Hidden Signs of ADHD in NYC Adults

If you live or work in New York City, you probably know how much energy, focus, and drive it takes to keep up. Many of the professionals we work with here at PRGRS Therapy describe themselves as creative, organized, and ambitious — qualities that help them thrive in their careers.

But sometimes, those same traits that make you successful can also cause stress, burnout, or conflict. And in many cases, they may actually be connected to ADHD — even if you’ve never considered it.

Energy and Drive

Many adults with ADHD have a remarkable ability to pour themselves into projects they care about. When something sparks their interest, they can work for hours without stopping — often producing incredible results.

But that same intensity can make it hard to slow down or shift gears. You might find yourself checking emails at midnight, skipping meals, or neglecting relationships because you can’t “turn off” your work brain.

In a city like NYC, where hustle is practically a badge of honor, this can look like dedication. But when your energy starts running your life instead of fueling it, that may be a sign that ADHD is part of the picture.

Organization and Systems

When people think of ADHD, they often picture disorganization. But we see the opposite just as often. Many of our clients with ADHD are extremely structured — they rely on systems, lists, and routines to stay on top of everything.

These systems are often a way to manage forgetfulness or distractibility, and they work… until they don’t. When organization becomes rigid — when you feel anxious if things aren’t “just so” — it can create even more pressure.

Being organized is a great quality, especially in the fast-paced professional world of New York, but when it becomes exhausting to maintain, it might be worth looking deeper.

Creativity and Problem-Solving

Creativity is one of the biggest strengths we see in adults with ADHD. Whether you’re a designer, entrepreneur, doctor, or manager, your ability to think differently is often what sets you apart.

But sometimes, creativity becomes a clever way to avoid what’s hard or boring. You might brainstorm endlessly instead of finishing a task, or come up with elaborate “systems” that delay actually getting started.

The same creative spark that helps you innovate can also lead to procrastination — and that push-pull cycle is something many adults with ADHD know all too well.

When Strengths Start to Backfire

Having high energy, being organized, or thinking creatively doesn’t automatically mean you have ADHD. But when those strengths begin to cause more stress than success — when they start to hurt your relationships, focus, or wellbeing — it may be time to explore what’s really going on.

If this sounds familiar, a great first step is to take a free ADHD self-screener. It’s quick, confidential, and can help you understand whether ADHD might be playing a role in your life.

You can also book a free consultation with us to learn a bit more about how we can help.

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Matthew Ryan, LCSW

I am a therapist, group practice owner, private practice consultant, and content creator. I am passionate about helping people make progress towards their goals.

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