ADHD symptoms that affect friendships ADHD symptoms that affect friendships
ADHD and Friendships
Navigating the Chaos of Time Blindness, Masking, and People-Pleasing

Let’s be honest: Friendship can feel like a juggling act when you have ADHD. Between trying to show up on time (when “time” feels like an abstract concept), keeping track of plans, and managing those moments when your brain is shouting “Do something fun, I’m bored!”—it’s not always easy. And when you throw perfectionism, people-pleasing, and masking into the mix, well, it can feel like you’re trying to be the best friend and hiding half of yourself at the same time.

ADHD impacts relationships in ways that go beyond just forgetting plans. It touches on how we communicate, how we show up (or don’t), and even how we feel about ourselves within those friendships. But here’s the truth: while ADHD makes navigating friendships more complex, understanding how it shows up can lead to better, deeper connections—and a lot less stress.

So, let’s dive into some real-life ADHD relationship struggles and how ADHD therapy, self-awareness, and treatment can help us be better friends—without burning out or pretending to be someone we’re not.


Time Blindness: "Wait, What Day Is It Again?"

If you’ve ever been that person who shows up late—or worse, forgets to show up entirely—you’re not alone. Time blindness is one of the more frustrating ADHD symptoms that impacts friendships. It’s not just about being a little late now and then; it’s about ADHD making time feel slippery. Sometimes hours fly by, and other times they drag on forever. The idea of “five more minutes” can turn into two hours before you even realize it.

Is this familiar?
You promised to meet your friend for coffee at 3:00 PM. You even set a reminder. But before you know it, you’re deep into a rabbit hole of researching something totally random (and totally unrelated to the coffee date). You glance at the clock and…oh no, it’s 3:45. Cue the frantic texts: “I’m on my way, so sorry!”

Time blindness doesn’t mean you don’t care about your friends—it just means that ADHD has this magical way of making time warp, and unfortunately, that often leads to unintentional flakiness. The good news? There are strategies to help manage time better, but more importantly, it’s about having friends who understand that your late arrival isn’t about them.


Perfectionism: "I Want to Be the Best Friend... Or I’m Out"

ADHD perfectionism often flies under the radar, but it can seriously mess with friendships. You want to be the best friend, the one who remembers every birthday and sends the most thoughtful texts—but when you inevitably fall short of those impossible standards, the shame kicks in. Suddenly, you feel like a failure, so you withdraw or overcompensate by trying even harder next time. It’s an exhausting cycle.

Can you relate?
You planned the perfect day out with a friend—brunch at their favorite spot, followed by a thoughtful gift you’ve been meaning to give them. But then the brunch reservation gets messed up, and you forget the gift at home. Instead of shrugging it off, you feel like the entire day is ruined. You start mentally beating yourself up for not being a “good enough” friend.

Perfectionism in friendships can lead to overthinking every small interaction. ADHD treatment and therapy can help address perfectionism by teaching self-compassion and helping you manage expectations—for both yourself and your friendships. After all, your friends don’t need you to be perfect; they just need you to be present.


People-Pleasing: "Sure, I’ll Do That! (Wait, Why Did I Say Yes?)"

Raise your hand if you’ve ever said “yes” to something just because you didn’t want to disappoint someone, even though your brain was screaming, “Noooo, we don’t have the energy for that!” People with ADHD are often expert people-pleasers. We say “yes” to avoid conflict, to keep the peace, or because we’re genuinely excited about something in the moment—until reality sets in, and we realize we’ve overcommitted (again).

You too?
A friend asks you to help them move this weekend. You already have three other things planned, but without even thinking, you say “Sure!” because you want to be helpful. Fast forward to moving day, and you’re exhausted, stressed, and wondering why you didn’t just say no.

People-pleasing often stems from a fear of rejection or not being liked. It’s a form of ADHD masking—trying to fit into what we think others expect of us, even when it drains us. But here’s the catch: saying “yes” all the time doesn’t necessarily make you a better friend. Learning how to set boundaries and prioritize your needs is crucial, not just for your own well-being but for the health of your friendships, too.

Masking: "Am I Being My Real Self?"

ADHD masking is when you try to hide your true self in order to blend in with others or avoid judgment. You might act more “put together” than you feel, push through social situations even when you’re overwhelmed, or hide your struggles with time management or emotional regulation. Over time, masking can become exhausting—and it creates a barrier to forming real, authentic connections.

You aren't alone...
You’re out with friends, and the background noise of the restaurant is making it hard to focus. But instead of asking to move to a quieter spot, you force yourself to stay engaged and act like nothing’s wrong. Inside, though, you’re counting down the minutes until you can leave.

The problem with masking is that it doesn’t allow your friends to know the real you. And while it might feel safer in the moment, masking ultimately leads to more isolation. Real friendships are built on authenticity, and part of that means letting others see your ADHD, quirks and all. ADHD therapy and self-awareness can help you unlearn masking behaviors and feel more comfortable being yourself.


Boredom and Friendships: "Can We Do Something New?"

One of the most overlooked ADHD symptoms is boredom. ADHD brains need stimulation, and doing the same old thing every time can feel unbearable. This can sometimes put strain on friendships, especially if your friends are content with routine activities while you’re constantly seeking something new and exciting.

It's not just you!
Your friend suggests watching a movie for the third Friday in a row. You agree, but halfway through, your brain is screaming, “Why are we doing this again? I’m so bored!” You start thinking about all the other things you’d rather be doing instead of sitting still. Eventually, you tune out completely and miss half the movie.

Boredom doesn’t mean you don’t enjoy spending time with your friends—it just means your ADHD brain needs a little more variety to stay engaged. Finding activities that work for both you and your friends can help keep the friendship fresh and fun. Communication is key here; let your friends know that you thrive on new experiences, but also be open to compromise.


ADHD Self-Awareness: The Key to Better Friendships

Building healthy, lasting friendships with ADHD requires a level of self-awareness that isn’t always easy to come by. You have to recognize your patterns—time blindness, perfectionism, people-pleasing, masking—and figure out how they’re affecting your relationships. The good news? You don’t have to do it alone.

ADHD therapy can help you develop greater self-awareness and learn how to manage these patterns. Therapy also provides tools to improve communication, set boundaries, and show up authentically in your friendships.


ADHD Treatment for Better Friendships

ADHD impacts all areas of life, and relationships are no exception. But with the right support, like ADHD treatment, therapy, and skill-building, you can learn how to navigate the challenges that ADHD throws at your friendships. By addressing the underlying issues—like time blindness, perfectionism, people-pleasing, and masking—you can build more authentic, fulfilling connections.

It’s not about being the “perfect” friend. It’s about being a real one, ADHD quirks and all.


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About the Author

Heather Herman, Founder of Joy Spring Mental Health | Healing with ADHD

Heather Herman is dually certified Family and Psychiatric Mental Health Nurse Practitioner that has a small private practice offering a variety of services to clients in NC and VA. She is passionate about holistic mental healthcare and believes everyone seeking help for mental health should be provided with the information they need to understand themselves and their treatment, build skills that actually work for their unique situation and brain, and receive the processing they need to heal the negative messages and experiences that contribute to their symptoms.

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