ADHD and the Hidden Struggles of Staying Fit

Imagine standing at the entrance of a gym with a clear goal in mind. Yet, an invisible wall keeps you from taking that first step forward.

This is a common experience for many adults living with ADHD. For them, “just doing it” is rarely a simple task. Recent findings help us understand why this invisible wall exists.

Researchers recently conducted a large scale survey to understand how neurodiversity shapes our physical habits.

They used a cross sectional study approach to look at the lives of over 360 adults. The goal was to find out what actually stops people from being active.

They specifically wanted to see how ADHD traits changed the fitness journey.

An unmotivated woman on a cross-trainer, eyes closed.
New research uncovers why neurodivergence makes the gym feel like a mountain.

Key Points

  • Adults with ADHD symptoms face unique psychological hurdles when trying to exercise.
  • Four specific barriers, including emotional regulation and coping plans, are most prominent.
  • These same obstacles are linked to a higher risk of developing exercise addiction.
  • Understanding these mental blocks is the first step toward creating better support systems.

Mapping the Invisible Hurdles of ADHD

For many adults, the struggle with focus and impulsivity does not stay confined to the office. It follows them into their fitness routines and health goals.

This study explored how participants navigated the complex world of physical activity. The results showed that those with ADHD symptoms experience significantly more resistance.

The research team looked at two main types of ADHD symptoms. These are inattention and hyperactivity.

Inattentive symptoms often lead to reduced motivation for physical tasks. This can make starting a new workout routine feel impossible. Hyperactive symptoms, however, might lead some to feel more connected to activity.

The study found that these traits create specific “determinants” of exercise. These are the factors that either help or hinder our movement. By comparing different groups, the researchers identified where the most friction occurs.

Four Mental Blocks to Breaking a Sweat

The data highlighted four specific areas where the ADHD brain meets friction.

First, “Coping Planning” acts like a faulty GPS for the mind. When a routine breaks, these individuals often struggle to find a new path. They find it harder to plan for obstacles that might get in the way.

Second, “Emotion” can turn a simple workout into an overwhelming mental task. Emotional dysregulation is a core part of the ADHD experience.

Feelings of anxiety or stress can become a massive barrier to the gym. This makes it hard to use exercise as the stress reliever it should be.

Third, “Beliefs about Capabilities” act like a quiet voice of doubt. Many adults with ADHD have lower confidence in their physical skills. They may feel they are not “good” at exercise. This self doubt prevents them from even trying new activities.

Finally, “Motivation” deficits can make the initial spark of energy hard to find. The ADHD brain often has a different way of processing rewards.

This means the long term benefits of health do not always feel urgent. Without that immediate push, the couch often wins over the treadmill.

The Paradox of Potential Exercise Addiction

While getting started is hard, some individuals may actually go too far. The study found a surprising link between these barriers and exercise dependence.

This is a state where exercise becomes a compulsive need rather than a choice. It can lead to working out even when injured or exhausted.

The researchers found that the same four barriers were linked to this risk. Essentially, the traits that make starting difficult might drive an unhealthy obsession later.

This suggests that exercise serves as a powerful, yet risky, coping mechanism. People might use intense activity to quiet their restless minds.

We must be careful when encouraging fitness in the ADHD community. We want to lower barriers without creating a new type of dependency.

Any new fitness program should monitor for signs of overtraining. It is about finding a healthy balance, not just maximum effort.

Designing Fitness Plans That Actually Work

The research suggests that the general importance of these barriers is universal. Both neurotypical and ADHD individuals value the same things in fitness.

However, the sheer weight of these obstacles is heavier for the neurodivergent community. This means we need more than just general advice.

Interventions should focus on education and clear communication. We can help people build better “Coping Plans” for when life gets busy.

This might mean having a “Plan B” workout for stressful days. Restructuring the environment can also help lower the mental cost of being active.

Social support is another key facilitator identified in the study. Exercising with others can provide the external motivation that is often missing. It turns a solitary task into a community event.

This helps overcome the “Motivation” barrier by adding a layer of accountability.

Why it matters

This research brings light to the silent struggles of millions of adults. It shows that fitness is not just about willpower or discipline. For the ADHD brain, exercise requires specific mental tools and supportive environments.

By acknowledging these four major barriers, we can build a more inclusive approach to health. These findings could lead to better apps, gym environments, and therapy. Real world impact comes from meeting people exactly where they are.

Reference

Tucker, R. L., Williams, C., & Reed, P. (2025). Breaking Down Barriers: Understanding Determinants of Exercise in Adults with ADHD Symptoms. Journal of Developmental and Physical Disabilities37(5), 885-905. https://doi.org/10.1007/s10882-024-09994-0

Saul McLeod, PhD

BSc (Hons) Psychology, MRes, PhD, University of Manchester

Editor-in-Chief for Simply Psychology

Saul McLeod, PhD., is a qualified psychology teacher with over 18 years of experience in further and higher education. He has been published in peer-reviewed journals, including the Journal of Clinical Psychology.


Olivia Guy-Evans, MSc

Associate Editor for Simply Psychology

BSc (Hons) Psychology, MSc Psychology of Education

Olivia Guy-Evans is a writer and associate editor for Simply Psychology, where she contributes accessible content on psychological topics. She is also an autistic PhD student at the University of Birmingham, researching autistic camouflaging in higher education.