The Lyceum

The open plan office and the ADHD brain

Specialist CBT therapy for anxiety, OCD, depression and more in West London

An open plan office can ask a lot of a person before any work has begun. There may be conversation behind them, phones ringing, movement at the edge of vision, several digital platforms asking for attention and a sense that someone could interrupt at any moment. For some people this is energising. For others it makes ordinary tasks take more effort and leaves them tired before the day is over. It is tempting to say that an open plan office is difficult because of ADHD, but the relationship is not that simple. Attention and sensory overwhelm can be affected by sleep, stress, anxiety, low mood, trauma, physical health, medication, workload, a workplace culture and many other factors. A difficult day in an office does not establish ADHD, and a blog cannot diagnose or determine the cause of an individual’s concentration difficulties. People who already identify with ADHD may recognise the friction between an environment built around constant availability and a mind that needs time to settle into a task. They may also feel ashamed when they miss a detail, lose a thread in a meeting, need more time to begin or find themselves working late to recover from a day of interruption. Shame can become an additional demand, turning a practical issue into a verdict about competence. An assessment can explore what happens on a difficult workday. Is it the noise, visual movement, unclear priorities, meetings, task switching, social pressure, fatigue or the sense of being watched? Does concentration improve in a quieter setting or at a different time of day? What strategies have already been tried, and what are they costing? These questions can help avoid assuming that one label or one workplace change explains everything. Practical adjustments may be worth discussing with an employer, manager, occupational health professional or another appropriate source of advice, depending on the person’s circumstances. What is possible will vary by role, workplace, disclosure preferences and the policies already in place. A therapist cannot promise an employer response or provide legal advice, but therapy may offer space to think through the emotional and practical aspects of asking for support. Some people find that a different seat, more written clarity, a planned period without notifications, quieter meeting arrangements or a defined way of returning to a task can be useful. Others find those options impossible or unhelpful. A suggestion that supports one person can create more pressure for another. The aim is not to assemble a perfect productivity system. It is to understand what would make work more workable while respecting the realities of the role. CBT based support may be considered where clinically appropriate. It can explore patterns of self criticism, avoidance, task initiation, all or nothing standards and the practical decisions that follow a difficult day. It is not a formal ADHD diagnostic assessment, and it does not replace a medical review, prescribing care or specialist workplace advice when those are needed. The Lyceum provides CBT based therapeutic support. We do not provide formal ADHD diagnostic assessments. If you are seeking a diagnosis, an appropriately qualified assessment provider can advise on the relevant route. If you already have a diagnosis, therapy can still begin with what is currently difficult rather than asking you to prove the label again. Before seeking support, it may help to notice one repeatable situation rather than trying to solve an entire working life. Is it the first hour of the day, a certain meeting, an afternoon slump, a noisy area or the moment a task becomes unclear? This is not a self diagnosis exercise. It can simply give an assessment conversation a more concrete starting point. The related /cbt for neurodivergent people/ page and /guides/adhd comprehensive guide/ offer further information. If you are in Chiswick, Ealing and the Richmond venue or prefer online sessions, /start/ is a route to discuss current options and decide whether a fuller assessment may be useful.

Frequently asked questions

Can an open plan office make ADHD symptoms worse?

Some people with ADHD find noise, movement, interruptions and unclear priorities more demanding, but experiences vary. Attention difficulties can also have other causes, so a blog cannot determine why work is difficult for one person.

Do you provide formal ADHD assessments?

The Lyceum provides CBT based therapeutic support and does not conduct formal ADHD diagnostic assessments. If you are seeking a diagnosis, an appropriately qualified assessment provider can advise on the relevant route.

Should I tell my employer that I have ADHD?

Disclosure is a personal decision that can depend on role, workplace culture, privacy, current support and what you hope will change. A therapist cannot give legal advice, but therapy may help you think through the practical and emotional considerations.

Can CBT help with work difficulties related to attention?

Where clinically appropriate, CBT based support may explore self criticism, avoidance, task initiation and practical coping patterns. Assessment can help decide whether this support or another route may be more relevant.

Related pages

  • Neurodivergence therapy information
  • Comprehensive guide to ADHD
  • Discuss current consultation options
  • More notes from Sanah
  • CBT support for neurodivergent people
  • CBT support for neurodivergent adults
  • How CBT works
  • ADHD: An Evidence Based Guide to Understanding, Assessment and Treatment
  • The ADHD that does not look like ADHD
  • What I mean when I say ADHD is not laziness
  • What I Wish People Understood About ADHD
  • The one they never expected
  • The open plan office
  • The panic that came from nowhere
  • The partner who became a doctor

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Written by Sanah Younis, BABCP accredited CBT Therapist at The Lyceum Clinic.

Last clinically reviewed: 14 August 2026

Clinical information on this page is general and does not replace personalised assessment. If you are in immediate danger, call 999 or attend A&E.

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