Exploring The Link Between ADHD Hyperactivity And Sleep

Medically reviewed by Melissa Guarnaccia, LCSW and Arianna Williams, LPC, CCTP
Updated September 12, 2024by BetterHelp Editorial Team

In today’s world, it may seem more challenging than ever before to get quality sleep each night. For many, work hours are increasing, as are the number of sleep distractions that may keep us awake, from social media to streaming services. The idea of getting seven to nine hours of sleep on a nightly basis may seem like wishful thinking, specially when living with an additional condition like attention-deficit/hyperactivity disorder or ADHD. 

Sometimes, it’s not your bedtime routine

Some might find they consistently have difficulty falling asleep, even when practicing habits that promote good sleep quality, such as reducing caffeine intake and avoiding artificial light from screens before bedtime. Many people report difficulty “turning their brains off” at night to sleep, and this can be especially common for those living with ADHD. Interventions like therapy and lifestyle adjustments, as well as support groups and medication, can be helpful in alleviating ADHD symptoms and improving sleep.

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Having trouble sleeping due to ADHD symptoms?

Impacts of untreated attention-deficit/hyperactivity disorder (ADHD)

Attention-deficit/hyperactivity disorder, commonly referred to as ADHD, often involves challenges with focus, impulsivity, and inattentiveness. It can make it challenging to remember important dates and details, concentrate on tasks that aren’t interesting to you, and manage your time throughout the day.

ADHD can be a hugely impactful mental health condition that may have adverse effects on one’s life, although it can be important to note that ADHD can come with advantages as well. 

This disorder can be associated with an increased risk of substance misuse, legal trouble, poor physical wellness, and a decreased lifespan when left untreated. Therefore, securing a legitimate diagnosis from a licensed mental health professional can be crucial if you suspect you might be experiencing symptoms of ADHD.

Sleep disorders

It can be normal to have trouble falling asleep every once in a while. For instance, if you’re stressed about a conflict with your partner or can’t stop thinking about an upcoming work project, you might find yourself lying awake for hours rather than sleeping. However, those who experience persistent problems with the timing, quality, and amount of sleep they get on a nightly basis could be living with a sleep disorder. 

What causes sleep disorders?

There are a variety of sleep disorders that can have devastating impacts on cognitive and executive function abilities, as well as overall mental health and quality of life. Sleep disorders often arise from a problem with the circadian rhythm, also known as the sleep-wake cycle. 

Common sleep disorders

Common sleep disorders can include the following:

  • Restless leg syndrome, which can involve an inability to control the movement of one’s legs
  • Breathing disorders, such as sleep apnea or disruptive snoring
  • Delayed sleep phase syndrome, which typically involves going to bed and waking up late
  • Sleep problems related to substance misuse, such as excessive alcohol or caffeine intake
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JGI:Jamie Grill

The link between ADHD and sleep

There tends to be a strong, scientifically proven link between ADHD and a decreased ability to get quality sleep. In fact, most children and adults with ADHD may have a sleep disorder. 

ADHD and sleep disorders

Those with ADHD often experience what is called a delayed sleep phase syndrome, in which their circadian rhythm leads them to fall asleep and wake up much later than may be considered typical. This condition usually falls under the category of circadian rhythm sleep disorders, in which an individual may face persistent problems with their circadian rhythm or sleep cycle.

The potential negative impacts of ADHD may also coincide with the impact of sleep disorders on one’s life. Those who regularly get insufficient or poor-quality sleep often find themselves with a heightened risk of heart disease, moody or erratic behavior, and difficulty focusing, among other challenges. Getting a diagnosis from a licensed professional can be crucial to determining whether your sleep problems might be linked to ADHD. 

Exploring medication and treatment options

Those who live with ADHD and ADHD-related sleep disorders might feel hopeless or defeated at times, as if they are constantly fighting an uphill battle. However, there may be a variety of potential treatment options at your disposal.

Some possible avenues for improving sleep include the following:

Using stimulants and other medications for attention-deficit/hyperactivity disorder

Joining ADHD support groups

Support groups can also be an excellent tool. Talking to others who experience similar challenges can help you feel less isolated, and you may learn effective strategies from others who have encountered difficulties with sleep.

Developing a bedtime routine

Lifestyle changes, such as getting regular exercise, eating nutrient-rich foods, practicing mindfulness and meditation, and implementing a relaxing nightly routine, may help you fall asleep more easily at night.

Melatonin and other supplements

Supplements such as melatonin and magnesium may be helpful for those who have sleep disorders or symptoms.

Getting professional therapy

Therapy can also be an effective tool to help you manage both ADHD symptoms and sleep disorders. If it’s challenging or inaccessible to fit in-person appointments into your schedule, you might consider online therapy.

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Having trouble sleeping due to ADHD symptoms?

Online therapy 

When you use an online therapy platform, you can connect with one of thousands of licensed therapists, many of whom specialize in specific areas, such as ADHD, sleep disorders, or even individuals who live with both concerns. In addition, you can schedule appointments outside of typical office hours, attend them from the location of your choice, and choose between video conference, phone call, and online chat for each session.

Is online therapy an effective treatment for getting better sleep?

According to a 2020 study, a six-week online therapy program was generally effective in improving sleep quality, stress levels, coping skills, and overall well-being. Online therapy has also shown efficacy in treating ADHD and a variety of other mental health conditions and concerns.

Takeaway

There tends to be a link between ADHD and sleep disorders. As sleep can be considered one of the most important aspects of our lives, it can be important to seek treatment in order to get quality sleep. Methods like online or in-person therapy, medication, and lifestyle changes can help those with ADHD manage their symptoms, get better sleep, and lead more fulfilling lives.
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