An Overlooked Connection
When people think of Attention-Deficit/Hyperactivity Disorder (ADHD), they often picture difficulties with attention, distractibility, or sitting still. While these symptoms are well recognized, there are other aspects of ADHD that are less commonly discussed – such as struggles with executive functioning and, importantly, sleep.
We see many individuals with ADHD who struggle with ongoing sleep problems. They often share that no matter how many hours they sleep, they never feel fully rested. Mornings are especially difficult, with fatigue lasting through the day, only to be replaced by bursts of energy late in the evening. This often leads to very late bedtimes and a cycle of ongoing exhaustion.
Research suggests that differences in circadian rhythm may play a role. Many people with ADHD experience a delayed sleep cycle, including changes in melatonin secretion. Studies show that between 40% and 80% of individuals with ADHD experience significant sleep issues – across all ages.
This strong overlap makes it essential for clinicians, as well as families, to consider ADHD when persistent sleep concerns are present. In our work, we often notice that for patients with ADHD, mood and anxiety symptoms may improve with treatment, but sleep difficulties and fatigue remain. By contrast, those without ADHD usually experience improved sleep and energy alongside their recovery from depression or anxiety. For us, this difference is often a clear sign to screen for ADHD, which can reveal cases that had previously gone undiagnosed – particularly in young women.
The relationship between ADHD and sleep is still an active area of research, with many questions yet to be answered. What we do know is that treating both conditions together is essential. When sleep concerns are recognized and addressed alongside ADHD, patients are far more likely to achieve lasting improvements in health and quality of life.
If you, a loved one, or a patient you care for struggles with chronic sleep issues or persistent fatigue, it may be worth exploring whether ADHD plays a role. With the right evaluation and a personalized approach, meaningful change is possible.
We would love to work with you and your family together. If you’d like to learn more or schedule a consultation, please don’t hesitate to contact us. Together, we can find a path forward.