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ADHD and Self-Esteem:

When Children Start to See Themselves as the “Bad Kid” Dr. Van Krasnov discussing emotional health and the myth of constant happiness

“Sit still.”

“Pay attention.”

“Stop talking.”

For many children with ADHD, these words form the soundtrack of childhood — constant reminders that they are somehow out of sync with the world around them.

These corrections are rarely harsh or ill-intentioned, but over time they add up.

Eventually, the message sinks in. Am I the bad kid? Why can’t I sit still? Why does everyone else seem to have no trouble doing this? Is there something wrong with me?

That slow erosion of self-worth is one of the most painful and overlooked parts of ADHD. The child may begin to anticipate criticism before it happens, to withdraw from learning, or to adopt humor or defiance as a defense. And why wouldn’t they?

And yet, beneath that surface, most are simply tired — tired of trying so hard and still feeling “too much.”

As clinicians, parents, and teachers, it’s easy to focus on behavior and miss the emotional toll. But self-esteem is not a side issue — it’s a core part of development. The way a child understands their struggles becomes the lens through which they see their intelligence, relationships, and potential.

Untreated or misunderstood ADHD doesn’t just lead to distraction — it can lead to an identity shaped around failure. That’s why one of the most healing things an adult can do is to reframe the narrative. Instead of “You need to try harder,” it becomes, “Your brain works differently, and that’s okay. Let’s find ways to help it work for you.”


How Adults Can Help Rebuild Confidence

1. Name strengths clearly and often.
Children with ADHD may hear corrections ten times as often as they hear praise. Counteract that ratio deliberately. Name the effort, creativity, humor, or persistence you see — especially in moments when things don’t go perfectly.

2. Separate behavior from identity.
Instead of “You’re being bad,” say, “That behavior isn’t working.” It’s a subtle but powerful distinction that tells the child: you’re still good — this moment just needs adjusting.

3. Model curiosity, not frustration.
When attention slips, approach it with curiosity: “I wonder what made it hard to focus just now?” This invites reflection rather than shame.

4. Build mastery through small wins.
Success is the antidote to low self-esteem. Choose tasks that stretch but don’t overwhelm. Let the child feel competence building over time.

5. Collaborate with teachers and caregivers.
A coordinated message across home and school — one that emphasizes growth rather than punishment — helps prevent the “bad kid” label from sticking.


A Next Step

Rebuilding confidence is one part of supporting a child with ADHD. For families who want to go beyond understanding toward action — adjusting routines, environments, and habits — I wrote a companion piece on Non-Pharmacological Strategies for ADHD Treatment.

That post walks through practical, evidence-based steps you can start using at home, even before considering medication.



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