Five Ways ADHD Burnout Impacts High-Achieving Women 1. Emotional exhaustion behind the mask Many high-functioning women with ADHD become experts at hiding their struggles—keeping everything looking polished on the outside while quietly working twice as hard behind the scenes. Over time, that constant “performance” leads to deep emotional exhaustion. The smile, the competence, the calm voice in meetings—all of it takes energy that eventually runs out. 2. Cognitive fatigue from perfectionism Burno