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When the Mask Slips: Restraint Collapse in ADHD, Autistic, and AuDHD Adults

  • Writer: Tim Aiello, MA, LPC, NCC, ADHD-CCSP, ASDCS
    Tim Aiello, MA, LPC, NCC, ADHD-CCSP, ASDCS
  • Apr 30
  • 4 min read

By Tim Aiello, MA, LPC, NCC, ADHD-CCSP, ASDCS


If you’re neurodivergent—ADHD, Autistic, or both—you may know this feeling well: you’ve held it together all day. You’ve performed. You’ve masked. You’ve read the room, managed your face, suppressed stims, smiled when expected, made eye contact (or faked it), worked through the overwhelm, pushed past the fatigue...


And then you get home.


And you crash.


Not just a little tired. We’re talking full-on collapse: irritability, snapping at loved ones, crying without a clear reason, shutting down, or even dissociating. Sound familiar?


This is called restraint collapse—a phenomenon first described in children but absolutely relevant for adults, especially those with ADHD, Autism, or AuDHD (co-occurring ADHD and Autism). It’s not weakness. It’s nervous system exhaustion.


Let’s break this down through a Polyvagal lens—and reframe it with compassion.


What Is Restraint Collapse?


Originally coined to describe what happens to neurodivergent children after school, restraint collapse is the emotional unravelling that occurs after extended periods of masking, self-regulation, and social performance.


In kids, it shows up as meltdowns when they get home. In adults, it can look more complex:


  • Emotional outbursts after work

  • Shut-downs after social events

  • Sudden irritability with a partner

  • Crying in the shower

  • Overeating, doom scrolling, impulsivity

  • Dissociation or mental “numbness”


Essentially, it’s the nervous system catching up with all the unprocessed sensory input, social tension, and executive functioning strain you've carried throughout the day.


The Polyvagal Explanation: Chronic Fight, Flight, Fawn... Then Collapse


From a Polyvagal Theory (PVT) standpoint, restraint collapse is a transition from prolonged sympathetic (mobilized) or dorsal vagal (shut down) states into emotional overflow.


Here’s what might be happening internally:


  1. Sympathetic Overdrive: All day, your nervous system is in a state of sympathetic arousal—mobilized to mask, focus, and "keep it together." You're operating in performance mode, fueled by adrenaline and cortisol, even if you're smiling on the outside.


  2. Fawn Response: For many AuDHD adults, masking involves people-pleasing, perfectionism, and mirroring—traits aligned with a fawn trauma response. You’re agreeable, helpful, polite... and burning out fast.


  3. Dorsal Vagal Shut Down: By the time you're home, your system may switch to the freeze zone: emotional numbness, exhaustion, withdrawal. For some, it comes after the outburst. For others, it's the first signal.


  4. Collapse = Parasympathetic Overwhelm: This isn’t a return to calm. It’s a shutdown. Your nervous system is saying, “I can’t do this anymore.” What feels like overreacting is often the natural result of over-restraining your emotions all day.


Restraint collapse isn’t immaturity or emotional instability—it’s a biological response to chronic over-regulation.


ADHD and Autism: Why Adults Are Especially Prone


🧠 ADHD: Executive Exhaustion and Rebound


ADHD brains are constantly trying to filter distractions, manage tasks, and resist impulses. This takes executive energy.


By the time you’re off the clock or home from socializing, your “restraint reserves” are empty. Emotional regulation suffers because your prefrontal cortex is fried. Combine that with rebound dopamine-seeking behaviors (like binge eating, gaming, or snapping), and the collapse becomes inevitable.


🧠 Autism: Sensory and Social Masking Overload


Autistic adults often mask for survival—suppressing stims, mimicking neurotypical behavior, managing eye contact, and forcing small talk. It’s performance under duress.


The longer this goes on, the more sensory processing fatigue and emotional suppression builds. When you finally feel “safe,” all that pent-up stress discharges—sometimes explosively.


🧠 AuDHD: A Double Dose of Dysregulation


If you’re both Autistic and ADHD, you're navigating competing demands: intense sensory processing + emotional rigidity from Autism, alongside impulsivity + emotional reactivity from ADHD. This is a perfect storm for collapse.


Signs You’re Experiencing Restraint Collapse as an Adult


  • You feel totally fine at work but emotionally unglued at home

  • You often “snap” at loved ones in ways that feel disproportionate

  • You have strong emotional reactions but struggle to label them

  • You notice a pattern of irritability or shutdown after socializing

  • You crave solitude or stim-heavy activities to decompress

  • You feel ashamed of your “after-hours” self but don’t know how to stop


Let me be clear: there’s nothing wrong with you. These are predictable nervous system responses to chronic stress and masking.


How to Recover and Prevent Restraint Collapse


Here are trauma-informed, neurodivergent-friendly strategies that respect your biology—not fight against it.


1. Front-Load Regulation Throughout the Day


Instead of pushing through and collapsing later, find moments during your day to co-regulate or self-regulate:


  • Short nervous system check-ins

  • Five minutes of breathwork, shaking, or movement

  • Cold water exposure (splash face, wrist soak, etc.)

  • Structured sensory breaks (e.g., weighted items, quiet time, fidgeting)


2. Create a Safe Decompression Ritual


Build a predictable buffer between “out there” and “at home”:


  • Change clothes

  • Dim lights

  • Stim, stretch, or pace

  • Use music to shift states

  • Let your loved ones know not to approach you with demands immediately


This isn’t indulgent—it’s necessary.


3. Set Emotional Expectations with Loved Ones


Share what restraint collapse looks like for you. Explain it’s not about them—it’s your nervous system adjusting. Use visuals, metaphors, or even print this article.


4. Track Nervous System Patterns


Use tools like a Nervous System Tracker to monitor how long you can “perform” before collapse. This builds awareness—and helps you spot early warning signs.


5. Unmask When and Where You Can


Reduce the need for masking by seeking out neurodivergent-safe spaces where you can stim, speak, and exist freely. The less you mask, the less likely you are to collapse.


Final Thought: Collapse Is a Sign of Survival, Not Failure


If you collapse, it means your nervous system trusted that it was finally safe to fall apart.

That’s powerful. That’s proof you’ve been surviving under pressure—and now, your body wants restoration.


You’re not “too much.”You’re not dramatic.You’re not emotionally weak.


You’re living in a world that demands too much restraint and gives too little grace.


And you deserve support—not shame—for how your body copes.



References


  • Beauchaine, T. P., & Thayer, J. F. (2015). Heart rate variability as a transdiagnostic biomarker of psychopathology. International Journal of Psychophysiology, 98(2), 338–350. https://doi.org/10.1016/j.ijpsycho.2015.08.004

  • Crompton, C. J., Ropar, D., Evans-Williams, C. V. M., Flynn, E. G., & Fletcher-Watson, S. (2020). Autistic peer-to-peer information transfer is highly effective. Autism, 24(7), 1704–1712. https://doi.org/10.1177/1362361320919286

  • Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. W. W. Norton & Company.

  • Rajmohan, V., & Mohandas, E. (2007). Neurobiology of emotional regulation. Indian Journal of Psychiatry, 49(4), 255–261. https://doi.org/10.4103/0019-5545.37603

  • Robertson, S. M. (2010). Neurodiversity, quality of life, and autistic adults: Shifting research and professional focuses onto real-life challenges. Disability Studies Quarterly, 30(1). https://doi.org/10.18061/dsq.v30i1.1069

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