Sleep and ADHD 💤

jmn9
Monday 11 August 2025

People with ADHD often struggle with sleep due to interconnected physiological, neurological, and behavioural factors:

1. Dysregulation of the Circadian Rhythm ⏰

  • Delayed Sleep Phase Syndrome (DSPS): Many with ADHD have a delayed internal clock, making conventional bedtimes tough.
  • Melatonin Production: Often delayed melatonin release contributes to difficulty falling asleep.

2. Hyperactivity and Restlessness ⚡

  • ADHD symptoms like hyperactivity and racing thoughts make it hard to wind down.

3. Executive Function Challenges 🧠

  • Impaired planning makes bedtime routines hard to stick to.
  • Difficulty transitioning from stimulating activities (e.g., screens) delays sleep.

4. Co-occurring Emotional or Psychological Factors 😰

  • Anxiety and stress worsen at night, making sleep harder.
  • Rejection Sensitive Dysphoria (RSD) causes amplified nighttime rumination.

5. Sensory Sensitivities 👂💡

  • Heightened sensitivity to light, sound, or textures can disrupt sleep environment comfort.

6. Neurotransmitter Imbalances ⚖️

  • Lower dopamine and norepinephrine levels disrupt alertness and sleep cycles.
  • Stimulant medications may interfere with sleep if taken too late.

7. Sleep Disorders 😴

  • Insomnia, Sleep Apnea, and Restless Legs Syndrome (RLS) are more common in ADHD.

Tips to Improve Sleep for People with ADHD 🌙

  • Prioritise sleep: Going to bed earlier (even skipping early classes) if needed.
  • Establish a consistent routine: Stick to regular sleep/wake times that work for you.
  • Create a sleep-friendly environment: Reduce light, noise, distractions, and use comfy bedding.
  • Limit evening stimulation: Avoid caffeine, screens, and intense activities close to bedtime.
  • Practice relaxation techniques: Meditation, deep breathing, or reading.
  • Time medication carefully: Consult your doctor for best timing.

Recommended Video:
How to ADHD – Struggling to Sleep with ADHD? Watch this! (7:41 mins)

By addressing these factors, individuals with ADHD can develop better sleep habits and improve overall health.

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