Rachel Rouse Counseling, PLLC
Providing psychotherapy and play therapy for children, adolescents and adults
06/19/2026
Masking is when a person with ADHD acts in a “socially acceptable” way to fit in and form better connections with those around them.
This usually involves camouflaging their symptoms by controlling their impulses, rehearsing responses, and copying the behaviors of those who don’t have ADHD.
Keep in mind that masking does not mean you’re fake or ingenuine. It’s often a learned response based on what society views as “normal.” Many adults with ADHD mask their symptoms to prevent them from interfering with their relationships and social life.
Some people mask unknowingly, while others are aware of it. This ability to adapt socially is usually learned from childhood, which can complicate or delay proper diagnosis.
Research also suggests that women with ADHD are less likely to be diagnosed than men with ADHD due to these compensatory mechanisms and masking behaviors. ( Deficit Disorder Association ❤️)
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Can you add any additional causes which you experience?
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Research shows that people with misophonia are more likely to have certain differences in their brain structure and activity. One of those differences is having more connections and activity in and between certain areas of your brain.
The affected brain areas control how you process sounds and manage your emotions. Hearing and emotions are part of your brain’s built-in self-protection system. That’s why you feel and learn to associate emotions like anger, disgust and fear with threatening situations.
Misophonia is much like turning on a radio left at maximum volume. The sudden intense noise makes you react instinctively to make the sound stop. Likewise, misophonia can instinctively (and mistakenly) send you into fight-or-flight mode. That leads to emotional, body and behavioral reactions and symptoms.
Misophonia is more likely to happen in people with certain conditions like neurodivergence, mental health conditions and hearing-related conditions or symptoms. Here are some examples of conditions with links to misophonia: Autism Spectrum Disorder, ADHD, and Tourette Syndrome. (Cleveland Clinic ❤️)
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Learning disorders do NOT equal lower intelligence!
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