23. ADHD: Low Self-Esteem
Low self-esteem is one of the most painful and far-reaching challenges faced by children with ADHD—and one of the greatest sources of worry for parents. By early elementary school, many ADHD children already believe they are “bad,” “lazy,” or “not as smart” as other kids. These beliefs rarely come from within. They develop slowly, shaped by repeated experiences of correction, failure, and misunderstanding.
Children with ADHD are not more sensitive by nature, but they are exposed to more negative feedback. They are redirected more often, corrected more frequently, and punished more inconsistently than their peers. Over time, even well-intentioned feedback can begin to sound like a constant message of inadequacy. When effort does not reliably lead to success, children start to question their abilities—and eventually, their worth.
Parents often fear that their child’s confidence is permanently damaged. The good news is that self-esteem is not fixed. It is built—or rebuilt—through experience, language, and relationship. Parents play a central role in shaping how children understand themselves.
The first step is changing how challenges are framed. ADHD is not a character flaw - it is a difference in how the brain regulates attention, emotion, and behavior. When parents explain difficulties as skill gaps rather than personal failures, shame decreases. Phrases like “Your brain needs more support here” are far more protective than “You should know better.”
Feedback matters deeply. ADHD children need far more positive reinforcement than negative correction—often a ratio of four or five positives for every criticism. Praise should be specific and process-focused: persistence, problem-solving, creativity, and effort matter more than outcomes. This teaches children that success is something they can influence, even when results are imperfect.
Comparison is particularly damaging. ADHD development is uneven, so comparing siblings or classmates accelerates self-doubt. Progress should be measured against the child’s own baseline, not against peers who are wired differently. Growth looks different for every child.
Equally important is helping children identify and value their strengths. Many ADHD children are imaginative, energetic, empathetic, and curious. These qualities may not be rewarded in traditional classrooms, but they are essential for adult success. When parents consistently highlight strengths, children learn that they are more than their struggles.
Parents should also model self-compassion. How adults talk about mistakes—both their child’s and their own—shapes the child’s inner voice. A home that treats mistakes as information rather than failure fosters resilience.
Low self-esteem does not come from having ADHD. It comes from feeling misunderstood and unsupported. When children feel seen for who they are, guided rather than judged, confidence grows. And with confidence comes willingness to try, to risk, and to keep going—even when things are hard.
Thanks for reading and let's make the world safe for ADHD!
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Coping with ADHD as a parent and/or an ADHDer yourself presented by a neuropsychologist who is also the parent of two ADHD kids and married into an ADHD family.
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