Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. ADHD meltdowns in adults occur because ADHD is frustrating and difficult to live with. These tantrum behaviors don’t happen because of immaturity or a sense of entitlement in which someone believes she must get her way. They happen when the ADHD brain can’t take things anymore, when the stress of ADHD boils over. ADHD emotional meltdowns can be frightening, both for the person with ADHD and those around him. When this adult reaches the end of his rope, all interactions feel like crises. I suggest you to counsel your daughter about some strategies which I am going to tell her. These tips are for her: Meltdowns involve out-of-control, intense emotions. They’re a force that seems unstoppable. While they can’t be stopped on a dime, you can manage these episodes even while they’re happening. Ask her to try these: 1. Reset your emotions by taking a break. You may not know what’s rational to say or do, but you do know when you’ve lost control. Learn to remove yourself from the situation. Physically remove yourself, and do something unrelated to the situation or your anger. Engage in physical activity to release tensions and negative energy. 2. Breathe deeply. Taking deliberate slow, deep breaths will positively impact your brain and help calm you down. Do this during your break and during the argument itself. 3. Stick to facts. Often, all frustrations, thoughts, and events that happened come bursting forth during a meltdown. This fuels the fire and keeps you from getting at the real issue. With help from your partner, continually redirect the focus to the main issue. As you address it, you’ll feel better and the meltdown will cool off. By consistently working on your own and with people in your life to develop ADHD meltdown strategies, you can reduce the power meltdowns have over you. Tips for her: 1. Stress management. 2. Creating strategies to control your emotions in situations that trigger them. 3. Owning up to your tantrums and apologizing to those you’ve hurt (honing empathy can stop the instant rage directed at others). Some specific strategies for her for preventing meltdowns include: 1. Noticing when you’re overwhelmed and approaching sensory overload by paying attention to your heart rate, breathing, muscle tension, and other responses like sweating. 2. Take breaks when you need to; excuse yourself and step away. 3. Identify your triggers so you can avoid them when possible or work to reduce their impact on you (enlisting the support of a therapist is very helpful here). 4. Schedule time to relax and unwind. 5. Go easy on yourself and others rather than demanding perfection and being angry when nobody’s perfect. 6. Carefully think about your daily routines and activities and identify when your tension mounts and what makes it escalate, and then concentrate your efforts on making some changes. 7. Get a better night s sleep. 8. Eat nutritiously. 9. Exercise by doing active things that you enjoy. 10. Use mindfulness training to help you acknowledge your strong emotions without impulsively acting on them. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Sanjay Kini