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ADHD and Burnout

There is no good evidence on ADHD and burnout. One Swedish study of 20 working adults, what it found, and what nobody has measured yet.

We went looking, and this page reports what we found rather than what we hoped for.

No validated measure of ADHD burnout exists. No large study has followed adults with ADHD into burnout and out again.

This is the shortest page in this section, and that is the finding.

The nearest study

The closest evidence comes from Sweden. Researchers interviewed 20 working adults with ADHD in 2021 about stress and work-related mental illness.

It is not a burnout study. Participants used the word exhaustion, and the researchers reported it that way.

Source: Oscarsson et al. 2022

What people described

The mechanism the participants named was compensation.

Some compensated by being exceedingly thorough or working overtime, further depleting their energy reserve. Several participants described being "weathered" by years of stressful work and repeated relapses of exhaustion.

Working harder to reach the same result costs energy. Doing that for years is what people described as wearing them down.

The study found something about workplaces too. Where accommodations existed, the job of designing and asking for them fell to the employee.

the responsibility for designing and implementing accommodations was often appointed the individual

Source: Oscarsson et al. 2022

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The one study we could verify

What that study is not

One country, 20 people, all volunteers from an ADHD membership organisation. Three quarters of them were women.

The authors flag their own recruitment problem. The advert named stress and mental illness, which probably drew people who had experienced both.

Nothing here transfers cleanly to a UK workplace. It is the only study on this we could verify, and it is small.

What we left out

Two further papers came up in our search and we could not verify either one. We have left them out rather than pad the page.

You will find confident articles about ADHD burnout elsewhere. Ask each one which study it is citing.

What is reasonable to expect

This section is inference rather than evidence, and we are labelling it as such.

ADHD and exhaustion at work plainly travel together. A professional who understands executive function is likelier to be useful than one treating tiredness on its own.

The Swedish participants asked for that directly. They wanted help aimed at executive function rather than at basic organisation skills.

Source: Oscarsson et al. 2022

Where the official word stops

The World Health Organization restricts burn-out to the occupational context. Nothing in ICD-11 covers an ADHD version of it.

If work is the setting, our burnout at work page carries the definition and the UK numbers.

Source: WHO: burnout occupational phenomenon

Support that is not therapy

If a professional feels like too much right now, these are lighter places to start.

ADHDadultUK

Adults with ADHD

Peer-led resources, a podcast and a community forum, run by adults with ADHD.

Not a helpline.

Mind Infoline

Adults England Wales

Information on mental health support and where to find it, including support at work.

Standard call rates Weekdays 9am to 6pmclosed on bank holidays

Thanks for your interest. We're not taking on new clients at the moment.

Want someone who understands executive function?

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Wanna talk about it?
Or start with one of these:
  • I work twice as hard for the same result
  • I am exhausted from holding it all together at work
  • I keep having to start again after burning out
  • Nobody at work understands what I need

References

  1. Oscarsson, M., Nelson, M., Rozental, A., Ginsberg, Y., Carlbring, P. & Jonsson, F. (2022). Stress and work-related mental illness among working adults with ADHD: a qualitative study. BMC Psychiatry. doi:10.1186/s12888-022-04409-w
  2. World Health Organization (2019). Burn-out an "occupational phenomenon": International Classification of Diseases. Link

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