Adult ADHD at Work

Telehealth care for adults anywhere in Massachusetts · (617) 318-8557

For many adults, work is where ADHD becomes impossible to ignore. School may have been manageable with deadlines, structure, and teachers checking in. Then a job arrives with long projects, competing priorities, constant email, and far less outside structure, and things start to slip. Some people notice it in their first job after college. Others do fine for years until a promotion, a new manager, remote work, or more responsibility at home tips the balance.

This page describes how ADHD can affect work, some practical strategies, and when an evaluation may help.

How ADHD Can Show Up at Work

  • Procrastination and deadline crunches. Putting off large or tedious tasks, then working intensely at the last minute.
  • Trouble prioritizing. Spending time on easier or more interesting tasks while important ones wait.
  • Email and paperwork overload. Unanswered messages, unfinished reports, and expense forms that never get submitted.
  • Losing focus in meetings or missing details and decisions.
  • Underestimating time, running late, or overcommitting.
  • Inconsistent performance. Excellent work on engaging projects, and real difficulty with routine ones.
  • Impulsive reactions, such as interrupting, sending a message too quickly, or saying yes to too much.
  • Exhaustion from the extra effort it takes to appear organized.

Many capable, successful people have ADHD. Strong performance on the surface does not rule it out, especially if it depends on long hours, last-minute pressure, or elaborate workarounds. At the same time, these difficulties can also come from burnout, poor sleep, anxiety, depression, or a job that is simply overloaded. A careful evaluation helps tell these apart.

Remote and Hybrid Work

Working from home has helped some adults with ADHD by reducing interruptions. For others it removed the outside structure that kept them on track: no commute to mark the start of the day, fewer people nearby, and more distractions at home. If your focus changed noticeably when your work setting changed, that is useful information to bring to an evaluation.

Practical Strategies That Often Help

Whether or not you have ADHD, these approaches help many people manage work demands:

  • Break large projects into small, concrete next steps with their own deadlines.
  • Keep one trusted list or task system instead of several.
  • Use calendar blocks for focused work, and silence notifications during them.
  • Set timers to make time visible, and build in buffer time between meetings.
  • Write down action items at the end of each meeting.
  • Protect sleep and regular exercise, which support focus and energy.

If you have tried strategies like these for a long time and still struggle, an evaluation may help explain why.

Getting Evaluated Without Missing Work

All visits are by secure video, so there is no commute or waiting room. You can join from home or another private location, as long as you are in Massachusetts during the visit. The first adult ADHD evaluation visit is 60 minutes. If ADHD is diagnosed and you decide on treatment, follow-up visits for medication management are typically monthly, also by telehealth. Read what to expect for the full process.

Your health information is private and is not shared with your employer without your permission. Whether to share a diagnosis at work is your decision.

Daniel Ackroyd, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who provides adult ADHD evaluations and medication management by secure telehealth for adults anywhere in Massachusetts, including professionals in communities such as Burlington, Lexington, and Concord.

Frequently Asked Questions

Can I have ADHD if I have done well in school and my career? Yes. Many adults with ADHD are successful, often by working longer hours or relying on deadline pressure and workarounds. What matters is whether symptoms are persistent, began in childhood, and cause real difficulty.

Can I do the evaluation during my workday? Visits are by secure video, so many people join from home or another private location. You must be located in Massachusetts during each visit.

Will my employer find out? Your health information is private and is not shared with your employer without your permission. Whether to share a diagnosis at work is up to you.

Is the evaluation covered by insurance? The practice accepts several major commercial plans. Coverage varies, so check your benefits and telehealth coverage with your insurer. See the Insurance Information page.

Getting Started

New patients begin with a short, secure intake form, or a phone call if you prefer. There is no online self-scheduling. Your concerns are reviewed first, and you will have a brief conversation with the practice to make sure care here is a good fit before an evaluation is scheduled.

Complete the Secure Intake Form →
General questions: call (617) 318-8557 or email [email protected].

This page is general information and is not medical advice. If you are having an emergency, call 911. If you are in crisis or thinking about harming yourself, call or text 988 for the Suicide & Crisis Lifeline.

Telehealth That Fits Your Workday

A Short, Secure Intake Form Is The First Step. Your Concerns Are Reviewed, And A Brief Conversation Confirms Fit Before Any Evaluation Is Scheduled.

Ackroyd Psychiatric – Daniel Ackroyd, PMHNP-BC
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