By Tahirat Nasiru, LCSW
Greetingsđź‘‹,
In my practice, I frequently encounter two distinct patterns of ADHD burnout. To illustrate these, I’ve created two representative personas: Alex and Sarah.
The following scenarios, while fictional, depict common real-world experiences.
Alex’s Scenario: The "High-Achiever" Crash
Scenario 1: The "High-Achiever" Crash
Character: Alex, a marketing manager known for "pulling off miracles" at the last minute.
The Lead-Up: For three weeks, Alex has been in "crisis mode" for a product launch. He used caffeine and the stress of deadlines to bypass his ADHD symptoms. He worked 12-hour days, skipped lunch, and ignored his messy apartment. To his boss, he looks like a superstar.
The Breaking Point: The project ends on Friday. On Saturday morning, Alex wakes up and realizes he needs to do laundry. He looks at the pile of clothes.
The Reality of Burnout: Alex stands in front of the washing machine for 20 minutes. He knows how to do laundry, but his brain cannot sequence the steps. The "Wall of Awful" is too high. He ends up sitting on the floor next to the hamper, staring at the wall.
The Symptom: Executive Function Collapse. His brain’s "operating system" has shut down. He spends the next four days unable to answer a single text message, not because he’s "lazy," but because the mental cost of forming a sentence feels like running a marathon.
Sarah’s Scenario: The "Masking" Meltdown
Scenario 2: The "Masking" Meltdown
Character: Sarah, a college student who tries very hard to appear "organized" and "normal" to her peers.
The Lead-Up: Sarah spends every day "masking." She double-checks every email for typos, forces herself to sit still in lectures, and uses a complex system of planners to make sure she doesn't forget her keys. This constant self-monitoring is exhausting.
The Breaking Point: After a long day of classes, Sarah goes to the grocery store. It’s crowded, the fluorescent lights are humming, and she can’t find the specific brand of pasta she usually buys.
The Reality of Burnout: Normally, Sarah would just pick another pasta. But today, the Decision Fatigue is absolute. The lack of pasta feels like a personal failure. She feels a surge of intense irritability and has to leave the full cart in the aisle and walk out because she is on the verge of tears.
The Symptom: Sensory Overload & Emotional Dysregulation. Because her brain has no "buffer" left from a day of masking, small inconveniences feel like physical assaults. When she gets home, she enters a "shame spiral," telling herself she is "dramatic" or "incapable" of basic adulthood.
How these stories differ from "normal" tiredness
In both scenarios, Alex and Sarah aren't just tired—they are incapacitated.
Standard Tiredness | ADHD Burnout |
"I'm exhausted; I'll feel better after a good night's sleep." | "I slept for 10 hours and I still feel like I can't move my arms." |
"I don't really want to do this report right now." | "I am staring at the report, I want to do it, but my brain feels like a disconnected wire." |
"I'm a bit cranky because I'm hungry." | "The sound of my roommate chewing makes me want to scream or hide under the bed." |
Our Recovery Plan
To recover from ADHD burnout, Alex and Sarah cannot simply "sleep it off." Recovery requires lowering the cognitive load—reducing the number of decisions, sensory inputs, and "shoulds" your brain has to process until the nervous system feels safe again.
Here is a recovery plan tailored to the two scenarios we discussed.
For Alex (The Executive Function Collapse)
Alex needs to outsource his brain’s sequencing power until it comes back online.
The "Body Double" Technique: When he finally feels ready to do that laundry, he should have a friend on the phone or sitting in the room. He doesn't need them to help, just to be a "presence" that keeps his brain grounded.
Micro-Goals: Instead of "Do laundry," the goal is "Walk to the hamper." That's it. Success is measured in inches, not miles.
For Sarah (The Masking Meltdown)
Sarah needs to practice "Unmasking" to reduce the energy drain.
Permission to be "Weird": Sarah should allow herself to stim (fidget, pace, rock) freely at home. This helps regulate the nervous system.
The "Good Enough" Standard: She needs to intentionally do a "bad job" at something. Send an email with a minor typo. Leave the bed unmade. This teaches her brain that the world doesn't end when she stops being "perfect."
For Both Of Them
Phase 1: Immediate Damage Control (Days 1–3)
Goal: Stop the "engine" from redlining.
The "No-Decision" Diet: Remove all non-essential choices. Wear the same comfortable outfit every day. Eat the same "safe" food (cereal, protein shakes, toast) that requires zero prep or cleanup.
Sensory Blackout: Spend as much time as possible in a dark or dimly lit room with noise-canceling headphones or "brown noise." This gives your overstimulated senses a chance to reset.
Cancel Everything: If it’s not a "fire," let it wait. This includes social obligations, chores, and non-essential emails.
Eliminate the "Shame Spiral": Tell yourself: "I am not lazy; I am recovering from a physiological collapse."
Phase 2: Gentle Stimulation (Days 4–7)
Goal: Slowly reintroduce "low-stakes" dopamine without the pressure of productivity.
Low-Dopamine Activities: Engage in activities that provide a tiny bit of interest but zero stress. This might be re-watching a favorite show (no new plots to process), coloring, or sorting a small drawer—but only if it feels "satisfying," not like a chore.
Horizontal Rest: You don't have to be sleeping to rest. Lying down while listening to an audiobook counts.
Hydration & Basic Needs: Focus on the "Boring Self-Care." Drink water and take a shower only if you have the energy. If a shower is too much, use a damp cloth or dry shampoo.
Helpful Suggestion: How to Know You’re Recovering
You will know the "fog" is lifting when:
Spontaneous Interest Returns: You suddenly want to look something up or do a hobby, rather than feeling like you have to.
Sensory Tolerance Increases: The sound of the fridge or the tags on your clothes stop feeling like an attack.
The "Wall of Awful" Shrinks: You think about a task and feel "I could do that" instead of "I want to disappear."
The Recovery Rule: For every day you spent "redlining" in burnout, you likely need two days of low-demand rest. Don't rush back into the "sprint" the moment you feel 20% better, or you will crash again.