repeat themselves.

Starting a book but getting distracted after a few pages and putting it down.

Losing focus halfway through a movie and checking the phone instead.

Frequently zoning out during meetings or lectures (or have to take notes in order to stay focused).

Trying to complete a form but switching to another task before finishing.

Struggling to follow along in group discussions.

Skipping from one podcast or YouTube video to another without finishing.

  1. Often does not seem to listen when spoken to directly

Missing the details of a story because they got distracted by their own thoughts.

Nodding in agreement but realizing later they have no idea what was said.

Spacing out when being given instructions and only catching the last part.

Responding with β€œHuh?” or β€œWhat?” even though they were looking at the speaker.

Forgetting plans someone just mentioned to them.

Being told something important but remembering it only when reminded later.

Saying β€œI don’t remember you telling me that” when they were actually told.

Only realizing someone is waiting for a response after a long silence.

  1. Often does not follow through on instructions and fails to finish tasks

Starting multiple projects but rarely completing them.

Leaving laundry half-done for hours or even days.

Walking away in the middle of cooking and forgetting about it.

Opening emails but never responding.

Setting goals but never taking the first step toward achieving them.

Writing a to-do list but never checking things off.

Beginning to clean a room but ending up reorganizing a drawer instead.

Failing to submit paperwork on time despite knowing the deadline.

Intending to call someone back but forgetting completely.

Dropping hobbies or interests after an initial burst of enthusiasm.

  1. Often has difficulty organizing tasks and activities

Frequently missing deadlines despite good intentions.

Procrastinating until the last minute, then panicking.

Struggling to prioritize tasks, leading to wasted time on minor things.

Forgetting important appointments or events unless reminded multiple times.

Losing track of bills and payments, leading to unnecessary fees.

Misplacing important items like passports or bank cards.

Taking far longer than necessary to get ready for work.

Having a messy, cluttered workspace despite attempts to organize it.

Planning to clean but not knowing where to start, leading to inaction.

Making elaborate plans but struggling to follow through.

  1. Often avoids or dislikes tasks that require sustained mental effort

Putting off writing reports, essays, or emails due to mental exhaustion.

Avoiding phone calls that require focused conversation.

Procrastinating on taxes or official paperwork.

Finding it overwhelming to read long instructions before starting a task.

Abandoning long-term projects that require consistent effort.

Constantly delaying starting work until the deadline is dangerously close.

Feeling physically restless when forced to sit still and focus.

Feeling exhausted after short bursts of concentration.

Skipping over long articles, even on topics of interest.

Struggling to sit through meetings without zoning out.

  1. Often loses things necessary for tasks and activities

Misplacing their phone multiple times a day.

Constantly searching for their keys, wallet, or glasses.

Losing pens and notebooks needed for work or study.

Forgetting where they parked their car.

Leaving behind important documents at home when they need them.

Forgetting their headphones or charger when traveling.

Losing track of grocery lists and buying random items instead.

Leaving water bottles or umbrellas in random places. Buying replacements for lost items, only to find the original later.

Forgetting to bring lunch or snacks when needed.

πŸ’£ B. Hyperactivity and Impulsivity

Manifestations of excessive movement, impulsivity, and difficulty waiting

  1. Often fidgets with hands or feet or squirms in seat

Tapping feet constantly under the table.

Clicking pens repeatedly during meetings.

Playing with hair, jewelry, or objects while talking.

Changing sitting positions every few minutes.

Bouncing legs while working or studying.

Drumming fingers against surfaces unconsciously.

Twisting or pulling at clothing or accessories.

Biting nails or chewing on objects without realizing.

  1. Often leaves seat in situations where sitting is expected

Walking around unnecessarily while waiting in line.

Getting up multiple times while watching a movie.

Pacing during long phone calls.

Walking around while brushing their teeth.

Having to stand and stretch every few minutes while working.

Feeling trapped and uncomfortable in long dinners.

Finding excuses to leave their desk frequently.

Struggling to sit still during religious services or lectures.

Getting up impulsively in the middle of a task.

  1. Often talks excessively

Monologuing about interests without noticing if others are engaged.

Interrupting conversations to add thoughts impulsively.

Blurting out stories before someone finishes theirs.

Talking faster when excited, overwhelming others.

Filling every silence with chatter.

Dominating conversations unintentionally.

Noticing people lose interest but continuing to talk.

Sharing too much personal information too soon.

Going off on tangents mid-story.

Having difficulty summarizing points, giving unnecessary details.

2. High-masking ADHD Profile or compensated ADHD.

People with this profile develop rigid external strategies to force themselves to function, but it comes at a significant psychological costβ€”leading to burnout, anxiety, or even dissociation.

A. Characteristics of a Compensated ADHD Profile

Hyper-reliance on external systems – Using planners, timers, alarms, strict schedules, or accountability partners to keep up, often with a feeling of life falling apart if they stop.

High-functioning outwardly, but exhausted internally – Others see them as "organized" or "successful," but maintaining it requires immense effort.

Perfectionism & overcompensation – They triple-check everything, obsess over details, and over-prepare to avoid making mistakes.

Extreme time anxiety – Constantly watching the clock, checking deadlines, or feeling panic if a routine is disrupted.

Masking executive dysfunction – They use rigid rules to compensate (e.g., "I have to clean before I can work"), often leading to decision paralysis.

Chronic stress & burnout cycles – They can keep up for weeks or months but eventually crash, needing long recovery periods.

Struggles with unstructured time – Can function well in demanding environments but feel lost and paralyzed without external pressure.

Guilt when struggling – They berate themselves for finding things hard, thinking, "I've figured it out before, why can't I just do it?"

Unconscious reliance on adrenaline – They procrastinate but then rely on last-minute panic to power through, creating long-term stress.

Rigid coping mechanisms that worsen over time – What works at first (e.g., working late nights, skipping meals, or cutting out hobbies) becomes unsustainable, leading to breakdowns.

B. Psychological Cost of Compensation

Severe burnout – Many "high-functioning" ADHDers crash in their 30s or 40s because their strategies were unsustainable.

Chronic anxiety – Living in constant fear of forgetting something or failing.

Shame & imposter syndrome – Feeling like a fraud because functioning "shouldn’t be this hard."

Dissociation & emotional numbness – Some disconnect from their emotions to cope with the pressure.

Health issues – Sleep deprivation, digestive issues, migraines, or chronic pain from prolonged stress.

C. What Helps?

More flexible strategies – Instead of perfectionism, learning "good enough" planning methods.

Rest & recovery cycles – Allowing time to decompress without guilt.

Reducing reliance on panic motivation – Using dopamine-based strategies instead of adrenaline.

Self-compassion – Understanding that struggling doesn’t mean failure.

Seeking accommodations (if possible) – Adjusting work/life to reduce unnecessary stressors.

3. Consequences of ADHD in life:

ADHD affects many aspects of life beyond attention and focus, often leading to:

🦷 1. Dental & Hygiene Neglect

Forgetting or avoiding brushing/flossing β†’ Higher risk of cavities & gum disease Missed dental checkups β†’ Delays in treatment, leading to worse problems Impulsivity with sugary foods β†’ Increased tooth decay

πŸ’Š 2. Chronic Health Conditions

Higher risk of obesity & diabetes due to impulsive eating, poor meal planning

More sleep disorders (insomnia, restless legs, delayed sleep phase)

Higher rates of autoimmune diseases (possibly due to chronic stress)

😴 3. Sleep Issues

Difficulty falling asleep on time (ADHD brains resist "shutting down")

Irregular sleep schedules β†’ Feeling exhausted during the day

Higher risk of sleep apnea and other breathing issues at night

⚠️ 4. Higher Risk of Addictions

Nicotine & smoking (used to self-medicate ADHD symptoms) Alcohol & drug abuse (higher impulsivity = higher risk)

Food addiction & binge eating (dopamine-seeking behavior)

Compulsive spending & gambling (poor impulse control)

🧠 5. Mental Health Comorbidities

Depression & anxiety (due to lifelong struggles, low self-esteem)

Bipolar disorder (sometimes misdiagnosed instead of ADHD)

OCD tendencies (as a way to compensate for executive dysfunction)

Eating disorders (especially binge eating & bulimia)

B. Life Risks & Safety Concern

πŸš— 6. Increased Risk of Accidents

Higher rates of car accidents due to inattention, impulsivity, and distraction

More speeding tickets & reckless driving

Forgetting seatbelts or safety precautions

🍼 7. Unplanned Pregnancies & Sexual Risks

Higher teen pregnancy rates (impulsivity, lack of planning

More unprotected sex (forgetting birth control, impulsive decisions)

Higher risk of STDs due to impulsive behaviors

🏠 8. Financial Struggles & Job Instability

Impulsive spending β†’ Chronic debt, credit card issues

Difficulty keeping jobs due to time blindness, executive dysfunction

Late fees, missed deadlines, forgotten bills β†’ Financial instability

Higher likelihood of being unemployed or underemployed

C. Social & Relationship Challenges

πŸ’¬ 9. Difficulty Maintaining Friendships & Relationships

Forgetting important dates (birthdays, events) β†’ Others feeling hurt

Blurting things out impulsively β†’ Social awkwardness

Trouble keeping in touch (out of sight, out of mind)

Rejection Sensitive Dysphoria (RSD) β†’ Overreacting to perceived criticism

πŸ’ 10. Higher Divorce Rates & Relationship Issues

Emotional dysregulation β†’ Arguments, difficulty resolving conflicts

Impulsivity & poor planning β†’ Financial and parenting stress

Hyperfocus on new relationships β†’ Then losing interest or struggling with maintenance

D. Organizational & Life Management Struggles

πŸ“… 11. Chronic Disorganization & Clutter

Difficulty keeping a clean home (things pile up due to overwhelm)

Forgetting where important items are (keys, wallet, paperwork)

Late for appointments & events due to time blindness

Missed deadlines for taxes, bills, or paperwork

Legal trouble from impulsivity (speeding, unpaid fines, overlooked responsibilities)

Higher rates of bankruptcy (due to impulsive financial decisions)

πŸŽ“ 13. Academic Struggles & Higher Dropout Rates

More likely to struggle in school due to executive dysfunction

More likely to drop out due to boredom, frustration, or lack of support

Underperformance despite intelligence (ADHD = big potential, inconsistent execution)

🌈 14. Co-Occurring Neurodivergent Conditions

Higher likelihood of autism (many women are misdiagnosed)

Dyspraxia (clumsiness, motor coordination issues)

Dyslexia (difficulty with reading, spelling)

Dyscalculia (difficulty with numbers & math)

4. πŸ”‘ Summary

ADHD isn’t just about attentionβ€”it affects physical health, safety, relationships, finances, and life stability. Many struggles that seem like "bad habits" or "poor choices" are actually neurological challenges linked to ADHD.