10/31/2026
Psychologist and Simon Fraser University Professor Grace Iarocci has been looking at how people with ADHD may be working extra hard to try and blend in.
“Masking is this concept that was first talked about in relation with autistic people. So in the literature on autism we came to recognize that many individuals, mainly women but also men or non-binary, or transgender individuals who are autistic tend to what we call camouflage or mask behaviours so that they appear more typical,” she said.
“And so we thought, well, if autistic people are struggling with this, masking, having to mask behaviours, maybe other people with developmental disabilities, like people with ADHD, might also be doing some of these same things, or they could be masking in different ways.”
Iarocci says people tend to mask to avoid negative perceptions from others.
“The idea is that camouflaging or masking is kind of a survival mechanism that people with developmental disabilities might use because often in society, and there’s lots of research examples of this, people have certain biases around people with developmental disabilities, thinking that maybe they’re not as smart as everybody else, they’re not as, capable, or they’re not as able to make friendships,” she said.
“I mean, there’s all kinds of sort of biases or impressions that people have about people with these conditions.”
She says the stakes are often quite high for people who are masking.
“They’re doing it so that they don’t get into trouble, or that they don’t lose their jobs, or that they don’t lose friends. And so often there’s a lot on the line, and yeah, if things don’t go right, it can lead to really serious consequences,” she said.
Iarocci says masking can give people a sense that they aren’t showing off their real personality to others.
“The other part about masking too is that if you do too much of that, it starts to feel like you’re putting on a performance, it’s not really you. People don’t get to know the real you, and so you kind of start to feel like, ‘Are people liking me because of the way I’m performing or because of who I am as a person, underneath that persona?'”
Iarocci says it can be exhausting masking all day.
“There could be mental health costs, feeling anxious all the time because you have to be hyper-vigilant, or feeling depressed because you’re having to do all this extra work, and still people are maybe not as impressed by you as you think they should be or that you’re not gaining as much from doing all that work.”
She spoke to some potential serious consequences that could be downstream of masking.
“People who, who may be masking too much or in too many situations, because of the challenges of having to do that, they’re becoming more anxious, often…hyper-vigilant around, situations or people,” she said. “If you’re very anxious, of course, substances sometimes can ease that feeling. So that can have risks for substance use for sure. I’ve seen that in my own clients describing why they started using substances to feel more able to cope in these situations, to feel more relaxed around social situations.”
Iarocci also spoke about the potential for people to reach a state of burnout that is difficult to bounce back from.
Burnout is another really a common thing that I’ve heard from my adult clients where, if you keep doing this, it wears you down over time. Like, you keep having to over prepare, having to be hyper-vigilant, having to always check yourself, everything you say, everything you do. And maybe again not getting the positive feedback from people at work or in post-secondary settings where you feel like all your effort is actually paying off. In fact, no, you keep finding yourself In situations where people are calling you out on things, or you’re not getting it quite right.
And so that can easily lead to burnout. And once there is burnout, it really is hard to come back from. It’s almost like you’ve reached a point where you just have this incredibly overwhelmed feeling, like you’re never going to be able to come back to that setting. It’s almost like a kinda traumatic event that happens.
And so whether it’s in a workplace or a post-secondary setting, or even in a personal relationship setting, if you feel like completely exhausted and burnt out you may never want to go back to that situation. So it’s really hard to come back. That’s why we wanna prevent burnout at all costs.
Iarocci says society can be more understanding of people with ADHD, so that the toll of masking can be lessened.
“People can be more empathetic toward these folks and understand that just because they behave differently, maybe they’re moving around and fidgeting or doing other things that other people don’t do, doesn’t mean that they’re not competent, or doesn’t mean that they’re not great people to be around or to be friends with or to be a partner to,” she said.
“We have to start to become more empathic and understand it from the other person’s perspective, knowing what they’re going through and how they’re having to navigate life. And once we have that information and we are more informed about this, maybe our behaviour, our attitudes will change, and that will make everybody’s life easier, right? Not just the mainstream.”
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"We have to start to become more empathic and understand it from the other person's perspective, knowing what they're going through and how they're having to navigate life," says SFU prof Grace Iarocci