Most Replayed Moment: The Emotional Toll Of Undiagnosed AuDHD (Explained by No.1 AuDHD Expert)

6 May 2026 · 10 min · 3 chapters

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In short

The emotional toll and real-world consequences of undiagnosed AuDHD (autism + ADHD), using a deeply personal case to explain “contradictions,” masking, and how missed diagnosis can lead to isolation and self-medication.

Guest backgrounds

No.1 AuDHD expert (host/speaker). Guest is a mother from Canada who contacted the expert after reading their book; she shared her son Adam’s story.

Key claims

Schools and professionals can dismiss symptoms when someone is highly talented; stress can temporarily drive performance; boredom can collapse output; masking drains energy and strains relationships; late diagnosis can bring grief or relief.

Notable examples

Adam, a 13-year-old BBC Musician of the Year, memorized a 40-page sonata but was dismissed as “unteachable,” later became homeless after fentanyl overdose and died on a ventilator.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

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The Heartbreaking Story of Adam

0:30 to 5:50

Exploration of the emotional toll of undiagnosed ADHD through a mother's story of her son Adam.

“What is the emotional toll perhaps of someone who has all ADHD but never figures it out?”

Understanding Undiagnosed ADHD

5:50 to 9:01

Discussion on the contradictions faced by individuals with undiagnosed ADHD and the loneliness they experience.

“The contradictions, they will live in contradictions.”

Emotions Surrounding ADHD Discovery

9:01 to 10:46

An examination of the emotional responses individuals have upon discovering their ADHD diagnosis.

“It's a spectrum of emotions, a spectrum of responses that you would get from people.”
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Transcript

Automatic transcript. May contain errors.

0:00Push your limits, train with precision, see the results. At Equinox, that's high-performance loving. Iconic spaces that inspire. Personal training backed by real data. Unlimited group fitness classes from yoga and Pilates to strength and conditioning. Elevate your post-performance ritual with saunas, steam rooms, cold plunges, and more. Everything you need to lock in and unlock your potential at Equinox. Start today at equinox.com.

0:30Dr Khurram:What is the emotional toll perhaps of someone who has all ADHD but never figures it out? This reminds me of something that happened recently. Somebody, a mother contacted me from Canada. She emailed me and she said that she has read my book. She had seen our previous podcast. and for a very long time she was in grief because her son died a year ago

1:07his name was adam he was a musician he was at the age of 13 years he was selected as one of the bbc musicians of the year gifted he saw music on the piano he learned he mastered the music in two months after he learned the basics of it to the extent that people said that he is unteachable now people could not train him because he was at that very level he died a year ago of overdose fentanyl overdose and the mother could not forgive him or forgive herself had not looked at the picture for a year and when she sent me the story and sent me the email i cried for five minutes just just just listening and just listening to the voice note and and looking at the story that she had sent the pictures of the person from the very onset like again he was he was brilliant but he used to forget things he ended up one day with just one shoe in school he was not a typical adhd and when mother raised concerns with with the school teacher with with the school nurse and she laughingly said oh somebody who can memorize a 40 page sonata cannot have any learning difficulty so it was completely dismissed and then there was another side to him who was very preoccupied with things with special interests he would not meet people he would not mingle with people he was taught in one of the best musical music schools in the in in the world like he was in manchester then he went to the hamburg conservatory which is one of the leading institutes and he played all over Europe but again not socializing with people the defining factor was in his life was the pandemic and that broke him he was devastated he was locked in the in the dorm not able to get out mother had to fly all the way from Canada because he had lost yet another passport his sixth in a year and the authorities won't issue him the passport and mother had no alternative but to take him back because he was not able to sustain himself in europe and with that his dreams shattered to be a musician he was diagnosed eventually with adhd but was never medicated he could not hold a job he started self-medicating then it went into using hard drugs and eventually became homeless and the world saw him as an addict he could not go past beyond that addiction phase of his like he became invisible from a musical prodigy to being a homeless person on the streets and according to mother his whole life was a contradiction he was perfectionistic yet very chaotic and he feared life more than death when his mother asked him and again that gave me goosebumps my mother said Adam why do you take drugs and he says mother normal people they fear death people like me they use drugs because we fear life has such a strong statement.

4:59And it actually shows his insight into his life and how he was misunderstood and not seen. And he eventually one day died of a fentanyl overdose. His parents were in another city. And mother received a call, the doctor, your son is on ventilator, what should we do? this is what a missed RHD can look like it's one of the most heartbreaking examples but people like Adam they just go unnoticed in this world, they became invisible despite of being brilliant and like the story has stayed with me it doesn't go away because every time I think of RHD I think of Adam

5:49Dr Khurram:such a heartbreaking story karam and thank you for sharing it i think it's a tribute to adam and it shines such a bright spotlight on the importance of the work that yourself and many people are doing to raise awareness i think i'm certainly thinking of someone i'm sure many of the listeners and viewers are thinking of someone that they know as well their own version of adam who is deeply struggling, who perhaps it's themselves, who feels deeply misunderstood. What can undiagnosed ADHD look like? The contradictions, they will live in contradictions. People have come to me that, they have said to me that they were not sure whether they were autistic or ADHD for a very long time.

6:38They were too organized to be ADHDers and they are too disorganized to be autistics. but at the same time they things that they tried there was a push and pull factor they would not be able to achieve the full potential something stops them and they don't understand what's stopping them the disparity the contradictions that we spoke about for example wanting something but unable to achieve it having the attention span and the concentration but not able to sustain it for a very long period of time unless they go into a phase of hyper focus where there's a consequence attached to it a lot of these people they work in very stressful environments because the stress is leading the way and stress is helping them achieve or finish things you take away that stress and if you put them in a very boring environment where there's no consequence their work will be a very substandard level because there's nothing enticing them there's nothing stimulating them towards it and for an audi hd it's it will be a story of shattered dreams broken hearts complicated interpersonal relationships losing friend constantly without knowing it showing passion and aversiveness both at the same time towards their partners and towards friends and towards family and people who cannot understand it and people who do not have the lens to understand these patterns will all of a sudden they will move away from them and they feel themselves to be lonely do you think having audi hd is generally

8:19Dr Khurram:a lonely experience in other words is it hard to maintain connections friendships relationships when in order to do that, you need to put a true version of yourself forward. And it sounds like many people with ADHD don't have a good understanding of who they really are. Yeah. And they start masking it. And masking takes a lot of energy. And masking led them to be what they're not. The burden of carrying that mask in those relationships can be intense and they can be volcanic eruptions from time to time because they're unable to sustain it for a period of time. Or they could be burnouts because they are unable to have that energy to sustain that mass for a very long time.

9:01Dr Khurram:What emotions crop up when someone discovers they have ADHD? It's a spectrum of emotions, a spectrum of responses that you would get from people. Some people who have been, who did not come on their own volition, but again their partners or their friends kind of urge them to come. they can go through a state of denial and then from there they would like to learn more about themselves and eventually embracing but it takes a lot of time some people get very emotional they they cry they grieve and they grieve because they look at the missed opportunities they look at the parents why would not be parents able to pick those up and i always use this analogy i said eyes can't see what the mind does not know if the professions are missing so much on on these diagnoses or these conditions how can you expect somebody else who is not a professional who have not been taught have not been educated about it to be able to understand that so that helps them to to kind of ease their pain some cry with joy and satisfaction and said that.

10:15I always wanted that, but I wanted it to be rubber stamped. I'm satisfied. I feel that I'm whole now. I feel that I'm able to think from that very perspective. One of the most common thing is when people cry, cry with joy, because they now know that the things that they're looking for, they found it now, because they were kind of throwing arrows in the dark, shooting arrows in the dark. They did not know what it was. And if you don't know what it was, how are you going to manage it. Push your limits, train with precision, see the results. At Equinox, that's high performance loving. Iconic spaces that inspire.

10:54Personal training backed by real data, unlimited group fitness classes from yoga and Pilates to strength and conditioning. Elevate your post-performance ritual with saunas, steam rooms, cold plunges, and more. Everything you need to lock in and unlock your potential at Equinox. Start today at equinox.com. Thank you.

From the publisher

Dr Khurram is a world renowned, award-winning psychiatrist and author of Explaining AuDHD. He’s here to explain the emotional toll of undiagnosed AuDHD.

In tribute to Adam 💚

Dr Khurram on LinkedIn 👉 https://uk.linkedin.com/in/dr-khurram-sadiq

Dr Khurram’s book 👉 https://www.amazon.co.uk/Explaining-AuDHD-Guide-Autism-ADHD/dp/1804369489

Dr Khurram on Instagram 👉 https://www.instagram.com/fomosapien666/?hl=en

Book to see Dr Khurram in clinic:

For an ADHD assessment 👉 https://adhdhealthclinic.co.uk/adhd-treatment-options/in-person-adhd-assessment/

For an Autism assessment 👉 https://adhdhealthclinic.co.uk/autism/in-person-autism-assessment/

For a combined ADHD and autism assessment 👉 https://adhdhealthclinic.co.uk/autism/in-person-combined-autism-adhd-assessment/
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