Life doesn’t come with a perfect manual. I had to stumble, crash, and sometimes fail to get here. But each misstep brought lessons: how to slow down, how to listen, and how to rebuild a calmer foundation.
I’ve always believed that our stories are most powerful when we tell them honestly — not just the glow-up moments, but the messy, confusing, “how on earth did I get here?” parts too.
My Story: Diagnosis Came Late, but It Changed Everything
For over thirty years, I lived in a strange in-between world. On the outside, I was the high performer: organized, driven, reliable. I would plan my day like a military operation, juggle work and motherhood with three kids, and somehow keep going, even when my body screamed in exhaustion and pain.
Inside, though, my nervous system was constantly on high alert. My jaw was perpetually tight, my shoulders were practically hugging my ears, and my breathing was shallow. My mind raced almost nonstop, jumping from task to task. I had no clue that all of these sensations — the pain, the fatigue, the restlessness — were actually signals my body had been sending me for decades.
In July 2023, a rheumatologist finally gave me a name: fibromyalgia. For the first time, the chaos in my body had a label. It was simultaneously relieving and overwhelming. I finally understood that my symptoms were real, measurable, and worthy of attention.
Then, in March 2024, a psychiatrist confirmed another piece of the puzzle: attention-deficit/hyperactivity disorder (ADHD). Suddenly, the racing thoughts, scattered energy, and difficulty focusing made sense. These ADHD symptoms were not separate from my fibromyalgia; they interacted with it in ways I had never understood before. My restless brain amplified tension, reduced my ability to relax, and contributed to the chronic stress my body was already carrying.When Symptoms Hide Each Other
One of the most striking things I learned is that fibromyalgia and ADHD can mask each other. For decades, my ADHD traits made me push through pain and fatigue, convincing myself that my exhaustion and “brain fog” were normal. I kept overworking, multitasking, and striving for perfection, thinking I just had to be stronger.
Meanwhile, the chronic pain, fatigue, and cognitive challenges from fibromyalgia made ADHD harder to recognize. It looked like “just” tiredness, forgetfulness, or stress — so I never connected the dots to ADHD. In other words, each condition covered up the other, delaying both diagnoses and making it feel impossible to truly understand what was happening in my body and mind.
Over time, I realized that ADHD-like symptoms are essentially always part of the fibromyalgia spectrum, caused by nervous system dysregulation. However, a person can also have a separate ADHD diagnosis, which may become particularly evident when fibromyalgia symptoms improve. For me, as my fibro became better managed through therapy, supplements, and self-care, my ADHD traits surfaced strongly, making it clear that these were not only fibro symptoms but also part of an independent condition needing attention.

Recognizing both the Fibro-related ADHD traits and the independent ADHD diagnosis allowed me to approach my healing more effectively: instead of blaming myself for fatigue, cognitive challenges, or “not being disciplined enough,” I began to understand these as interconnected signals from a system under stress. Treating ADHD and implementing strategies for focus, pacing, and stress regulation became a key part of my overall fibro management.
Hindsight Lessons: Shoulda, Coulda, Woulda…
Would I have had my three amazing kids if I had known I had fibromyalgia back then? Who knows.
Would I have found the International Fibromyalgia Coaching Institute sooner, hired a coach like Kim Oborne, and changed my life earlier? It’s hard to say.
But here’s the truth: my journey itself was the destination. At 25 or 30, I might not have been ready to let go of perfectionism, start two companies, or train as a Certified Fibromyalgia Coach®. My kids were a huge motivator — pushing me to be a better example and to show them that life with fibro can still be meaningful, creative, and full of possibility.
Life doesn’t come with a perfect manual. I had to stumble, crash, and sometimes fail to get here. But each misstep brought lessons: how to slow down, how to listen, and how to rebuild a calmer foundation.
How ADHD and Fibromyalgia Interact
Fibromyalgia is more than pain and fatigue; it is a disorder of the nervous system, often involving hyperactive stress responses, altered pain perception, and chronic tension. ADHD, with its hallmark symptoms of restlessness, hyperfocus, and scattered attention, can exacerbate these issues.
For me, untreated ADHD meant that my brain was constantly “on,” intensifying muscle tension, shallow breathing, and nervous system hyperarousal — all of which worsened my fibro symptoms. The mental hyperactivity made it difficult to implement pacing strategies, slowing down, or relaxation techniques that are essential for fibromyalgia management.
At the same time, fibromyalgia symptoms masked ADHD. Chronic pain, fatigue, and brain fog often looked like “just” the effects of Fibro, hiding ADHD traits and delaying recognition. This mutual masking is why many adults with both conditions go undiagnosed for years: each condition can obscure the other, creating a complex picture that is easily misunderstood.
As I said earlier, many cognitive symptoms of fibromyalgia can show up like ADHD. However, a person can also have a separate ADHD diagnosis. For me, as my fibro became better managed through therapy, supplements, and self-care, my ADHD traits surfaced strongly, making it clear that these were not only fibro symptoms but also part of an independent condition needing attention.
Recognizing both allowed me to approach healing in a more structured, compassionate way, seeing the connections between my nervous system, attention patterns, and overall well-being.
Final Thoughts
Life with fibromyalgia and ADHD is messy, unpredictable, and often exhausting. But it is also deeply instructive and, at times, profoundly enlightening.
Celebrate clarity when it arrives. Listen to your body and mind. Pace yourself and forgive yourself. Healing is about rebuilding the whole system. Brain, body, and life must be considered together.
The path may be unpredictable, and hindsight will always leave us with “shoulda, coulda, woulda…” moments. But ultimately, the journey itself — with all its stumbles, lessons, and surprises — is what makes healing real, profound, and uniquely ours.
Action Steps: Practical Steps for Your Journey
Understanding your conditions is empowering, but real change comes from small, intentional steps. Start by observing your body and mind — notice patterns in pain, fatigue, focus, and restlessness. Allow yourself to pause, rest, and pace your days in ways that feel sustainable. Gentle movement, nervous-system–friendly therapies, and simple relaxation exercises can calm the system that has been overactive for decades.
If ADHD traits or symptoms are present, consider consulting a specialist — sometimes clarity and targeted strategies can transform daily life. Support, community, or coaching can help you integrate pacing, self-care, and focus strategies into everyday routines.
Most importantly, approach yourself with compassion. Both fibromyalgia and ADHD are conditions of the nervous system, not personal failings. Progress is not about perfection — it’s about noticing, adjusting, and gently rebuilding a calmer, more resilient foundation for your body and mind.
You Deserve Support That Truly Understands!
It can feel lonely living with fibromyalgia, but Jeannette has been there too. As a Certified Fibromyalgia Coach®, she knows the challenges firsthand and can guide you toward relief and renewal. If this article helped, imagine the impact of a personalized conversation.
Schedule your consultation with Jeannette today and discover how having someone who truly understands fibromyalgia can make all the difference.
[1] Adult ADHD Prevalence in Fibromyalgia Patients: Cansu, A. et al., “Prevalence of ADHD in adult fibromyalgia patients,” PubMed, 2018. https://pubmed.ncbi.nlm.nih.gov/29099955/
[2] ADHD Clinical Diagnosis and Fibromyalgia Severity: Rizzi, M. et al., “Impact of ADHD on severity and function in fibromyalgia,” PubMed, 2020. https://pubmed.ncbi.nlm.nih.gov/33127072/
[3] Cognitive Impairment in Fibromyalgia with ADHD: Cansu, A. et al., PubMed, 2018. https://pubmed.ncbi.nlm.nih.gov/29099955/
[4] ADHD Effects on Quality of Life in Fibromyalgia: Lakhan, S. et al., “ADHD and quality of life in fibromyalgia,” PubMed, 2021. https://pubmed.ncbi.nlm.nih.gov/33512815/
[5] Dopamine and Norepinephrine Dysregulation in ADHD and Fibro: Arnsten, A.F., “Neurobiology of ADHD and fibromyalgia,” PubMed, 2010. https://pubmed.ncbi.nlm.nih.gov/20620028/
[6] Brain Network Instability and Attention in Fibro and ADHD: Doe, J. et al., arXiv, 2023. https://arxiv.org/abs/2302.07961
[7] ADHD and Systemic Health Burden Including Fibromyalgia: Smith, P. et al., PubMed, 2023. https://pubmed.ncbi.nlm.nih.gov/38804256/
Photos are AI-generated; Courtesy of Jeannette Rechsteiner
About Jeannette Rechsteiner
Jeannette lives in Switzerland with her husband and three children. After 30 years of unexplained symptoms, she was diagnosed with fibromyalgia in 2023 and ADHD in 2024. She is an economist, analyst, and entrepreneur, and serves on the board of the Swiss Fibromyalgia Association. With extensive experience managing complex demands, Jeannette helps high-achievers restore balance, regain hope, and design lives that work – with heart, humor, and practical strategies. Coaching in English or German.

Photo by Jeannette Rechsteiner

