Improving self-efficacy of ADHD students
I have been a Specialist Study Skills Tutor since 2012, employed by the Disability Team at UAL. When I was doing my initial teaching training, the emphasis was on neurodivergent differences such as dyslexia and dyspraxia but in recent years, especially post covid, more students are presenting with ADHD and autism. It is a requirement that tutors working with ADHD students and Autistic students complete specialized training as part of Continuing Professional Developemnt (CDP).
For this report I will be focusing on ADHD students. Although there is a high incidence of co-mobility, both neurological and mental health conditions in neurodivergent students, ADHD students have additional challenges associated with inattention, impulsivity and hyperactivity (British Dyslexia Association, Harrison, 2025, Lubranois, 2019).
An article in the British Medical Journal (BMJ) on prevalence from a report by the Nuffield Trust found that the number of people getting ADHD treatments prescribed rose from 154 858 in 2019-20 to 233 474 in 2022-23 (2025)
GPs have reported being overwhelmed by patients seeking ADHD assessments, and researchers have reported that the overall rate of new diagnoses increased in male and female patients aged over 18 between 2000 and 2018. One of the most significant increases was in men aged 18-29, rising from 0.68 to 50.0 per 100 000 person years (BMJ, 2025) Research also highlights that ADHD is under diagnosed for women and girls. Evidence suggests that girls are better at masking ADHD, but this can come at quite a cost to their mental health. (Sibley, 2025)
This increase in adult diagnosis has caused some controversy and attracted a lot of negative media attention. However, those working in the field believe that the increase has come about as a result of more education about the condition and a more inclusive approach to ADHD (Sibley, 2025). Crenshaw’s concept of intersectionality is a useful framework to examine why some people are less likely to get a diagnosis in childhood. Factors such as race, gender and class all have a part to play in education and health systems with built in bias. (Crenshaw, 1990, Phoenix, 2018)
UAL has embraced this increase and, leaning even more into the social model of disability, now offers support to students without a full diagnosis of any neurodivergent condition, not just ADHD. Due to long waiting times for assessment and diagnosis, students were missing out on support. The social model of disability is less focused on diagnosis and labels of disability and aims to focus on external barriers that neurodivergent students face when navigating neurotypical spaces.
There are many similarities between ADHD, Dyslexia and Dyspraxia and problems associated with Executive Functioning (EF); planning, organising workload, time management, memory, slow processing of incoming information and problems with self- regulation (Harrison, 2025). EF works by enabling a person to rationalize and perform tasks be that academic or life skills: analyse what needs to be done, plan how to complete the task, get organised, break down the steps, allocate time and monitor how that time is spent, evaluate progress to assess if still on task and adjust as needed (Harrison, 2025). All straight forward but a mind field if these functions are impaired.
As a Specialist Study Skills tutor, I am trained to teach students strategies and techniques to encourage them to understand their own executive functioning capacities and work with them to promote optimum learning. This is known as Metacognition, thinking about how you think (Mortimore, 2008). More information available. https://franbarry25.myblog.arts.ac.uk/files/2025/07/Promoting-metacognition-using-feedback-case-study-3-TTP.docx.
When I first meet a student, I develop an Individual Learning Plan based on the key needs identified by the student. These range from; time management, organizing workload, planning and structuring written work, writing strategies, academic and basic reading strategies, research techniques. How these needs are prioritized and supported depends on when a student accesses support, what deadlines they are working towards, and what their experience has been to date on their course. If a student only accesses support when deadlines are eminent, stress levels will be elevated, and any planning strategies will need to ensure that tasks are broken down into manageable and doable chunks. Other traits associated specifically with ADHD; impulsivity, inattention, and hyperactivity must be considered as these present additional challenges for students. According to an Independent report commissioned by NHS England
‘ADHD, when unsupported, is a potent route into educational failure, long-term unemployment, crime, substance misuse, suicide, mental and physical illness….., when appropriately supported, people with ADHD can thrive and fully engage in a working life’ (2025, P.3).
This statement may seem stark, and not all ADHD students are impacted by all 3 or even 1 of these traits, but self-reports during sessions suggest that learning is impacted in various ways. An inability to concentrate, to get started, to focus on certain tasks, to stay focused. There can be impulsive decisions regarding assignments; changing research topics, often after already spending a long time on research; having to start from scratch with little time. Despite having average or above average intelligence there is a tendency to devalue their own achievements which causes high levels of frustration and stress related to academic work. A feeling of not being in control. This can contribute to a lack of self-efficacy, low motivation, and an inability to start and complete tasks (Harrison, 2025)
I recently read a paper on how self-efficacy and self-esteem may be improved by employing a Positive Psychology approach, emphasizing traits such as optimism and perseverance, well-being, satisfaction and interpersonal skills (Costello & Stone, 2012, p. 119). This was the starting point for the summary proposal for my intervention. I sought feedback from colleagues and peers in the disabilities team, colleagues working in psychology and psychotherapy, PGCE tutors and peers. I also conducted my own further research which subsequently made me move away from the Positive Psychology model. Cultural insistence on positivity, fueled by social media, can shut down genuine discussion regarding how you are struggling (Lecombe-Van Poucke, 2022). Toxic positivity and avoidance strategies may do more harm than good.
Across various cultures, maintaining a positive outlook is considered central to achieving success and happiness (Wyatt, 2024). Manifestations of this concept can be found in Japan, ‘ganbatte’, in India, ‘santosha’, in South Korea, ‘hwaiting’ and Brazil, ‘jeitinho brasileiro’. (Wyatt, 2024, P.2). While promoting a positive outlook on life can be beneficial, too much focus on getting rid of bad thoughts and downplaying the usefulness of inner discomfort for healthy reflection can undermine challenges faced everyday by many people (Hooper, 2023). Challenges that when accepted and worked through can lead to a more authentic self, emotional and intellectual realism (Wyatt, 2024) I started to look at other psychological models and frameworks that would better inform an intervention which would ultimately enable students to have more agency over their learning and improve self-efficacy.
Further research provided an interesting application of metacognition. Based on a clinical trial looking at the impact of inattention and depression on metacognition and conversely considering how metacognition and the attention and self-awareness it promotes can improve the daily functioning of ADHD sufferers. The paper recommends that metacognition should be included in clinical treatment plans (Butzback et al, 2021). Another paper promoting the development of psychological flexibility to get the most out of university life provides useful advice for all students (Hooper, 2023). The author uses an approach called acceptance and commitment therapy (ACT) which, put simply, encourages the student to reflect on unwanted thoughts and feelings as well as positive feelings (Hooper 2023). Embracing the whole self, being more aware of values, what is important to you, setting goals, paying attention to what you want to focus on and why. ADHD students can hyperfocus when their interest is peaked, (British Dyslexia Association) when they understand the context, (Hendrick, 2020).
In conclusion, although my intervention is still a work in progress, I am very excited about what a directed metacognition exercise, using a psychological flexibility approach might contribute to a student developing a better awareness of who they are. Not by focusing on their diagnosis but accepting the challenges this presents and thinking critically how they might overcome these challenges or at least manage the more frustrating aspects. The exercise will consider the student’s positionality and how my own positionality may influence student responses (Phoenix, 2018).
I envisage setting up a puzzle or a problem to solve. Possibly a staged approach, and the student is asked to update progress each week, or however long it takes. Feedback will be given at each stage. The exercise will be playful, but students will have to ask the same questions they would when researching an academic brief. Students will make use of critical thinking techniques which will be framed in a context they set themselves (Hendrick, 2020).
Key questions to prompt
How are they going to solve the puzzle/problem? Why?
What prior knowledge or experience can they bring to the challenge, and what do they need to research?
How much value do they place on solving this problem?
Is it digital or real-life? A problem associated with online content. Equipping students with the skills to critically evaluate social media content may help them recognize toxic positivity (Wyatt, 2024).
Are there any risks involved?
Have they set clear goals?
Moving forward, I would like to consult further with peers and students regarding the layout and design of the puzzle. I also need to give further thought as to how best to measure and evaluate impact.
References
British dyslexia society Neurodiversity and Co-occurring difficulties available at: https://www.bdadyslexia.org.uk/dyslexia/neurodiversity-and-co-occurring-differences/attention-deficit-disorder (accessed 6/7/25)
ADHD: Is prevalence increasing? | The BMJ (accessed 11/7/25)
Metacognition, psychopathology and daily functioning in adult ADHD (accessed 2/7/25)
Positive Psychology and Self-Effi cacy: Potential Benefi ts for … (accessed 27/6/25)
Crenshaw, K. (1990) Mapping the Margins: Intersectionality, Identity Politics, and Violence against Women of Color https://moodle.arts.ac.uk/pluginfile.php/2020062/mod_folder/content/0/Crenshaw%201990%20Intersectionality.pdf?forcedownload=1
Harrison, A. G. (2025) Best Practice in identifying, teaching and supporting students with ADHD: Presentation delivered at Patoss event in June. Available on Patoss website – on demand
Hendrick, C. (2020) Why schools should not teach general critical-thinking skills | Aeon Ideas (accessed 12/7/25)
Hooper, N.(2023) available at: How to make the most of university | Psyche Guides (accessed 13/7/25)
Lecompte-Van Poucke, M. (2022) You got this!’: A critical discourse analysis of toxic positivity as a discursive construct on Facebook (accessed 2/7/25)
Mortimore, T. (2008) Dyslexia and Learning Style: A Practioner’s Handbook 2nd edn. West Sussex: Wiley & sons.
NHS England (2025): available at: Report of the independent ADHD Taskforce – NHS England: (accessed 10/7/25)
Phoenix, A. (2018) What is intersectionality? https://www.thebritishacademy.ac.uk/blog/what-is-intersectionality/
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Sibley (2025) Adult ADHD is becoming more inclusive, but not overdiagnosed: available at https://aeon.co › essays. (accessed 1/7/25)
Stein Lubranois, S. https://aeon.co/ideas/living-with-adhd-how-i-learned-to-make-distraction-work-for-me (accessed 7/7/25)
Wyatt, Z. (2024) The Dark Side of #PositiveVibes: Understanding Toxic Positivity in …(accessed 27/6/25)