How Effective Are Supplements And Vitamins For ADHD Management?
Symptom management can be essential for those living with ADHD to maintain their quality of life and emotional well-being. While vitamins for ADHD may be helpful, they aren’t likely to have the same effectiveness as therapy and medication. However, it could still be worthwhile for those experiencing ADHD to explore the use of vitamins, such as omega-3 and omega-6 fatty acids, iron, vitamin D, magnesium, and ginkgo biloba, to supplement proven treatment modalities. It can be vital to consult your doctor before starting any new vitamins or supplements. Another non-pharmacological approach to treating ADHD may be therapy, which can be completed online or in person.
The popularity of alternative treatment options for ADHD
According to the National Institute of Mental Health, the estimated lifetime prevalence of ADHD in U.S. adults aged 18 to 44 was 8.1%. With such a significant portion of the population coping with ADHD, it can be understandable that many individuals want to find ways to alleviate symptoms.
What is the difference between vitamins and supplements?
While the primary treatments used by mental health professionals typically involve therapeutic and pharmacological approaches, some may choose to look for complementary and alternative options. One such option may be the use of certain supplements and vitamins, such as omega-3 and omega-6 fatty acids, iron, magnesium, vitamin D, and ginkgo biloba. To understand whether vitamins can help those living with ADHD manage their symptoms, it may be beneficial to begin by clarifying the difference between vitamins and supplements.
The use of vitamins and other supplements for ADHD
While the terms “vitamin” and “supplement” are often used interchangeably—and, for the purposes of this article, are paired together to describe dietary supplements—the two words do have distinct definitions.
Technically, vitamins can be defined as organic substances that the body needs to function properly. These substances typically fall into one of two categories: fat-soluble, such as vitamins D, A, E, and K, and water-soluble, such as vitamins C, B6, and B12. The difference between these two categories may be how they interact with the human body.
Fat-soluble vitamins usually accumulate in the body by dissolving in fat, while water-soluble vitamins generally cannot be stored as they dissolve in water, with unused vitamins largely being lost through the urine. Because the body can’t create most of these vitamins on its own, individuals normally must acquire them through diet or the use of supplements.
Supplements tend to be a broader category that can include vitamins, as well as amino acids, botanicals, minerals, and enzymes. Supplements can be consumed in many forms, such as beverages, gummies, tablets, capsules, and powders. In some cases, a supplement can contain a single vitamin or another substance, while others could have multiple, such as multivitamins or herb blends. It can be important to talk to your primary care physician before taking a new vitamin or supplement, as some supplements may negatively impact individuals with certain conditions or those taking specific medications.
Can supplements treat ADHD symptoms?
According to the Food and Drug Administration (FDA), “vitamins are not FDA-approved to treat or prevent disease.” While ADHD is typically classified as a mental health disorder and not a disease, it may be reasonable to assume that the FDA intends for all conditions to be included under this umbrella.
Furthermore, the FDA warns that products promising to treat, diagnose, prevent, or cure disease are generally subject to regulation as drugs and that any supplement claiming to do so may be committing health fraud. The FDA also notes that, while it may regulate dietary supplements, it generally does not review them before they enter the marketplace. In general, companies can manufacture and sell these supplements without notifying the FDA, and while the FDA may work after the fact to bring these products into adherence with health and safety rules, some may be unsafe.
Efficacy of supplements and vitamins for ADHD
However, research indicates that some vitamins and supplements could be beneficial for those experiencing ADHD. One meta-analysis of randomized, placebo-controlled ADHD-related trials found that certain supplements, such as polyunsaturated fatty acids, had demonstrated evidence of efficacy.
The analysis goes on to say that many widely utilized natural supplements in the United States have demonstrated minimal evidence of efficacy and possible side effects. In addition, researchers claimed that, although there was only a modest evidence base for complementary and alternative treatments, supplements were still commonly used for children with ADHD.
Which vitamins and supplements may help manage ADHD symptoms?
While the evidence to support the use of vitamins and supplements may not be as strong as the evidence for therapy and medication, some research claims that they may have certain benefits for ADHD. However, it can be important to note that the overconsumption of supplements can be dangerous, and vitamins generally aren’t a replacement for traditional treatments. As such, it can be essential to contact a doctor before taking any supplement or vitamin.
Vitamins and supplements that may help with ADHD symptoms can include the following:
Omega-6 and omega-3 fatty acids
The ADHD supplements that may be most supported by research are those containing omega fatty acids. According to one systematic review, omega-3 and 6 fatty acids usually had numerous benefits for participants, such as improvements in impulsivity, hyperactivity, attention, word reading, visual learning, and working/short-term memory. Omega-3s specifically may help by stopping the degeneration of neural membranes, potentially increasing the production of serotonin and boosting the number of synapses between neurons.
Iron
Taking an iron supplement can help individuals avoid a condition that could negatively impact ADHD symptoms: iron deficiency. Research suggests that iron deficiency can contribute to a variety of challenges, such as struggles with motor function, selective attention, and spatial memory. In addition, low iron may cause disruptions in the synthesis of dopamine, a vital neurotransmitter that those living with ADHD may struggle to produce.
Magnesium and vitamin D
As a nutrient, magnesium can have several beneficial effects on the body, including ensuring healthy muscles and bones, regulating blood sugar levels, and helping to maintain proper nerve function. Vitamin D, meanwhile, can help regulate mood and ensure normal immune system function.
For those with ADHD, research suggests that magnesium and vitamin D may alleviate a variety of symptoms. One study found that vitamin D and magnesium supplementation could address conduct and social challenges in children. In addition, this study cited research that magnesium (when paired with standard treatment) may improve inattention, impulsivity, hyperactivity, and opposition in children living with ADHD.
Ginkgo biloba
Ginkgo biloba is a component of an herbal medicine that may help with numerous conditions, such as dementia, Alzheimer's disease, anxiety, and depression. Research indicates that ginkgo biloba and other ginkgo preparations may affect the behavioral and cognitive aspects of ADHD. These effects tend to vary and may include increased calmness, improved frustration tolerance, decreased irritability, and enhanced willful cognition and discriminant attention.
Vitamins can complement traditional ADHD treatment modalities
Working with a therapist can help individuals living with ADHD in multiple ways, such as the following:
- Learning how to recognize ADHD symptoms and how they can impact various aspects of one’s life
- Finding ways to identify what triggers these symptoms, including specific places, people, or situations
- Discovering techniques to address organizational, attention, and impulse-related challenges
- Discussing other struggles in life that may or may not be related to ADHD, including challenges at work or school, romantic partnerships, or family relationships
Therapy for adults and children with ADHD
However, in-person therapy may not be right for everyone. For some, busy schedules may make it difficult to find the time to commute to a therapist's office. Others may not have enough mental health providers in their community; even if they do manage to get an appointment, these individuals may have to wait a significant amount of time before their introductory session. Some may also prefer to access therapy through other formats, such as calling, texting, or video chat.
Addressing ADHD symptoms in online therapy
In the cases described above, it may be helpful to explore other options, such as online therapy through platforms like BetterHelp. Online therapy platforms typically feature large databases of thousands of licensed mental health professionals, so it can be easier to find a therapist specializing in ADHD. The convenience of attending therapy from home or another preferred location can also be beneficial.
Effectiveness of online therapy for adults and children with ADHD
Online therapy can be an effective alternative to in-person therapy. According to one meta-analysis and systematic review involving six randomized controlled trials and 261 ADHD patients, online therapy typically improved attention deficit and social function in adults and children with ADHD compared to a control group.
Takeaway
What are the best vitamins for ADHD?
Some research suggests that getting enough of certain vitamins through food or supplements may help improve ADHD symptoms. Some examples include omega-3 fatty acids (particularly docosahexaenoic acid) from fish oil supplements or fatty fish, zinc supplements to address delayed cognitive development, and pine bark extract, also known as pycnogenol. Adding magnesium supplements, iron supplements, and various herbal remedies may also help with brain health and brain function more broadly. In general, you should consult with your doctor before you take any nutritional supplements or prescription medications.
What are the best all-in-one supplements for ADHD?
A multivitamin supplement that helps reduce ADHD symptoms in one person may not be right for another, so it can be important to talk to your doctor before taking any. That said, some studies suggest that supplements that include vitamin D and magnesium may be particularly helpful for managing ADHD symptoms and promoting optimal brain health.
Some doctors may also recommend adjustments to eating patterns to help ensure nutritional needs are being met. For example, they may encourage patients with ADHD to eat more fermented foods for vitamin B12 and more pumpkin seeds, cashews, beans, and whole grains for a zinc deficiency.
Why are Omega-3 fatty acids good for ADHD?
The brain needs a certain level of healthy fats in order to function. That’s one reason why adding more of these to one’s eating patterns in the form of omega-3 fatty acids may help improve cognitive function and ADHD symptoms in some people. According to one study on the topic, omega-3 supplementation shows “great promise as a suitable adjunctive therapy for ADHD.”
That said, supplements alone may not be enough to meaningfully address symptoms of attention-deficit/hyperactivity disorder (ADHD). Stimulant medications may also be prescribed to help improve symptoms in some cases, as may cognitive behavioral therapy, ADHD coaching, zinc supplementation, iron supplementation, melatonin supplements, or herbal supplements to address nutritional deficiencies, and/or complementary and integrative health or alternative medicine approaches. Speak to your doctor about which mainstream or alternative medicine treatment(s) might be right for you.
What is the best focus supplement for ADHD?
Certain medications and supplements may help a person with ADHD improve their focus. ADHD medications like a stimulant medication and supplements like fish oil, a zinc supplement, melatonin supplements, polyunsaturated fatty acid supplements, and even high doses of caffeine may be recommended to some individuals in some cases but may not be right for everyone. Check with your doctor for guidance on ADHD medication and other ADHD treatments.
Can taking vitamins help with ADHD?
Biological psychiatry research findings on whether vitamins—from vitamin B12 to omega-3 fatty acids to polyunsaturated fatty acids—can help with improving cognitive function and reducing ADHD symptoms are mixed. Some past studies have suggested that low zinc levels, iron levels, or levels of another nutrient may be linked to ADHD symptoms, but a 2023 research review found insufficient evidence to warrant the recommendation of micronutrients or probiotics for the management of ADHD. More research on the topic may be needed. Speak to your doctor about what approach may be right for you, whether it’s ADHD stimulants, supplements, or alternative therapies.
Does B12 improve ADHD?
Some research suggests that vitamin B12 can be helpful for those with ADHD, particularly in adolescent medicine, adolescent psychiatry, or adolescent psychiatric clinics context. For example, one study published in 2019 suggests that healthy vitamin B12 levels had a negative correlation with hyperactivity, impulsivity, and oppositionality symptoms in children with ADHD.
Can vitamin D help ADHD?
One systematic review and meta-analysis of literature on the topic suggests that vitamin D supplements “demonstrated a small but statistically significant improvement in ADHD total scores, inattention scores, hyperactivity scores, and behavior scores.”
It’s also been suggested that vitamin D may help with sleep disorders—which people with ADHD tend to experience at higher rates—potentially improving sleep duration and accelerating sleep onset. Melatonin, a natural hormone secreted primarily by the pineal gland and available in supplement form as well, may also be helpful. Better rest could help improve cognitive function and reduce ADHD symptoms, which is one reason doctors may suggest supplements like these.
Does vitamin K help with ADHD?
Along with healthy iron levels, healthy vitamin K levels are key for blood clotting, the health of red blood cells, and related functions, and deficiencies may cause or worsen health problems. There's currently little research to suggest its usefulness for ADHD symptoms in particular, however; check with your doctor to learn more.
Is vitamin E good for ADHD?
Vitamin E is a crucial nutrient for the health of the eyes, skin, blood, and brain. That said, there is currently little evidence to suggest that it can reduce ADHD symptoms.
Can folic acid help with ADHD?
Research on the use of folic acid for individuals with ADHD is mixed. One study from 2018 indicates it may help improve appetite in children with ADHD, since some stimulant medications and other medications for this condition can reduce appetite, but there’s limited availability of other findings on the topic.
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