29/08/2026
*** Saturday thoughts and reflections ***
Something I think doesn't get talked about enough is the link between ADHD and self-harm in children and young people.
When most people think about ADHD, they think about being distracted, forgetful, fidgety, or struggling to focus. But ADHD can affect so much more than that, especially when a young person isn't getting the support they need.
I also think the media has a lot to answer for when it comes to how neurodivergence is portrayed. We tend to see either the "funny and quirky" side of ADHD or the most extreme presentations of autism. What we don't see enough of are the children and young people who are struggling quietly behind closed doors with overwhelming emotions, low self-esteem, anxiety, depression, and self-harm.
Children and teenagers with ADHD are at a higher risk of self-harm and suicidal behaviours than their neurotypical peers. That can sound frightening, but it's important that we understand why this might happen.
Many young people with ADHD struggle with impulsivity. This can mean acting on thoughts or feelings very quickly, especially when they are distressed. There can also be huge difficulties with emotional regulation. Feelings can seem bigger, more intense, and harder to move on from.
On top of this, many children and young people with ADHD experience bullying, social difficulties, rejection, academic struggles, anxiety, depression, and a constant feeling that they're somehow getting things wrong. Over time, carrying all of that can become exhausting.
The same can be true for many autistic children and young people. Whilst awareness of autism has increased, conversations about the emotional impact, self-harm, and mental health struggles that some autistic young people experience still don't happen nearly enough.
The positive news is that support can make a huge difference. Research suggests that appropriate ADHD treatment, including medication where suitable, can reduce the risk of self-harm and help with emotional regulation and impulse control. Therapy can also provide a safe space to understand emotions, build coping strategies, and develop self-acceptance.
As a therapist, I think it's important that we look beyond stereotypes and recognise the emotional impact that neurodivergence can have. Sometimes what looks like challenging behaviour on the outside is actually a child or young person struggling enormously on the inside.
If you're worried about a child or young person, please reach out for support. You don't have to wait until things reach crisis point.
📞 If someone is struggling with self-harm or experiencing a mental health crisis:
• NHS Mental Health Services: Call 111 and select the mental health option.
• Samaritans: 116 123 (free, 24 hours a day).
This post is for awareness and information only and is not intended as medical advice.
