Inside ADHD: How Perfectionism and Emotional Dysregulation Are Connected
Think ADHD is just about distraction or hyperactivity? There’s a whole world of invisible experiences that rarely get talked about including the exhausting perfectionism and emotional dysregulation many ADHDers carry.
In this episode of Millennial Body Image Project, we sit down with executive function coach Sarah Kesty to explore the deep connection between ADHD, shame, body image, and the coping mechanisms we develop to feel “good enough.” If you’ve ever felt like you’re “too much” and “not enough” at the same time, this one’s for you.
Key Takeaways:
Perfectionism is a mask for ADHD shame.
When people with ADHD feel chronically “wrong” or “messy,” perfectionism can become a coping strategy to feel worthy, safe, or in control.
Emotional dysregulation is often misunderstood.
It’s not just mood swings—it’s nervous system overwhelm. Sarah breaks down how emotional intensity and body-based signals get tangled with body image, eating patterns, and self-talk.
Executive function affects food, body, and self-care.
Forgetfulness, inconsistent routines, and impulsivity are often mistaken for laziness. We explore how this shows up in disordered eating patterns, internalized weight stigma, and burnout.
Support” often misses the mark.
Most ADHD interventions don’t acknowledge the intersection of body image, diet culture, and emotional trauma. Sarah offers powerful re-frames and scripts for building trust with yourself again.
“You are not bad at life. You’re living in a system that wasn’t built for your brain.”
Listen to Inside ADHD: The Perfectionism and Dysregulation Connection on Millennial Body Image Project. For more on the ADHD-body image connection, explore our bonus resources on Patreon.