Sophie ran a logistics company with 60 staff and two children under ten. She came to see me about her blood pressure. She described herself as thriving.

She was. That was the problem.

For an ADHD brain, thriving and depleting can look identical from the inside. The conditions that make ADHD brains perform best — high stakes, constant urgency, real problems with immediate feedback — are also the conditions that ask the most of them. The engine sounds perfect. The tank is emptying.