These thoughts are the hidden voice of chronic shame—the kind that forms when ADHD and trauma overlap. Shame keeps your nervous system in survival mode, which makes executive functioning, focus, and follow-through nearly impossible. That’s why my work as an ADHD therapist starts with compassion before correction. My shame-first, trauma-informed approach helps adults with ADHD heal self-blame, rebuild trust with their brains, and finally create sustainable change that lasts beyond a to-do list. When we address shame first, your brain has the safety it needs to do what it already knows how to do.