ADHD and conversations

Annabelle Denmark, MA, LPCC • July 19, 2023

Convos - interrupted

Adults who have recently been diagnosed with/ or suspect that they may have ADHD experience a wide array of symptoms, from difficulties honoring deadlines, staying organized, following through on a project or finding motivation. A part of ADHD that is not often mentioned is the difficulties individuals might have with conversations, be it in a group or with one person. 


ADHD in social situations

In the case of ADHD, the person is usually well aware of what is happening around them. They understand the social cues, and they can read body language well. However the struggle becomes apparent when a conversation takes place, between two or more. If you imagine a conversation being a bit like a tennis match, where, overall, equivalent amount of time is shared between the two (or more) partners, with adequate pauses and silently agreed upon reactions, the person with ADHD will be the person running to the net….or to the opponent's side of the court. The person with ADHD will be interrupting the flow of the conversation with ill timed thoughts (in the middle of someone else’s sentence) or with silences, as they lose track of the flow and get lost in their own mind. Some may side track to a completely different topic. Some may converse on several tracks, interweaving themes and getting lost in between. 


The interruptions are common for people with ADHD, and there are several reasons for it

  • Dopamine production. People with ADHD historically produce less Dopamine than the norm, leading them to seek more. Dopamine is the “pleasure hormone” of the brain. If the person with ADHD is less interested in the topic, having a less pleasurable experience, their brain will start looking for other ways to entertain itself and produce more dopamine. The person might interrupt the conversation to reroute it to a more entertaining space. 
  • Working memory. People with ADHD tend to have poor working memory, the memory that is used daily to remember where, for example, one placed their keys, or what needs to be done next, or being able to place a thought in a temporary hold to get back to it later.  In this case, the person with ADHD will have a thought in the middle of conversation that they know might disappear if they don’t tend to it. The fear of losing the thought will cause them to express it, causing disruption. 
  • Impulsivity. People with ADHD tend to have poor impulse control, immediately reacting to a perceived  want or need. This is due to low dopamine production and  to having poor working memory. That impulsivity, when not managed, will show up in terms of interruption of the flow of conversation with new thoughts, checking one’s phone, googling data in the middle of a sentence, etc. 


The shame of ADHD and interruptions

I have often heard clients recount their experiences in groups, feeling that they took too much space or that they were perceived as rude for interrupting. Those clients feel guilt and sometimes shame for their behavior, believing that there is something wrong with them, and feeling that they are “bad”, “selfish”, or “antisocial”. This awareness of how they showed up, and not being able to do anything about it, causes them to feel a great amount of pain. 


What to do about it

If you believe that you have ADHD, or if you have been diagnosed with ADHD, here are several tools to help you manage interruptions : 

  • Warn your conversation partner. ADHD is not an excuse, it is an explanation. Warning your partner that you may interrupt, and letting them know that it’s ok to be called out, can help you develop a moment to moment awareness and give you a chance to adjust their behavior. 
  • Have a note book with you (or a phone with a note taking app). If an important thought comes up, you can warn your partner that you need to pause for a second to write something down. That way you do not disrupt the flow with irrelevant information
  • Remove distractions : put your phone on “do not disturb”
  • Start noticing when you interrupt and stop talking. As soon as you notice, stop yourself and quickly apologize with a couple of words. When you do that, you train your brain to be more mindful and to go back to the conversation.
  • Understand that it takes time, patience and a lot of mishaps. When you go home, start thinking about what others shared, instead of what you did or didn’t do right. You will always have an opportunity to try again. 


The content of this blog is based on my personal and clinical experience. It is not a diagnostic tool. If you suspect you might have ADHD, please seek assessment by a qualified professional.  For more information about who i am, check out the about me page. For more info about what I do, check out the services page. And contact me here

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As a therapist, I have heard some version of this question more times than I can : " Why do I always attract the wrong type of people? People who take and take and never give back. People who ignore me. People who treat me badly." And here is the honest answer: you don't know any better yet. Not because you're broken or oblivious — but because your nervous system is doing exactly what nervous systems do. It's keeping you in familiar territory. Familiarity Beats Safety. Every Time. This is the piece most people miss. Your nervous system isn't wired to seek out what's good for you. It's wired to seek out what's known to you. So if all you've ever known are relationships where love was conditional, where you had to earn your place, where being neglected or disrespected was just... Tuesday — then that's what your system registers as "normal." And normal feels safe, even when it isn't. Here's where it gets interesting. A lot of people who grew up in those environments discovered a workaround: give more . Give enough, and people like you. Give enough, and you stay in control. The more you do for people, the more you're needed — and being needed feels like belonging. The problem? That vibe attracts people who need to receive but can't reciprocate. And being given to ? Being truly cared for? That feels downright threatening, because it's unfamiliar. Familiarity beats safety. Every time. So How Do You Change the Template? You don't change your relationship patterns by finding better people. You change them by changing what feels normal to you. Here's how: 1. Notice what happens when you receive. Pay attention to how you feel when someone gives you a compliment, does something kind for you, or offers help. Really notice it. Most people who grew up giving first, last, and always feel deeply uncomfortable in that moment — fidgety, dismissive, quick to deflect. That discomfort is data. It's telling you that your nervous system has spent decades turning away from receiving and toward giving. 2. Start asking for things. Ask for help. Ask for support. Ask for care. And then sit with how hard that is. This isn't about becoming needy — it's about practicing something your system has been avoiding for a long time. 3. Build your tolerance for receiving, slowly. When the discomfort shows up (and it will), don't run from it. Notice it. Sit with it. Send it a little curiosity instead of judgment. If you do parts work, this is a great place to get curious about the part that goes stiff when someone is kind to you — where do you feel it in your body? Does it have an age? What does it need? Give it some compassion. It's been working very hard to keep you "safe." 4. Orient toward the people who actually show up for you. This one's simple but not easy. Start paying attention to people who offer care without expecting anything in return. Notice how it feels to be around them. Watch how they treat others. And here's the key shift: focus on who you are when you're with them — not what you can do for them. Follow the discomfort. The people who make you feel slightly squirmy because they're just... genuinely kind? Those are the people worth your attention. 5. Let it become your new normal. The more you orient your energy toward people who care for you without keeping score, the more familiar that starts to feel. Slowly, effortlessly, your template shifts. You stop scanning for ways to be useful and start noticing how you feel . That's when you know something real has changed. The Bottom Line You're not cursed. You're not a magnet for bad people. You're just running an old operating system that was built to keep you safe in an environment that wasn't. And like any operating system, it can be updated. It takes time. It takes discomfort. And it takes being willing to let people actually care for you — even when that's the scariest thing of all. That's the work. And it's worth it. Annabelle is a Licensed Professional Counselor and the owner of Renegade Counseling, a telehealth practice specializing in complex trauma, dissociation, and neurodivergent-affirming care. She works with adults across Colorado and Washington.
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