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Gut Health and Mental Health | 5 Conditions Linked to an Unhealthy Gut

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Discover how gut health impacts mental health, plus science-backed ways to improve your gut microbiome for better mental well-being.

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When was the last time your stomach reacted before your mind caught up?

Maybe anxiety made you feel nauseated. Maybe excitement gave you butterflies. Or maybe stress tied your gut in knots.

Those sensations are not imaginary. They are biological.

Science is increasingly confirming what you have likely felt for years: gut health and mental health are deeply connected. Your digestive system and your brain are in constant communication through what researchers call the gut-brain axis. This two-way messaging system helps explain why digestive problems often show up alongside anxiety, depression, brain fog, and mood swings.

In this blog, we’ll break down what the gut-brain axis is, how the gut microbiome influences mental health, signs of a healthy versus unhealthy gut, and practical ways to improve gut health to support better mood, focus, and emotional resilience.

A diverse, balanced gut microbiome supports emotional resilience. But disruptions caused by poor diet, stress, antibiotics, or illness can negatively impact mood, sleep, and focus, leading to emotional and cognitive challenges.

What Is the Gut-Brain Connection?

In simple terms, the gut-brain axis is the communication system between the gut and the brain. These two areas of the body are connected through:

  • The vagus nerve. Like a telephone line or walkie-talkie system, the vagus nerve (part of the parasympathetic nervous system) serves as a communication pathway between the digestive system and the brain.
  • Neurotransmitters. The brain is known to produce chemicals such as serotonin and dopamine, but the gut also plays a role in these key neurotransmitters. In fact, about 90 percent of serotonin, which influences mood and anxiety, is produced in the gut.
  • The enteric nervous system. This autonomous network of more than 100 million neurons lining the gut walls stretches from the esophagus to the rectum and hosts trillions of microorganisms. These microorganisms, collectively known as the gut microbiome, influence motility, immunity, and brain function by producing neurotransmitters, metabolites, and interacting with nerves embedded in the gut wall. Often called the “second brain,” the enteric nervous system helps regulate key digestive processes, local blood flow, and mood.

These areas engage in bidirectional communication, from the brain to the gut, and from the gut to the brain. It’s no surprise that researchers are increasingly finding that the gut microbiome health and mental health are closely linked.

A diverse, balanced gut microbiome supports emotional resilience and reduces inflammation. But disruptions, which can be caused by poor diet, stress, antibiotics, or illness, can negatively impact mood, sleep, and focus, leading to emotional and cognitive challenges.

Related: Gut Health and Mental Stability

How Your Gut Microbiome Affects Your Mental Well-Being

With the gut constantly “talking” to your brain, maintaining a healthy gut is critical for healthy brain function and a sound mind. For optimal health, the gut needs an abundance of healthy bacteria. Specifically, the gut needs roughly 85 percent beneficial bacteria, with harmful bacteria making up no more than about 15 percent in order to maintain good health overall. For years, research has noted the strong link between microbiota, mood, and mental health.

The Role of Neurotransmitters

Your brain relies on an intricate system of chemical messengers that affect everything from mood to memory: neurotransmitters.

Neurotransmitters play a key role in both gut and mental health. Interestingly, your gut microflora have a key part in synthesizing neurotransmitters and influencing critical hormones. For example, certain beneficial gut bacteria produce calming neurotransmitters, such as GABA, while others influence cortisol levels and the body’s stress response.

Neurotransmitters may serve several roles, including ones tied to your mental health. For example, serotonin (often called the “feel-good” neurotransmitter) influences mood, digestion, sleep, and cardiovascular function. Higher serotonin levels are linked to happiness and emotional well-being.

Meanwhile, the neurotransmitter dopamine is involved in about 65 percent of the brain’s decision-making process, thanks to its important role in motivation and achieving goals. This neurochemical helps control behavior, cognition, and emotion, specifically regarding pleasure and reward.

The Gut Microbiome Explained

What is the gut microbiome? The term describes the ecosystem of bacteria, fungi, and other microorganisms that live in the digestive tract. Gut microbiome health is dependent on bacterial diversity, while imbalances in the gut’s bacteria are associated with a variety of physical and mental health symptoms.

Inflammation and Mental Health

When there’s a microbiome imbalance, it can set off a host of problems. Chronic gut inflammation can contribute to physical health issues such as leaky gut syndrome and toxins entering the bloodstream. But it can also impact cognitive function, leading to:

  • Brain fog
  • Memory problems
  • Difficulty concentrating, which can affect learning

Gut inflammation is linked to chronic stress and several mental health conditions, including anxiety, depression, major depressive disorder, bipolar disorder, and obsessive-compulsive disorder (OCD), along with neurodevelopmental disorders such as ADHD and autism.

What Are the Signs of an Unhealthy Gut?

If you have an unhealthy gut, a variety of symptoms may affect both your physical and mental health.

How to Tell if Your Gut Health Is Affecting Your Mental Health

The following warning signs may point to gut health issues:

  • Digestive issues (irritable bowel syndrome, bloating, constipation, diarrhea)
  • Mood disorders (anxiety, depression)
  • Brain fog and cognitive difficulties
  • Sleep disturbances
  • Frequent illness (signaling a weakened immune system)
  • Food intolerances
  • Skin problems
  • Autoimmune conditions

Persistent and/or severe symptoms, especially if they are affecting your quality of life, are clear indicators that you need to consult a medical doctor.

What Mental Health Conditions Are Linked to Gut Health?

Thanks to the gut-brain axis, gut health issues are often connected to brain health (and therefore mental health) and vice versa.

The Connection Between Gut Problems and Mental Health Disorders

Research from 2023 noted that disruption of the gut’s microbiota (known as dysbiosis) is associated with schizophrenia, depression, and other psychiatric disorders. Because gut microbiota are involved in modulating neurotransmitters like dopamine, GABA, and glutamate, they have implications for both neuropsychological disorders and GI conditions.

Additional research published in 2023 pointed to significant evidence linking anxiety and depression disorders to gastrointestinal microbes. Stress-related conditions can also affect gut health, while GI conditions such as irritable bowel syndrome (IBS) carry their own stigma and social impact. Any of these issues can diminish an individual’s quality of life.

Here are five psychiatric conditions that have been linked to the microbiome:

1. Anxiety

A growing body of evidence suggests that symptoms of anxiety are related to gut dysbiosis. A 2025 review determined that individuals with anxiety disorders often exhibit alterations in gut microbiota. These include reduced microbial diversity and fewer short-chain fatty acid-producing bacteria.

2. Depression

A study published in 2022 analyzed microbiome diversity and depressive symptoms in more than 1,000 subjects. Findings suggested that gut microbiome composition may play a key role in the development of depression.

3. ADHD

Increasingly, science points to a link between attention deficit hyperactivity disorder (ADHD), also called attention deficit disorder (ADD), and gut dysbiosis. A 2025 review established that differences important to key gut-brain axis pathways may contribute to the inflammation, brain functioning differences, and symptoms associated with ADHD.

4. Schizophrenia

A growing number of researchers are finding that the microbes that live in our gastrointestinal tract may play a role in schizophrenia. A 2022 review noted that studies have found significant differences in the gut microbiome of schizophrenic subjects compared to healthy controls. An altered microbiome is believed to contribute to the development, symptom severity, and prognosis of psychosis.

5. Alzheimer’s Disease

Problems in the gut are also linked to memory loss and Alzheimer’s disease, the most common form of dementia. Several studies have explored the links between gut health, the microbiome, and Alzheimer’s.

Related: Fermented Foods: Nature’s Mental Health Booster

How Can You Improve Gut Health for Better Mental Health?

With so much research connecting mental health to the gut microbiome, experts are calling for more investigation into how the gut can offer a pathway to more effective treatment options.

Science-Backed Ways to Support Your Gut-Brain Connection

Here are some ways to promote gut health in support of your mental well-being.

1. Optimize Your Diet

Following these recommendations may help to improve your gut health:

  • Increase dietary fiber through whole grains, vegetables, and fruits
  • Choose whole grains over refined grains (such as quinoa vs. white rice)
  • Eat probiotic-rich foods (such as yogurt, kefir, sauerkraut, and kimchi)
  • Consume prebiotic foods (including garlic, onions, bananas, and asparagus) in your diet
  • Reduce or eliminate sugar and processed foods
  • Incorporate specific foods for gut health (such as eating kiwi for constipation)
  • Consider a Mediterranean diet or intermittent fasting

Of course, before making any changes to your diet, it is best to consult your primary care physician.

2. Exercise Regularly

Movement improves digestion and encourages beneficial gut bacteria production. Any type of exercise helps, from walking and yoga to strength training and cycling. Exercise helps create a positive cycle between the gut and the rest of the body while boosting brain and mental health.

3. Manage Stress Effectively

If you’ve ever felt an “upset stomach” as a result of stress, you have experienced firsthand the stress-gut connection. Research shows that stress can have short- and long-term effects on the functions of the gastrointestinal tract and alter the gut-brain axis.

To prevent the damaging effects of severe or chronic stress, implement stress management techniques such as:

  • Meditation and mindfulness
  • Breathing exercises
  • Yoga
  • Adequate sleep
  • Self-care practices, such as journaling or therapy

4. Consider Probiotics (With Caution)

Probiotic and prebiotic foods and supplements help restore the balance of healthy gut bacteria.

For example, fermented foods, such as sauerkraut, kimchi, unsweetened yogurt, kefir, kombucha tea, and miso soup, contain live bacteria. You can also get a quality probiotic supplement. However, keep in mind that more research is needed to understand the impact of probiotic supplements on gut and mental health, and the FDA does not regulate dietary supplements.

Prebiotics are fiber-rich, non-digestible carbohydrates that fuel beneficial gut bacteria. Some key sources include onions, garlic, leeks, asparagus, apples, bananas (slightly unripe are even better), oats, flaxseeds, chicory root, dandelion greens, and Jerusalem artichokes. If you choose to take a prebiotic supplement, it should target Bifidobacterium and Lactobacillus strains of bacteria.

Be sure to choose reputable sources for probiotic or prebiotic supplements. Consult a healthcare provider to find the best options for you.

5. Stay Hydrated

Water plays a significant role in digestion as well as brain health. Even mild dehydration can have numerous effects on your well-being, including:

  • Lowering mood, causing you to feel depressed, anxious, tense, or irritable
  • Depleting your energy
  • Increasing pain levels
  • Compromising your ability to concentrate

Your recommended daily water intake varies depending on your age, physical activity level, and even the weather. As a general rule, aim for eight to ten 8-ounce glasses of water per day.

6. Limit Antibiotics When Possible

Antibiotics can disrupt your balance of gut bacteria. A 2022 study established that antibiotic-induced changes in microbial composition can have negative impacts.

These effects include reduced microbial diversity, changes in functional attributes of the microbiota, and the formation of antibiotic-resistant strains, which increases susceptibility to infection. Follow medical advice regarding antibiotic use to minimize risk.

7. Avoid What Harms Your Gut Health

Reduce or eliminate factors that can detract from your gut health, including:

  • Alcohol
  • Artificial sweeteners
  • Smoking
  • Medications such as antibiotics (including antibiotics in meat and poultry)
  • Drug use
  • Environmental toxins
  • Dysbiosis (imbalance of the gut’s microflora, caused by diet, stress, and other factors)

What Is the Role of Healthcare Professionals in Maintaining Gut Health?

When you notice gut-health symptoms, especially if they are interfering with your daily life, it’s important to pay attention.

When to See a Gastroenterologist or Mental Health Professional

Having regular digestive health screenings, such as receiving a regular colonoscopy starting at age 45, is a great way to protect against colorectal cancer and other digestive health issues. Early-onset colorectal cancer is rising dramatically among people under 50, believed to be driven by diet and lifestyle.

You may need to work with specialists, such as a gastrointestinal doctor, a nutritional psychiatrist, or a brain health nutritional coach, to optimize gut health.

A whole-body approach, like the one practiced at Amen Clinics, offers precision medicine with targeted, personalized care for your specific gut and mental health symptoms. Our clinicians practice holistic psychiatry, using natural ways to treat mental health conditions and digestive issues, and medication only when necessary.

What Are the Signs of a Healthy Gut?

An absence of gut health problems is your best indicator that your gut is healthy. But there are other signs too.

What Does Good Gut Health Look Like?

Here are some markers of good gut health:

  • Regular bowel movements
  • Minimal digestive discomfort
  • Good energy levels
  • Stable mood
  • Strong immune function

When it comes to gut health, no news is good news. In other words, not thinking about your gut constantly, because it isn’t causing you significant issues, is a positive sign!

How Can I Optimize the Gut-Brain Connection?

The gut-brain axis is a highly complex, intricate system allowing for constant communication between your brain and your gut. That’s why a whole-body approach is so important, as all systems and parts of the body work together and affect the others.

Taking action to promote gut health now, rather than waiting for mental or physical symptoms or conditions to arise, is easy. Start with one small change. Whether it’s adding more fiber and water to your diet or introducing a new stress-relieving practice, you can take steps to promote better health of the gut, mind, and entire body.

And, if needed, consult a healthcare professional to investigate persistent gut or mental health issues. Clinicians at Amen Clinics are trained in offering holistic support that will promote optimal gut-brain health, reducing the chance of GI or mental health issues interfering with your everyday life.

FAQ About Gut Health and Mental Health

How does gut health impact mental health?

The gut-brain axis describes the constant communication that takes place between the gut and the brain. When the gut’s microbiome (the vast collection of microorganisms in the digestive tract) is out of balance, it directly impacts brain chemistry. This can lead to emotional and cognitive challenges.

How can I improve my gut health?

Diet, exercise, stress-relieving practices, probiotics, prebiotics, and staying hydrated are some easy steps you can take every day to boost gut health. Also be aware of outside influences that can disrupt the gut microbiome, such as antibiotics or alcohol, and monitor their effects.

When should I seek professional help for gut health issues?

If you have persistent or severe gastrointestinal symptoms, seek help from a medical doctor as soon as possible. Likewise, seek help for mental health symptoms such as mood changes, depression, and anxiety, especially if they are impacting your daily life. Amen Clinics offers a whole-body approach and is staffed with qualified medical professionals to help with both digestive health and mental health issues.

Gut health issues and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.
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Related Articles

Can Micronutrients Improve Gut Bacteria in ADHD?

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Facebook-f X-twitter Youtube Table of Contents Gut Health and ADHD: Can Vitamins and Minerals Improve Both? There’s a growing buzz in scientific and mental health

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Gut Health and ADHD: Can Vitamins and Minerals Improve Both?

There’s a growing buzz in scientific and mental health communities about the gut-brain connection. The truth is the gut does so much more than digest food. It also talks to the brain, shaping everything from mood and memory to focus and behavior. For people with ADHD, this conversation between the gut and brain may be especially critical.

New research, including a 2025 study, suggests that taking vitamins and minerals can shift the makeup of gut bacteria in children with attention deficit hyperactivity disorder (ADHD), also called attention deficit disorder (ADD). The evidence shows that supplementation with micronutrients is linked to a high potential for improving focus, attention, and behavior.

With decades of experience in nutritional psychiatry and brain-based healthcare, Amen Clinics is at the forefront of uncovering how lifestyle changes, targeted nutritional supplements, and gut-brain strategies can support better outcomes for people with ADHD.

Here’s a breakdown of how micronutrients influence gut health and why that matters so much for ADHD management.

Amen Clinics is at the forefront of uncovering how lifestyle changes, targeted supplements, and gut-brain strategies can support better outcomes for people with ADHD.

What is the gut-brain axis and why does it matter for adhd?

How Does Gut Bacteria Communicate with the Brain?

The gut and brain are in constant communication through a superhighway called the vagus nerve, along with chemical messengers like neurotransmitters and immune signals. Inside your digestive tract are trillions of microbes collectively known as gut microbiota. They play a direct role in producing neurotransmitters, such as serotonin, dopamine, and GABA—all of which affect mood and focus.

When your gut bacteria are balanced, the messages sent to your brain are calming and supportive. However, when the microbiome is out of balance, those messages can increase anxiety, irritability, and distractibility—one of the hallmark symptoms of ADHD.

Why is the Gut-Brain Axis More Sensitive in People With ADHD?

Studies show that children and adults with ADHD tend to have more gut inflammation, higher intestinal permeability (aka “leaky gut”), and microbial imbalances. This heightened sensitivity means that even small disruptions—such as eating artificial food dyes or lacking key nutrients—can set off a chain reaction that impacts your attention, behavior, and mood.

In other words, for people with ADHD, gut health is a foundational part of your mental and physical well-being.

Can Micronutrients change gut microbiota in adhd?

What Does the Research Show About Micronutrients and Gut Bacteria?

In the 2025 study mentioned earlier, a team of researchers looked at whether giving children with ADHD extra vitamins and minerals could help with focus and emotional control—and whether these changes might be linked to gut health.

In the study, 44 children took either micronutrients or a placebo for eight weeks, then all were given micronutrients for another eight weeks. Stool samples were collected to see how gut bacteria changed over time. The study suggests that taking nutritional supplements improves gut health.

How Did Micronutrients Affect ADHD Symptoms?

Beyond the gut, the children in the study also experienced notable improvements in ADHD symptoms, including better attention, emotional regulation, and reduced hyperactivity.

These behavioral changes occurred in tandem with shifts in gut bacteria, suggesting a strong relationship between micronutrient-fueled microbiota and brain function.

Are These Results Consistent with Previous Findings?

Several previous studies have linked nutrition to improved mental health outcomes, especially in ADHD. Research from other clinical trials has shown that micronutrient formulas can improve mood, reduce impulsivity, and enhance emotional resilience in both children and adults with ADHD. Gut health appears to be a major mechanism driving these changes.

Which Micronutrients Were Included in the Study?

In the study, the children received a broad-spectrum micronutrient formula—not just one or two vitamins, but a carefully balanced combination of vitamins and minerals. The micronutrient capsules contained 36 ingredients, including:

  • Vitamins: A, C, D, E, and all the B vitamins (B1, B2, B3, B5, B6, B12, folate, biotin)
  • Minerals: calcium, magnesium, zinc, iron, copper, selenium, chromium, iodine, molybdenum, manganese, and others in trace amounts
  • Some formulations used in these trials also include amino acids and antioxidants for balance and absorption.

The supplement used was designed to provide nutrients at levels higher than a standard multivitamin, but still within safe limits. The researchers aimed to address multiple potential deficiencies at once rather than targeting a single nutrient.

Related: What Is the Role of Gut Microbiota in Alzheimer’s Disease?

Which Gut Bacteria Are Involved In ADHD And How Can They be Modulated?

What Changes Were Seen in Gut Bacteria Levels?

The 2025 study, which appeared in the journal Gut Microbes, found that micronutrient supplements influenced the gut microbiome in children with ADHD in important ways.

For example, taking vitamins and minerals was associated with an overall increase in the diversity of gut bacteria.

Specifically, the bacterial group Actinobacteriota decreased in children taking micronutrients compared to placebo. At the same time, two families of bacteria known to produce butyrate—Rikenellaceae and Oscillospiraceae—increased in children who showed the most behavioral improvement.

Butyrate is a short-chain fatty acid that supports gut lining health, reduces inflammation, and may positively influence brain function.

These findings suggest that micronutrients may help rebalance the gut microbiome by reducing certain bacteria while boosting helpful butyrate-producing microbes, potentially contributing to better focus and emotional regulation.

Why Does Gut Microbial Diversity Matter?

A more diverse microbiome is generally associated with lower inflammation, improved digestion, mental stability, and more stable neurotransmitter production. For those with ADHD, increasing microbial diversity can help regulate focus and mood by ensuring a wider variety of bacteria are working together to send helpful signals to the brain.

Related: Does My Gut Health Affect My Mental Stability

Can Probiotics or Prebiotics Help?

Yes, but ideally with a strategy. Not all probiotics are created equal. Look for evidence-based strains like Lactobacillus helveticus or Bifidobacterium longum, which have been studied for their effects on mood. Also, add prebiotic-rich foodslike onions, garlic, leeks, and bananas, which feed the good bacteria and encourage diversity.

Are Diet And sensitivities affecting gut health in adhd?

What Dietary Changes Support Micronutrient Effectiveness?

The best micronutrient supplement can only do so much if the body is under daily assault from inflammatory foods. That’s why Amen Clinics often recommends an elimination diet, which can calm the immune system and improve nutrient absorption by first removing:

  • Gluten
  • Dairy
  • Artificial colors
  • Processed sugars

This step alone can reduce ADHD symptoms in some people.

Related: What is an Elimination Diet? (And Why Your Mental Health Needs One)

How Can Food Sensitivities Impact the Brain?

When you eat something your body doesn’t tolerate well, it can trigger systemic inflammation. That inflammation travels through the gut-brain axis and results in brain fog, poor concentration, irritability, or impulsivity. Identifying and removing certain trigger foods is often a game-changer for ADHD gut health.

How safe and effective are micronutrient supplements for adhd?

What Should Clinicians Consider Before Recommending Supplements?

While micronutrients are generally safe, testing for deficiencies first is crucial. At Amen Clinics, we use lab testing to identify gaps in nutrition before making personalized recommendations. This ensures targeted support without overloading the system.

Are There Any Risks or Side Effects?

Nutritional supplements are generally safe, but taking too many vitamins and minerals may lead to digestive issues or mineral imbalances in some cases. That’s why it’s important to work with a clinician experienced in integrative ADHD treatment.

How Long Does It Take to See Results?

Most people begin to notice changes within four to 10 weeks of consistent use. The improvements in focus, energy, and emotional balance develop gradually, but are meaningful and long-lasting when paired with lifestyle changes.

FAQ

Amen Clinics addresses ADHD gut health from every angle and may include:

  • An anti-inflammatory diet rich in lean protein, leafy greens, and omega-3s
  • Targeted micronutrient supplementation based on lab testing
  • Probiotic support with clinically validated strains
  • Brain-enhancing activities such as neurofeedback or meditation (both shown to improve gut health)

Our brain SPECT imaging allows us to see how different regions of the brain are functioning. Combined with gut health insights, this helps us personalize treatment plans for better outcomes because no two brains are the same.

If you’re ready to take control of your ADHD symptoms with a gut-first approach, schedule an appointment with Amen Clinics. We’ll guide you through lab testing, SPECT imaging, and a fully customized nutritional and supplement plan.

This goes beyond basic symptom management and focuses on optimizing your brain and body for a better life with ADHD.

Absolutely! Gut-brain health strategies are showing promise for anxiety, depression, fatigue, and brain fog, all of which often co-occur with ADHD. Supporting your microbiome with an ADHD gut health protocol may be the missing piece you need for sharper focus, better follow-through, and greater impulse control.

ADHD and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

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Zhi, J., Zhang, S., Huang, M., Qin, H., Xu, H., Chang, Q., & Wang, Y. (2024). Transcutaneous auricular vagus nerve stimulation as a potential therapy for attention deficit hyperactivity disorder: Modulation of the noradrenergic pathway in the prefrontal lobe. Frontiers in Neuroscience, 18. https://doi.org/10.3389/fnins.2024.1494272

 

Ming, X., Chen, N., Ray, C., Brewer, G., Kornitzer, J., & Steer, R. A. (2018). A Gut Feeling: A Hypothesis of the Role of the Microbiome in Attention-Deficit/Hyperactivity Disorders. Child Neurology Open, 5, 2329048X18786799. https://doi.org/10.1177/2329048X18786799

 

Wang, Y., & Cao, M. (2025). The impact of a multi-micronutrient nutritional formula combined with cognitive behavioral therapy in managing symptoms of children with attention deficit hyperactivity disorder. Frontiers in Pediatrics, 13, 1624344. https://doi.org/10.3389/fped.2025.1624344

 

Toscano, M., De Grandi, R., Stronati, L., De Vecchi, E., & Drago, L. (2017). Effect of Lactobacillus rhamnosus HN001 and Bifidobacterium longum BB536 on the healthy gut microbiota composition at phyla and species level: A preliminary study. World Journal of Gastroenterology, 23(15), 2696–2704. https://doi.org/10.3748/wjg.v23.i15.2696

 

Appleton J. (2018). The Gut-Brain Axis: Influence of Microbiota on Mood and Mental Health. Integrative Medicine (Encinitas, Calif.), 17(4), 28–32. https://pmc.ncbi.nlm.nih.gov/articles/PMC6469458/

Boost Focus with 10 ADHD Study Tips

a person sitting at a table with an open book
Discover 10 simple, brain-based tips from Amen Clinics to help people with ADHD improve concentration, study habits, and learning success.

Have trouble focusing? Can’t keep your mind from wandering? Get easily distracted? These are common symptoms of ADHD. And if you have this mental health condition, you may find it challenging to learn and study effectively.

 

Figuring out how to study with ADHD can feel like chasing butterflies in a hurricane. It’s equally frustrating and exhausting as it is aimless and unproductive. But it doesn’t have to be that way.

 

Based on over 30 years of clinical practice and tens of thousands of brain scans on people with attention deficit hyperactivity disorder (ADHD), also called attention deficit disorder (ADD), Amen Clinics has developed strategies that help you boost focus and study more effectively.

 

In this blog, you’ll find answers to the most common questions people with ADHD ask about improving concentration and the ability to study. Whether you’re a student, professional, or lifelong learner, these simple shifts can transform your ability to focus, retain information, and actually enjoy learning again.

Based on over 30 years of clinical practice and nearly 300,000 brain scans on people with ADHD and other mental health issues, Amen Clinics has developed strategies that help you boost focus and study more effectively.

1. HOW CAN I CREATE A DISTRACTION-FREE STUDY ENVIRONMENT?

Your environment plays an important role in your ability to concentrate. Research shows that people with ADHD have brains that are more sensitive to sensory input, making the right setup essential for studying success.

What environment cues support focus?

Visual imagery, color choices, mental clutter can overstimulate the ADHD brain. Choose calming colors like soft blues, muted greens, or neutral tones to help quiet mental noise. Organize your space so everything has a place that feels balanced—think minimal but not sterile.

Some research suggests that studying outdoors or by a window with natural sunlight may reduce inattention while improving mood and alertness. When your brain knows what to expect visually, it has more energy to focus internally.

2. SHOULD I SIT AT THE FRONT OF THE ROOM TO PAY ATTENTION?

Essentially, yes, you should. Here’s why: proximity equals presence. Sitting front and center has been shown to minimize your field of distractions and maximize your chances of staying locked in. 

How does proximity to the speaker affect my brain activity?

When you’re physically closer to the action, your brain’s attentional networks light up more efficiently. You hear and see better, plus, your brain doesn’t have to filter out as many competing sounds or movements.

It’s a simple shift with a powerful payoff, especially for lectures, Zoom meetings, or group discussions in school or at work.

3. IS MINIMIZING BACKGROUND NOISE REALLY IMPORTANT?

Absolutely! ADHD brains tend to hyper-process stimuli, which means even low background chatter can pull you off task. Silence is golden and strategic in this case.

How much noise impairs ADHD focus?

Research shows that even moderate noise (like a ticking clock or hallway footsteps) can disrupt working memory and task persistence in people with ADHD.

Noise-canceling headphones, white noise machines, or focus-enhancing soundtracks like binaural beats can help. Silence is ideal, but if that’s not possible, choose consistent, neutral sounds over unpredictable noise.

4. WHY SHOULD I TAKE BREAKS INSTEAD OF CRAMMING?

Your brain needs a bit of breathing room to reset and refocus. Cramming floods your prefrontal cortex, the part responsible for decision-making, organization, and concentration. These three functions are already challenged in ADHD brains, so give yourself space to reset.

What’s the optimal study-rest cycle?

Do about 15 to 20 minutes of focused work followed by a 5- to 10-minute break. After about four rounds, take a longer break of about 15 to 30 minutes.

Use your short breaks to stretch, hydrate, move, or look out the window. This will help your brain shift gears and reset for alertness.

5. HOW DOES PHYSICAL ACTIVITY HELP ME CONCENTRATE?

Movement is like a natural medicine for the ADHD brain. Exercise increases the release of dopamine and norepinephrine, two neurotransmitters that are typically low in people who are struggling with ADHD.

These neurotransmitters are involved in attention, motivation, and mood. Keeping them balanced is one of the key ways to boost focus and attention.

Related: 7 Natural ADHD Treatments You Can Start Today

What kind of activity works best?

Any form of aerobic activity can work. A brisk five-minute walk, a dance break, or a few jumping jacks can improve focus for up to an hour. Even a walk around the block before studying can prepare your brain for better retention. Findings in a 2021 study show that the benefits of regular exercise increase over time.

6. CAN CREATIVITY BOOST MY FOCUS AND LEARNING?

Yes, creativity can be a powerful reset button. Creative activities stimulate different brain regions, giving your executive function networks a well-deserved break.

Why intersperse creative hobbies during study?

Sketching, doodling, journaling, or playing music engages the brain’s default mode network, which allows ideas to settle and consolidate. These creative breaks recharge your mental battery so you return to study tasks with sharper focus and more stamina.

7. COULD SPACING STUDYING IMPROVE MY ATTENTION?

Yes! Cramming is like sprinting a marathon. You might finish, but you’ll forget most of it tomorrow. Instead, let your brain breathe and build lasting connections to retain the information, not just memorize it.

How to schedule study sessions over time?

Break down your learning into smaller chunks over multiple days. For example, study 30 minutes a day for a week instead of two hours in one sitting.

Spaced repetition improves long-term memory and reduces burnout. Use study apps or set simple reminders to review flashcards or notes over time without the anxiety of forgetting.

Podcast: Stop Believing These ADHD Myths: Get the Real Deal, with Dr. Steven Storage

8. DOES SLEEP AFFECT MY CONCENTRATION?

Yes. ADHD brains that are sleep-deprived struggle even more with attention, mood regulation, and impulse control.

That’s bad news for the estimated 25 to 50 percent of people with ADHD who experience sleep problems, according to research. And the nearly 70 percent of children with ADHD who don’t get enough sleep.

What’s the best nap or sleep habit for focus?

Aim for seven to nine hours of sleep each night and stick to a consistent bedtime. If you feel like you’re dragging midday, a 10–20 minute power nap can improve alertness without grogginess.

Poor sleep can exacerbate ADHD in children, so be intentional about making sleep a priority.  

9. WHAT KIND OF SNACK HELPS MY BRAIN FOCUS?

Food is fuel, but not all fuel is created equal. The ADHD brain thrives on consistent, nutrient-dense meals that stabilize blood sugar and support neurotransmitter production.

Which foods support sustained attention?

You can start by filling your refrigerator and pantry with foods like the following:

  • Go for high-protein snacks like turkey slices, hard-boiled eggs, or protein smoothies.
  • Add in some brain-boosting fats like avocado or almonds.
  • Choose low-glycemic carbs like berries or sweet potatoes.
  • Steer clear of sugary snacks, food dyes, and processed foods to prevent spikes then crashes of your energy and focus.

You can create a brain-healthy nutrition plan that can help you get a boost when you’re learning how to study with ADHD.

Related: Foods That Help With ADHD

10. SHOULD I REWRITE MY NOTES TO STUDY BETTER?

Yes! Also, ditch the highlighters for better outcomes. Rewriting activates multiple senses, improves recall, and reinforces what you’ve learned more effectively than passive review.

How does rewriting enhance memory?

Research shows writing by hand strengthens neural encoding by engaging motor memory, visual processing, and language centers simultaneously. Try summarizing your notes in your own words after each study session. For added benefit, say them out loud for even deeper retention.

WHAT BRAIN-BASED ROUTINE CAN TIE ALL THESE ADHD STUDY TIPS TOGETHER?

Learning how to study with ADHD is about finding a rhythm that works for you outside of the typical rigid routines. A well-rounded study plan weaves together your environment, energy, and creativity in a way that feels sustainable.

What does an effective ADHD study schedule look like?

Here’s a sample study routine that you can tailor to your schedule.

Time Block Activity
2:30 PM – 2:40 PM 10‑minute walk to wake up your brain
2:40 PM – 2:50 PM Have a healthy snack and a glass of water
2:50 PM – 3:00 PM Set up a clutter‑free space, play calming music or silence
3:00 PM – 3:20 PM First study block
3:20 PM – 3:30 PM Quick break (dance, look out the window, go outside)
3:30 PM – 3:50 PM Second study block
3:50 PM – 4:00 PM Creative break (doodle, journal, play an instrument)
4:00 PM – 4:20 PM Third study block
4:20 PM – 4:30 PM 10‑minute walk
4:30 PM – 4:50 PM Review and rewrite notes (by hand, if possible)
4:50 PM – 5:00 PM Clean up space

Adjust the timing to your own energy peaks and lows. Make sure to include physical activity, creative rest, healthy food and hydration, and active study techniques.

ADHD and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Ghanizadeh, Ahmad. “Sensory processing problems in children with ADHD, a systematic review.” Psychiatry investigation vol. 8,2 (2011): 89-94. doi:10.4306/pi.2011.8.2.89

Kuo, Frances E, and Andrea Faber Taylor. “A potential natural treatment for attention-deficit/hyperactivity disorder: evidence from a national study.” American journal of public health vol. 94,9 (2004): 1580-6. doi:10.2105/ajph.94.9.1580

Schramm M, et al. Electrophysiological evidence for increased auditory crossmodal activity in adult ADHD. Frontiers in Neuroscience. Volume 17 (2023) https://doi.org/10.3389/fnins.2023.1227767

Wajszilber, Dafna et al. “Sleep disorders in patients with ADHD: impact and management challenges.” Nature and science of sleep vol. 10 453-480. 14 Dec. 2018, doi:10.2147/NSS.S163074

Larssen I, et al. Sleep interventions for children with attention deficit hyperactivity disorder (ADHD): A systematic literature review. Sleep Medicine. Volume 102, February 2023, Pages 64-75. https://doi.org/10.1016/j.sleep.2022.12.021

Chan, Y. S., Jang, J. T., & Ho, C. S. (2022). Effects of physical exercise on children with attention deficit hyperactivity disorder. Biomedical journal, 45(2), 265–270. https://doi.org/10.1016/j.bj.2021.11.011

Girard-Joyal, O., & Gauthier, B. (2022). Creativity in the Predominantly Inattentive and Combined Presentations of ADHD in Adults. Journal of attention disorders, 26(9), 1187–1198. https://doi.org/10.1177/10870547211060547

Chillemi, K., & Frye, D. (2022, September 21). Preventing autistic burnout and ADHD burnout. Psychology Today. https://www.psychologytoday.com/us/blog/functional-legacy-mindset/202209/preventing-autistic-burnout-and-adhd-burnout

Marano, G., Kotzalidis, G. D., Lisci, F. M., Anesini, M. B., Rossi, S., Barbonetti, S., Cangini, A., Ronsisvalle, A., Artuso, L., Falsini, C., Caso, R., Mandracchia, G., Brisi, C., Traversi, G., Mazza, O., Pola, R., Sani, G., Mercuri, E. M., Gaetani, E., & Mazza, M. (2025). The Neuroscience Behind Writing: Handwriting vs. Typing-Who Wins the Battle?. Life (Basel, Switzerland), 15(3), 345. https://doi.org/10.3390/life15030345

Neurofeedback for ADHD and Anxiety: A Natural Brain-Based Approach That Lasts

an image of a brain and two dumbbells
The benefits of neurofeedback for ADHD and anxiety includes improved focus, consistent self-regulation, and more.

Table of Contents

Neurofeedback for ADHD and Anxiety: A Drug-Free Approach

Struggling with focus, procrastination, or feeling overwhelmed in today’s world is not uncommon. However, if you—or your child or teen—is unable to focus, learn, or perform daily tasks due to ADHD or anxiety, you may need help.

While stimulant medications are the most common treatment for attention deficit hyperactivity disorder (ADHD), also called attention deficit disorder (ADD), and anti-anxiety pills are often a first-line treatment for anxiety disorders, they aren’t the only options. Many people are now turning to neurofeedback for ADHD and anxiety for a natural, brain-based approach that trains the brain to function better.

Studies have shown that neurofeedback can improve focus and emotional regulation, especially in kids and teens.

At Amen Clinics, we’ve seen amazing results in people of all ages who’ve used this technique to overcome restlessness, impulsive behaviors, and anxiety without relying on medication. Here’s a closer look at how neurofeedback works and why it can lead to lasting positive change.

Many families are now turning to neurofeedback for ADHD and anxiety for a natural, brain-based approach that trains the brain to function better.

JOEY AND MONICA’S STORY: REAL KIDS, REAL RESULTS

 

There is real-world proof that neurofeedback for ADHD works. Look at Joey, for example. At age 9, he was struggling with hyperactivity, impulsive behavior, and difficulty paying attention in class. After his doctor suggested stimulant medication, his mom made the decision to explore other options.

That’s when she decided to visit Amen Clinics and learned about neurofeedback therapy as a natural ADHD treatment for children and adults. After just a few weeks of sessions, Joey’s focus improved, and his restlessness calmed. Best of all, the changes stuck after he finished his sessions.

Then there’s 17-year-old Monica, who was dealing with anxiety, mood swings, and trouble in school. Traditional therapy helped a little, but not enough to be consistent. And when she was on medications, she tried didn’t feel right.

Once she visited Amen Clinics and started neurofeedback, everything began to shift. Within a month, she felt less anxious. After six months, Monica was more focused and emotionally balanced. Even her family noticed how much calmer and cooperative she had become.

Related: 10 Ways to Overcome Impulse Disorders

 

WHAT IS NEUROFEEDBACK AND HOW DOES IT WORK?

 

Think of neurofeedback as a workout for your brain. It’s a safe, non-invasive way to help the brain learn how to self-regulate better using real-time feedback.

During a session, your (or your child’s) brain waves are monitored using sensors placed on the scalp. When the brain is in a focused, calm state, you get a reward—like a sound, a graphic on the screen, or points in a game.

 

Most people wonder what to expect from neurofeedback and if it’ll be a fast or obvious result. The reality is that, over time, this “training” helps the brain recognize what calm and focus feel like and how to return to that state more easily on its own.

 

That’s the big difference. It doesn’t just temporarily treat symptoms. Studies show promising results in teaching the brain to function better long-term.

 

Press Play for Natural Ways to Heal ADHD

In this video, Amen Clinics psychiatrist and ADHD specialist Dr. Steven Storage reveals non-drug ADHD treatments that work.

Click below to tune in:

WHY FAMILIES CHOOSE NEUROFEEDBACK OVER MEDICATION

ADHD medications can be helpful for some people, but they’re not for everyone. Some individuals experience side effects like appetite changes, mood swings, or trouble sleeping. Others don’t respond well to meds at all.

That’s why many parents are seeking natural ADHD treatments for kids that don’t involve altering brain chemistry with drugs. Neurofeedback therapy offers a way to teach the brain to function better—without any unwanted side effects.

Related: 7 Natural ADHD Treatments You Can Start Today

BECOMING THE BOSS OF YOUR BRAIN

One of the best parts of neurofeedback? It helps anxious people feel empowered and confident. Instead of feeling like they’re “broken,” they learn that they can change their brain and calm nervousness.

For kids like Monica, who struggled with anxiety, that sense of control can be life changing. Neurofeedback becomes a non-medication treatment for anxiety to overcome fearfulness increase a sense of peace. 

Kill the ANTs (Automatic Negative Thoughts)

People who have ADHD or anxiety are often filled with ANTs—automatic negative thoughts—that pop up and create stress or self-doubt. At Amen Clinics, we also teach people how to identify and stop those ANTs.

When used alongside neurofeedback as a natural ADHD treatment for kids or adults, this strategy helps people take charge of their thoughts and their brain health. Think of it as a way to build lasting mental strength.

Related: Negative Thinking: Do You Have an ANT Infestation in Your Head?

Conclusion: A Calmer, More Focused Future Is Possible

If you or your child is struggling with ADHD or anxiety, know that lasting change is possible—without relying solely on medication. Neurofeedback therapy offers a safe, non-invasive way to retrain the brain for better focus, emotional regulation, and overall mental wellness.

Just look at Joey, who went from restless and distracted to focused and calm after just a few weeks of neurofeedback sessions. Or Monica, whose anxiety and mood swings improved so much that even her family noticed a transformation. Their stories aren’t rare—at Amen Clinics, we’ve seen thousands of individuals benefit from this science-backed, brain-based therapy.

Whether you’re exploring options for your child, your teen, or yourself, neurofeedback could be the missing piece in your mental health journey. With the right tools and support, you can build a brain that works better—and a life that feels better.

FAQ

Yes! At Amen Clinics, we’ve seen amazing results using neurofeedback for ADHD and anxiety. People become calmer, more focused, and more in control. It’s also recognized by the American Academy of Pediatrics as a top-level treatment for ADHD.

Unlike medication, which often only manages symptoms short-term, neurofeedback helps train the brain to function better long-term. It’s a great option for people looking for drug-free solutions or for kids or adults who don’t respond well to medications.

You (or your child) will play fun, brain-based games while wearing small sensors that read brain activity. When their brain is in a focused or calm state, you get instant feedback. Over time, this helps the brain repeat those healthy patterns more often.

ADHD, anxiety, and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Nguyen GH, Oh S, Schneider C, Teoh JY, Engstrom M, Santana-Gonzalez C, Porter D, Quevedo K. Neurofeedback and Affect Regulation Circuitry in Depressed and Healthy Adolescents. Biology (Basel). 2023 Nov 3;12(11):1399. doi: 10.3390/biology12111399. PMID: 37997998; PMCID: PMC10669603.

 

Van Doren J, Arns M, Heinrich H, Vollebregt MA, Strehl U, K Loo S. Sustained effects of neurofeedback in ADHD: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry. 2019 Mar;28(3):293-305. doi: 10.1007/s00787-018-1121-4. Epub 2018 Feb 14. PMID: 29445867; PMCID: PMC6404655.

 

Trambaiolli, L. R., Kohl, S. H., Linden, D. E. J., & Mehler, D. M. A. (2021). Neurofeedback training in major depressive disorder: A systematic review of clinical efficacy, study quality and reporting practices. Neuroscience & Biobehavioral Reviews, 125, 33–56. https://doi.org/10.1016/j.neubiorev.2021.02.015

 

Gray SN. An Overview of the Use of Neurofeedback Biofeedback for the Treatment of Symptoms of Traumatic Brain Injury in Military and Civilian Populations. Med Acupunct. 2017 Aug 1;29(4):215-219. doi: 10.1089/acu.2017.1220. PMID: 28874922; PMCID: PMC5580369.

 

Chen C, Xiao X, Belkacem AN, Lu L, Wang X, Yi W, Li P, Wang C, Sha S, Zhao X, Ming D. Efficacy Evaluation of Neurofeedback-Based Anxiety Relief. Front Neurosci. 2021 Oct 28;15:758068. doi: 10.3389/fnins.2021.758068. PMID: 34776855; PMCID: PMC8581142.

 

Cueli, M., Rodríguez, C., Cabaleiro, P., García, T., & González-Castro, P. (2019). Differential Efficacy of Neurofeedback in Children with ADHD Presentations. Journal of clinical medicine, 8(2), 204. https://doi.org/10.3390/jcm8020204

 

Patil, A. U., Madathil, D., Fan, Y. T., Tzeng, O. J. L., Huang, C. M., & Huang, H. W. (2022). Neurofeedback for the Education of Children with ADHD and Specific Learning Disorders: A Review. Brain sciences, 12(9), 1238. https://doi.org/10.3390/brainsci12091238

3 Ways to Improve the Performance of ADD Students

child with book on their head smiling
Struggling with your child’s school performance? Try these 3 strategies that help children with ADHD improve focus, behavior, and grades.

The beginning of every school year brings renewed hope. But as a parent to a child with ADHD, this can be a moment filled with anxiety and uncertainty.

 

You would want to trust that the coming year will be different, but deep down, you’re worried about the missed assignments, poor grades, emotional outbursts, and the struggles of keeping your child organized and focused. 

 

ADHD and learning challenges are a common combo that can make your life—and your neurodivergent child’s life—more difficult than it needs to be.

 

The good news is that you can learn how to help a child with ADHD succeed in school. And once you do, you’ll feel more equipped to support your child’s growth, both in the classroom and beyond.

 

Attention deficit hyperactivity disorder (ADHD), also called attention deficit disorder (ADD), remains one of the most misunderstood and often mismanaged conditions today. But a growing body of research shows that improvement could be hidden in how your child eats, moves, or rests.

 

In this blog, you’ll get to learn about three proven, brain-based strategies that will help you unlock your child’s full learning potential.

You can learn how to help a child with ADHD succeed in school. And once you do, you’ll feel more equipped to support your child’s growth, both in the classroom and beyond.

STRATEGY #1: BOOST BLOOD FLOW WITH DAILY EXERCISE

One of the most beneficial ADHD school strategies is creating time for your child to engage in physical activities every day. Studies show that regular physical activity plays a vital role in supporting brain function and managing core symptoms of ADHD.

There is a strong relationship between exercise and ADHD, with research showing that consistent physical activity helps increase blood flow to the brain and boosts the production of feel-good chemicals like serotonin and dopamine. 

Boosting these chemicals can support your child by helping them:

  • Stabilize their mood
  • Improve their attention span
  • Enhance impulse control
  • Calm hyperactivity

Even though they are intelligent and hardworking, children with ADHD often find it difficult to keep up, which can take an emotional toll on the entire family. 

The good thing about it? 

It doesn’t have to be complicated. You can take a nature walk with your child, dance to music, or take a 30-minute bike ride. Including movement in your child’s routine, more so during long breaks like summer, will not only support their brain health but also set the stage for improved behavior and better learning throughout the school year.

As you do this consistently, you will begin to notice some changes in your child. For instance, the emotional outbursts are likely to reduce in frequency, plus, they will have better focus in class and a calmer mind overall. 

STRATEGY #2: IMPROVE FOCUS WITH A BRAIN-HEALTHY DIET

Food is not just fuel. It’s a key pillar in supporting brain health and the management of ADHD symptoms. Research on nutrition for ADHD kids highlights how targeted dietary choices can significantly improve focus, regulate emotions, and support better behavior. 

Ensure your child’s diet is high in protein and low in refined sugar. It will help stabilize your child’s blood sugar levels and support the production of neurotransmitters like dopamine, which could be lacking in a child with ADHD. 

Experiment with meals that are simple and family-friendly. To fuel your child’s brain, focus on:

  1. Protein-packed foods like eggs, Greek yogurt, and nut butters. They are good at improving focus and alertness. 
  1. Healthy fats from sources like olive oil, avocados, fatty fish like salmon, and nuts to support the development of your child’s brain. 
  1. Complex carbohydrates like whole grains, starchy vegetables such as sweet potatoes, and fruits that are high in fiber to keep your child’s energy levels steady.
  1. Minimize sugar and artificial additives as they can trigger spikes in hyperactivity and sudden lapses in concentration.

STRATEGY #3: GET A PERSONALIZED BRAIN EVALUATION

Traditional mental health care approaches often rely on symptom checklists to diagnose ADHD, leading to cookie-cutter diagnoses and treatment for ADHD. But ADHD is not a single or simple mental health condition.

Based on the brain-imaging work at Amen Clinics involving over 250,000 brain scans, there are seven types of ADHD. Each ADHD type has its own unique pattern of brain activity and behavioral profile.

If these underlying brain activity patterns are not identified, treatment can involve a long process of trial and error. This can result in months or even years of added frustration for you and your child.

Related: Treating the Brain for 7 Types of ADHD

 

A comprehensive evaluation for ADHD should involve more than just symptom checklists. Neuropsychological assessments are key components that can help in the diagnostic process. Getting a brain scan for ADHD can also be beneficial.

Brain SPECT imaging, the advanced technology used at Amen Clinics, evaluates blood flow and activity in the brain. It goes beyond surface-level symptoms to provide a clear, visual understanding of how your child’s brain is functioning.

It can reveal areas of the brain with healthy activity, too much activity, or too little activity. In most types of ADHD, there’s a decrease in activity in an area called the prefrontal cortex. The PFC is involved in executive functions like planning, impulse control, judgment, follow-through, and learning from your mistakes.

Getting a SPECT scan for ADHD allows specialists to deliver a more accurate ADHD diagnosis. 

Related: Brain SPECT Made Ridiculously Simple

 

WHY ONE-SIZE-FITS-ALL ADD TREATMENTS OFTEN FAIL

Most ADHD treatment plans center on stimulant medications. But using prescription stimulants alone is bad treatment. Why?

Medication that works for one child may not work for another when it comes to managing ADHD. That’s because this common neurodevelopmental disorder isn’t a single, uniform condition. As you saw above, children may have one or more of the seven types of ADD, requiring a personalized treatment plan.

Giving a child the wrong ADHD medication can limit progress or exacerbate symptoms. And depending on standard medication alone isn’t enough.

The best way to treat ADHD goes beyond medication and should include a whole-child approach. Personalized ADHD treatment plans may involve:

  • Individualized dietary plans
  • Targeted nutritional supplements
  • Behavior strategies
  • Specific types of exercise
  • Academic support for ADHD
  • Medications (when necessary)
  • Innovative therapies (such as neurofeedback)

Brain-based ADHD interventions focus on understanding your child’s specific brain functions. This allows you and your health care providers to choose the most effective strategies for their unique needs.

According to research, one child may benefit from dietary changes, while another child may respond well to targeted therapy or medication. Without such individualized approaches, treatment may be ineffective or could make a child’s symptoms worse. 

When you understand the structure and functioning of your child’s brain, you’re better equipped to help them succeed at school, at home, and in life. This kind of approach is one that supports the growth of your child and reduces stress. It also improves the overall quality of life of your entire family. 

FAQ

Start establishing healthy routines as soon as possible. Introduce brain friendly meals, add nature walks, and establish a consistent sleep and wake up schedule, even on weekends. 

 

These habits will help regulate your child’s mood and improve their focus as you prepare them for the structure of school. With a routine in place before the next academic year begins, your child will succeed both emotionally and academically. 

While both involve mood changes, borderline personality disorder is defined by rapid, emotionally reactive shifts often triggered by relationships or fear of abandonment. Bipolar disorder involves longer mood cycles and distinct episodes of mania or depression. Accurate diagnosis is essential, and that’s why we use brain SPECT imaging to help distinguish between the two.

To determine your child’s ADHD type, it’s important to start by looking at what is happening inside their brain. A SPECT scan will provide a detailed image of how blood is flowing through their brain, as it shows areas that are underactive and overactive. 

 

When paired with a detailed clinical evaluation and neuropsychological assessments, this brain-based diagnostic process will help clarify which of the seven ADHD types is present. This insight can guide a treatment plan tailored to your child’s specific needs.

ADHD and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Mehren A., et al. Physical Exercise in Attention Deficit Hyperactivity Disorder—Evidence and Implications. Borderline Personal Disord Emot Dysregul. January 2020;7:1. doi: 10.1186/s40479-019-0115-2. PMC6945516

Chan Y‑S, Jang J‑T, Ho C‑S. Effects of physical exercise on children with attention deficit hyperactivity disorder. Biomed J. 2022 Apr;45(2):265–270. PMID: 34856393; PMCID: PMC9250090. doi: 10.1016/j.bj.2021.11.011

Lange, K. W., Lange, K. M., Nakamura, Y., & Reissmann, A. (2023). Nutrition in the management of ADHD: A review of recent research. Current Nutrition Reports, 12(4), 383–394. https://doi.org/10.1007/s13668-023-00487-8 

Centers for Disease Control and Prevention. (2024, October 22). ADHD in the classroom: Helping children succeed in school. Retrieved June 6, 2025, from https://www.cdc.gov/adhd/treatment/classroom.html

Not Just ADHD: How to Spot the Signs of Complex ADHD

a close up of a person with dark curly hair
ADHD often coexists with other mental health issues. Learn what Complex ADHD is, and how to get the right diagnosis and treatment.

Are you or your child struggling with additional mental health challenges even after being diagnosed with and treated for attention deficit hyperactivity disorder (ADHD), also called attention deficit disorder (ADD)? Are you noticing signs of other mental disorders, such as anxiety, depression, oppositional behavior, trouble with learning, or problematic substance use?

Complex ADHD refers to cases where ADHD is present alongside co-occurring disorders. This can be found in both children and adults, and these scenarios are more common than many people think. They also complicate both diagnosis and recovery for those affected.

Let’s look at some of the most common conditions that occur alongside ADHD, including their symptoms and possible treatment strategies.

Complex ADHD refers to cases where ADHD is present alongside co-occurring disorders, such as anxiety, depression, learning disabilities, or substance abuse.

WHAT IS COMPLEX ADHD?

ADHD is a neurodevelopmental disorder that involves problems with attention and focus, impulsivity, disorganization, and in some cases hyperactive behavior. Complex ADHD is defined as the presence of both ADHD and another mental health condition, learning disability, neurodevelopmental disorder, or substance abuse problem.

Press Play to Learn ADHD is the Wrong Term for This Common Condition

In this video, Dr. Daniel Amen explains why the term ADHD basically discounts half the people who have the condition.

Click below to tune in:

Symptoms of other mental disorders, such as oppositional defiant disorder, anxiety, autism spectrum disorder, and bipolar disorder, can overlap with those of ADHD. This can complicate the diagnosis process and make it more challenging to find an effective treatment plan.

Having complex ADHD can disrupt a person’s daily functioning and performance. In addition to ADHD’s hallmark symptoms, further difficulties may be triggered from the condition itself.

For example, a student with ADHD may experience anxiety when their performance at school suffers. But when the ADHD is properly treated, these symptoms can reduce or disappear altogether.

However, those with complex ADHD have full-fledged secondary disorders that require their own treatment. Such comorbid conditions are common.

Research shows that up to 80% of adults with ADHD have at least one co-existing condition. And anywhere from 60% to 100% of children with ADHD are affected by another issue, according to a review published in World Journal of Clinical Cases.

The most common co-existing conditions noted in the review, followed by the percentage of children thought to be affected, are:

  • Learning disorders (70%)
  • Autism spectrum disorder (59%)
  • Tic disorders (55%)
  • Oppositional defiant disorder (30-50%)
  • Depressive disorder (12-50%)
  • Bipolar disorder (5-47%)
  • Anxiety disorders (15-35%)
  • Conduct disorder (3.5-10%)

Related: Oppositional Defiant Disorder: Symptoms and Management

There is also a significant overlap between ADHD and substance use disorders (SUD). According to research published in 2021 in Alcohol and Alcoholism, half of adults from ages 20-39 with ADHD have had a SUD in their lifetime. This is more than twice the number of non-ADHD young adults (23.6%) who have had a SUD.

In other words, as some researchers have suggested, complex ADHD—the presence of one or more additional conditions alongside ADHD—may be the rule rather than the exception.

COMPLEX ADHD SYMPTOMS

Let’s look at some symptoms for each of the above disorders that commonly co-occur with ADHD.

  1. Learning disorders. A 2015 study noted that it’s fairly common for children with ADHD to exhibit the symptoms of specific learning disorders.

Researchers defined these as “significant difficulties in learning one or more academic domains, such as reading, writing, listening, speaking, reasoning, and performing mathematical calculations and problem solving.”

  1. Autism spectrum disorder (ASD). According to Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD), ADHD is the most common coexisting condition in children with ASD.

In both conditions, affected functions may include movement, language, memory, social skills, decision making, impulse control, time management, focus, and organization skills.

  1. Tic disorders. Children and adults with tic disorders display involuntary vocal and/or physical tics, such as eye blinking, yelling, or humming. These movements and vocalizations occur suddenly and can be difficult to control.

Tic disorders are typically grouped into three categories: Tourette’s syndrome, persistent/chronic motor or vocal tic disorder, and provisional tic disorder.

  1. Oppositional defiant disorder (ODD). Children with ODD may have frequent and/or prolonged temper tantrums or engage in excessive arguments with adults. They may be exceptionally defiant, angry, disruptive, or cruel. Similarly, adults with ODD may be angry or irritable, engage in aggressive or hostile behavior, or show contempt for authority figures.
  2. Depressive disorder. Also called clinical depression or major depressive disorder, this mental health issue affects millions of Americans. As a mood disorder, it’s characterized by persistent low moods, including feelings of sadness, emptiness, or hopelessness.

Individuals may lose interest in activities they previously enjoyed, feel fatigued or lethargic, or engage in suicidal thoughts or behavior.

Related: How Untreated ADHD Can Cause or Worsen Depression

  1. Bipolar disorder. Bipolar spectrum disorder (BSD), formerly called manic depression, is a brain disorder marked by cycles of mania and depression. BSD is associated with severe changes in mood, energy and activity levels, which compromise the ability to carry out everyday tasks.

Depressive episodes involve the symptoms noted above, under #5. Manic episodes manifest as an influx of energy, less need for sleep, fast speech, grandiose ideas, and/or racing thoughts. Both of these states occur at more intense levels than a person’s normal ups and downs.

  1. Anxiety disorders. While feelings of anxiety are common among Americans, anxiety disorders are more severe, interfering with daily life.

Symptoms include extreme worry and nervousness, even leading to panic attacks. Physical symptoms, such as a racing heart, trembling hands, dizziness, and muscle tension, can also accompany anxiety disorders.

  1. Conduct disorder (CD). CD goes beyond typical childhood or teenage rebelliousness. In children and teens, it often includes aggressive behavior, such as hitting or biting others, bullying, animal cruelty, or vandalism. Generally, people with conduct disorders have difficulty following rules and show a lack of regard or empathy for others.
  2. Substance use disorder (SUD). Addictions can involve illegal substances, prescription medications, and/or alcohol. Through repeated and heavy usage, drug users change the way the brain experiences pleasure. Over time, usage of the drug increases and leads to life-damaging effects.

People with addictions typically lack self-control around the substances they’re using. So, even though they experience negative consequences and they want to stop using, they continue to use.

DIAGNOSING COMPLEX ADHD

Getting the right complex ADHD diagnosis is a critical step in the treatment process. According to one study on the condition, a wide range of assessments are required to diagnose both ADHD and co-existing disorders.

A helpful tool in complex ADHD diagnosis and treatment is brain SPECT imaging. Single photon emission computed tomography evaluates blood flow and activity in the brain. Based on over 250,000 SPECT brain scans on tens of thousands of patients, Amen Clinics has identified seven types of ADHD, each associated with its own brain pattern.

Related: Treating the Brain for 7 Types of ADHD

SPECT can also help pinpoint signs of other co-occurring disorders. For example:

  • Substance use disorders are associated with a toxic or scalloped appearance of the brain.
  • Overactivity in the deep limbic system—the brain’s emotional center—is associated with depression.
  • Heightened activity in the basal ganglia is often seen in people with anxiety disorders.

These brain scans can also help identify or rule out other potential causes for brain and mood changes, such as head trauma, infection, or toxin exposure.

COMPLEX ADHD TREATMENT

Because more than one issue is at play in complex ADHD, treatment needs to be personalized and comprehensive. Treatment for complex ADHD may include:

  • Medication
  • Parent training
  • Psychotherapy, such as cognitive behavioral therapy (CBT)
  • Innovative therapies, such as neurofeedback
  • Diet modifications
  • Lifestyle changes
  • Nutritional supplements

Additional treatments for complex ADHD will depend on the co-occurring disorder that is diagnosed.

GETTING HELP FOR COMPLEX ADHD

Because ADHD so often co-exists with other mental health conditions, it’s important to remain on the lookout for additional issues, even after receiving an ADHD diagnosis and treatment plan. When treating ADHD has not helped reduce or eliminate other mental health symptoms, it might be time to seek evaluation for a comorbid condition.

FAQ

Complex ADHD refers to attention-deficit hyperactivity disorder (ADHD) that occurs alongside one or more co-occurring conditions—such as anxiety, depression, learning disabilities, autism spectrum disorder, or substance use disorder. This combination can make diagnosis and treatment more challenging, which is why a comprehensive, brain-centered evaluation is so important.

Diagnosing Complex ADHD requires more than just a checklist of symptoms. At Amen Clinics, we use brain SPECT imaging, neuropsychological testing, and a full evaluation of biological, psychological, social, and spiritual factors to identify both ADHD and any co-existing conditions. This helps ensure a personalized treatment plan that addresses the whole person, not just the label.

Yes. While Complex ADHD may take more time and nuance to treat, healing is absolutely possible. The key is to identify and address all contributing factors—not just ADHD. At Amen Clinics, we offer integrated treatment options that may include medication, psychotherapy, nutritional support, lifestyle strategies, and cutting-edge tools like neurofeedback, all guided by your brain’s unique needs.

ADHD, learning disabilities, and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Gnanavel S, Sharma P, Kaushal P, Hussain S. Attention deficit hyperactivity disorder and comorbidity: A review of literature. World J Clin Cases 2019; 7(17): 2420-2426. https://www.wjgnet.com/2307-8960/full/v7/i17/2420.htm DOI: https://dx.doi.org/10.12998/wjcc.v7.i17.2420

Katzman, Martin A et al. “Adult ADHD and comorbid disorders: clinical implications of a dimensional approach.” BMC psychiatry vol. 17,1 302. 22 Aug. 2017, doi:10.1186/s12888-017-1463-3

News Release, 25 Aug 2021, Half of adults with ADHD have had a substance use disorder, University of Toronto, https://www.eurekalert.org/news-releases/924775

ADHD and Autism Spectrum Disorder, CHADD, https://chadd.org/about-adhd/adhd-and-autism-spectrum-disorder/

Specific Learning Disorders and ADHD: Current Issues in Diagnosis Across Clinical and Educational Settings. Andy V. Pham & Alexandra Riviere. Curr Psychiatry Rep (2015) 17:38 DOI 10.1007/s11920-015-0584-y. https://www.researchgate.net/profile/Andy-Pham-5/publication/275216473_Specific_Learning_Disorders_and_ADHD_Current_Issues_in_Diagnosis_Across_Clinical_and_Educational_Settings/links/55366b990cf218056e94f8e6/Specific-Learning-Disorders-and-ADHD-Current-Issues-in-Diagnosis-Across-Clinical-and-Educational-Settings.pdf

Koolwijk I, Stein DS, Chan E, Powell C, Driscoll K, Barbaresi WJ. “Complex” attention-deficit hyperactivity disorder, more norm than exception? Diagnoses and comorbidities in a developmental clinic. J Dev Behav Pediatr. 2014 Nov-Dec;35(9):591-7. doi: 10.1097/DBP.0000000000000109. PMID: 25343695.

Loving Someone with ADHD: 12 Common Relationship Challenges 

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Facebook-f X-twitter Youtube Falling in love with someone with ADHD can be easy. People with this common mental health condition are often intelligent, passionate, and

Falling in love with someone with ADHD can be easy. People with this common mental health condition are often intelligent, passionate, and spontaneous, which can make a relationship exciting. Living with these people, however, can pose some unique emotional and behavioral challenges that may lead to relationship problems and marital conflict.  

At Amen Clinics, the global leader in brain health, our neuropsychiatrists have worked with thousands of people with attention deficit hyperactivity disorder (ADHD)—also known as attention deficit disorder (ADD)—and their partners. Based on this experience, here are the 12 most common issues that arise in these relationships and some simple strategies to help partners of people with ADD cope more effectively. 

Falling in love with someone with ADHD can be easy. Living with them, however, can pose some unique emotional and behavioral challenges that may lead to relationship problems and marital conflict.

THE EXCITING AND CHALLENGING SIDES OF ADHD IN RELATIONSHIPS 

People with ADHD can be incredibly creative and high energy. Decades of clinical practice at Amen Clinics working with individuals who have ADHD have shown that they can be: 

  • Highly Intelligent: Comedic genius Ellen DeGeneres, author Mel Robbins, and talk show host Trevor Noah are just a few brilliant figures who have opened up about being diagnosed with ADHD.
  • Creative: They often make wonderful writers, artists, and salespeople.
  • Natural Risk Takers: Think entrepreneurs, CEOs, firefighters, ER physicians, and trauma nurses. While most people run away from dangerous situations, people with ADD tend to run towards them.

 Thanks to these traits, life with someone who has the condition can be spontaneous, exciting, and unpredictable. But that same impulsivity and intensity can lead to conflict and misunderstanding. 

The brain-imaging work at Amen Clinics using single photon emission computed tomography (SPECT) shows that people with this common condition often have abnormal activity in certain areas of the brain. single photon emission computed tomography (SPECT) is an advanced imaging technique that measures blood flow and activity in the brain.  

SPECT scans reveal that ADHD is often associated with low blood flow and activity in the brain’s prefrontal cortex. The PFC is responsible for high-level brain functions such as decision-making, judgment, impulse control, and learning from one’s mistakes. Low blood flow here is linked to problems in these areas, which can have a negative impact on relationships.

For instance, research on marital relationships involving adults with ADHD indicated that they frequently held more negative perceptions of the relationship compared to their spouses, who reported higher levels of satisfaction.

12 COMMON ADHD RELATIONSHIP CHALLENGES 

Let’s explore the most frequent issues couples face when one partner—or both—has ADHD and take a look at some of the consequences that can develop. 

1. Speaking Without Thinking 

Although a person has a thought, it doesn’t mean that it is accurate or that they even necessarily believe it. Statements like “that’s a stupid idea” can be damaging to hear in a relationship and result in hurting the person on the receiving end. Yet, many people with ADHD tend to blurt out whatever comes to mind without thinking about how it will affect their partner. 

2. Misperceptions and Communication Breakdowns 

Misperceptions often cause serious problems in relationships. Often the spouse of an ADHD person must spend an inordinate amount of time correcting misperceptions that lead to disagreements.

One Amen Clinics patient said that before he was leaving on a business trip, he told his wife that he was going to miss her. She heard his words as “I’m not going to miss you” and was angry at him for the rest of the night, no matter what he said.

Science backs this up. One study in the Journal of Attention Disorders found that people with ADHD have higher levels of interpersonal problems and troubles with family relationships.  

3.  Interruptions and Distractibility 

Due to distractibility, conversations are often cut short or left uncompleted, leaving the other person feeling unimportant. People with ADHD need to have what they want right away, which often causes problems in situations where they need to take turns, such as in conversations.

Spouses often complain that they are cut off or interrupted, which makes them feel disrespected. 

4. Chronic Procrastination and Disorganization 

People with ADHD person often wait until the very last minute or are too disorganized to get things done such as paying the bills, buying holiday gifts, or making dinner reservations for anniversaries.

A study performed on people with ADHD showed that poor time management, low self-esteem, and worries may be associated with reduced interpersonal skills and difficulty maintaining relationships.

In addition, they may not complete chores even though they fully intended to do so. This may irritate spouses who feel the need to pick up the loose pieces or who feel unloved or unimportant. 

5. Sensory Sensitivity 

Some adults with ADHD are sensitive to touch, which can make them shy away from affection. This can harm a relationship, especially if the person’s partner wants or needs affection.  

6. Excessive or Minimal Talking 

Sometimes people with ADHD talk for self-stimulation. There is an internal drive to go on and on. This may irritate significant others, who feel like a prisoner of the conversation—or monologue—because they can’t get a word in edgewise.

In other cases, people who love someone with ADHD may complain that there is little talking or emotional expression in the relationship. “They seem turned off when they come home” is a common complaint, and many spouses report getting short responses, such as, “fine” or “OK.”  

7. Risk-taking Behavior 

This type of behavior worries the partners of the ADHD person. In some cases, spouses feel pressured to go along with dangerous or reckless behavior, causing a rift in the relationship. 

8. Emotional Volatility and Mood Swings 

Many spouses say that they never know what to expect from their ADHD partner. “One minute they’re happy, the next minute they’re screaming,” is a common complaint. Small amounts of stress may trigger huge explosions.

Problems with emotional regulation and ADD are common. Some studies have reported that approximately 70% of adults with ADHD struggle with emotional dysregulation. Rooted in an inability to manage emotional responses, emotional dysregulation can look like bursts of rage, crying, and temper.

After this occurs several times in a relationship, the partner can become “gun shy” and may begin to withdraw from the person. In some cases, untreated ADHD may be often involved in abusive relationships.  

9. Drama-seeking 

This is a common complaint among people living with someone who has ADHD. People with this condition often look for trouble as a way to self-stimulate. Rather than ignoring a minor incident, they focus on it and have difficulty letting it go.

Romantically, partners who have ADHD struggle in navigating conflict resolution and maintaining the relationship long term. Things in an ADHD house do not remain peaceful for long periods of time.  

10. Restlessness and Escapism 

Having ADHD can make a person feel restless or anxious, causing them to seek out ways to relax. They may use excessive sex, food, or alcohol to try to calm themselves.

One patient at Amen Clinics had sex with his girlfriend over 500 times in the last year of their relationship. She left him because she felt that their relationship was only based upon sex. 

11. Difficulty Seeing Other’s Emotional Needs 

Many people with ADHD have trouble getting outside of themselves to see the emotional needs of others. Studies have shown that adults with ADD tend to have lower levels of empathy.

This is theorized to stem from the difficulties tied to socializing skills, executive functioning, and emotional dysregulation. Spouses often label them as spoiled, immature, or self-centered.  

12. Repeating The Same Arguments Without Resolution 

People with ADHD often engage in repetitive, negative arguments with their partner. They don’t learn from the interpersonal mistakes from their past and repeat them again and again.  

6 Survival Strategies for Partners of ADHD Individuals  

Supporting a partner with ADHD is critical for your relationship, as well as for your loved ones’ physical and mental health. Research on people with ADHD over the age of 50 found that a lack of a support system negatively impacted quality of life. On the flip side, having a supportive spouse enhanced daily functioning and overall sense of well-being.

If you’re wondering how to support an ADHD partner, try the following expert tips. These ADHD survival strategies can help reduce conflict and improve emotional connection in relationships. 

1. Be specific with requests.

Avoid vague requests. Clarity helps reduce misunderstandings. For example, when you ask your significant other to do something, make it clear. Instead of asking, “Can you rake the leaves?” try “Can you rake the leaves before lunchtime?” 

2. Use reminders and technology tools. 

Set up alerts, lists, and visual cues to help your partner stay on track. Perhaps you leave sticky notes around the house for them, download a shared calendar app, or set up check-in reminders to show your investment. 

Related: 8 Brain-Based Habits That Elevate Your Relationships 

3. Adjust expectations.

 Accept your partner’s strengths and limits with compassion, not frustration. This may involve building in extra time when making plans, asking them to sit down and connect if you’re feeling ignored, or even offering support if they are not meeting your expectations.  

4. Set boundaries and enforce them gently. 

Boundaries build safety. Remind often and reinforce without shaming. If your partner is raising their voice at you during a heated discussion, instead of adding fuel to the fire, you could say “I want to keep talking, but I need us to lower our voices. I won’t continue the conversation if we’re yelling.” 

5. Encourage a brain-healthy lifestyle. 

Exercise, nutrition, and supplements like omega-3 fatty acids and green tea can improve brain function. Suggesting healthy meal ideas, making plans with them that involve exercise, and having nutritious snacks available in the house can all help. 

6. Understand their ADHD type. 

Based on the brain-imaging work at Amen Clinics, there are seven types of ADHD:

  • Classic ADHD
  • Inattentive ADD
  • Overfocused ADD
  • Temporal Lobe ADD
  • Limbic ADD
  • Ring of Fire ADD
  • Anxious ADD

Knowing more about your partner’s ADHD type can increase understanding and help you come up with targeted solutions to reduce symptoms and improve relationships.

When natural solutions or traditional treatments aren’t working, a brain scan may be beneficial to identify their type and to see signs of other problems, such as traumatic brain injuries that can mimic or worsen ADHD symptoms.   
Related: 7 Types of ADHD eBook

WHEN TO CONSIDER A BRAIN SCAN OR PROFESSIONAL HELP 

If your partner has ADHD and marriage problems persist despite trying natural interventions and standard treatments, it may be time to seek help from a mental health professional. In some cases, a SPECT scan can offer insights into the underlying neurological patterns contributing to relationship conflict. 

In marital partnerships, there are promises and investments made. While these deepen the relationship, they also invite larger expectations, greater responsibilities, and a constant collision of lifestyles.  

To make sure that you are there for each other “in sickness and in health”, there are resources you can seek to support both you and your partner.  

ADHD can be challenging not only for the person diagnosed, but also for their romantic partner. Each person in the relationship experiences unique obstacles and overcoming the relational complexities requires effort and vulnerability.  

While these types of dynamics require more work, it’s this very investment in which healthy habits are more frequently practiced, and a deeper, more resilient union is formed. 

FAQ

Communication issues, emotional dysregulation, impulsivity, and forgetfulness are common relationship strains that often stem from untreated or mismanaged ADHD. 

Support looks like structure, clear communication, and healthy boundaries, not rescuing or doing everything for them. Encourage brain-healthy routines and consistency. 

Yes, there are seven types of ADHD, and each requires different strategies. A brain scan can uncover the specific type and lead to more effective solutions for both behavior and relationship success. 

ADHD and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Beheshti, A., Chavanon, ML. & Christiansen, H. Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis. BMC Psychiatry 20, 120 (2020). https://doi.org/10.1186/s12888-020-2442-7 

https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-2442-7 

Groen, Y et al. “Reduced emotional empathy in adults with subclinical ADHD: evidence from the empathy and systemizing quotient.” Attention deficit and hyperactivity disorders vol. 10,2 (2018): 141-150. doi:10.1007/s12402-017-0236-7. https://pmc.ncbi.nlm.nih.gov/articles/PMC5973978/ 

Sodano, S. M., Tamulonis, J. P., Fabiano, G. A., Caserta, A. M., Hulme, K. F., Hulme, K. L., Stephan, G. R., & Tronci, F. (2019). Interpersonal Problems of Young Adults With and Without Attention-Deficit/Hyperactivity Disorder. Journal of Attention Disorders, 25(4), 562-571. https://doi.org/10.1177/1087054718821728 (Original work published 2021). https://journals.sagepub.com/doi/10.1177/1087054718821728

Ginapp, Callie M et al. “The experiences of adults with ADHD in interpersonal relationships and online communities: A qualitative study.” SSM. Qualitative research in health vol. 3 (2023): 100223. doi:10.1016/j.ssmqr.2023.100223 

https://pubmed.ncbi.nlm.nih.gov/37539360/ 

Wymbs, Brian T et al. “Adult ADHD and romantic relationships: What we know and what we can do to help.” Journal of Marital and Family Therapy vol. 47,3 (2021): 664-681. doi:10.1111/jmft.12475 

Sodano, S. M., Tamulonis, J. P., Fabiano, G. A., Caserta, A. M., Hulme, K. F., Hulme, K. L., Stephan, G. R., & Tronci, F. (2019). Interpersonal Problems of Young Adults With and Without Attention-Deficit/Hyperactivity Disorder. Journal of Attention Disorders, 25(4), 562-571. https://doi.org/10.1177/1087054718821728 (Original work published 2021) 

Nyström, A., Petersson, K., & Janlöv, A. C. (2020). Being Different but Striving to Seem Normal: The Lived Experiences of People Aged 50+ with ADHD. Issues in Mental Health Nursing, 41(6), 476–485. https://doi.org/10.1080/01612840.2019.1695029

Kwon, Soo Jin et al. “Difficulties faced by university students with self-reported symptoms of attention-deficit hyperactivity disorder: a qualitative study.” Child and adolescent psychiatry and mental health vol. 12 12. 1 Feb. 2018, doi:10.1186/s13034-018-0218-3 

https://pmc.ncbi.nlm.nih.gov/articles/PMC5796579/

Could Lead Exposure Be Fueling Today’s Mental Health Crisis?

hand under faucet holding piece of lead
New research links past lead exposure to mental illness, ADHD, and personality changes—highlighting a silent crisis in mental health.

Despite being a naturally occurring heavy metal, lead is a silent destroyer for human beings who are exposed to this toxic element. The harmful effects are particularly damaging for the millions of children who face lead exposure at home.

And children are not the only population at risk. Childhood exposure can create serious impacts into adulthood, while adults who have been exposed to even “low” levels of lead can face serious health consequences. In fact, the Centers for Disease Control and Prevention (CDC) warns that there are no safe levels of exposure.

Long-ago lead exposure may be creating ripple effects, contributing to the prevalence of mental health disorders today. This blog will explore the connection, shedding light on how environmental factors like toxins can compromise mental health across generations.

Long-ago lead exposure may be creating ripple effects, contributing to the prevalence of mental health disorders today.

MENTAL HEALTH EFFECTS OF CHILDHOOD LEAD EXPOSURE

For developing brains and bodies, lead exposure can be devastating in a variety of ways. The CDC warns that childhood exposure to lead increases the risk of:

Researchers have been studying the mental health effects of lead exposure for decades. One long-term study, which tracked 579 children from New Zealand over more than 30 years, examined the link between lead exposure in childhood and mental health effects in adulthood.

Lead exposure had already been established as disrupting the behavioral development of children who were exposed, but researchers wanted to pinpoint its lasting effects. They found that with more lead exposure in childhood, individuals were more likely to exhibit mental illness across their lifetimes, as well as challenging personality traits in adulthood.

Increased levels of lead in blood were associated with increased mental health symptoms, especially internalizing and thought disorders. And personality tests revealed higher lead levels were related to increased neuroticism, as well as a decrease in agreeableness and conscientiousness.

In other words, researchers concluded, childhood exposure could have a lifelong impact on mental health and even personality.

A 2019 article in JAMA that evaluated this study added that previous research had linked prenatal or childhood lead exposure with greater risk for mental health issues in adulthood, including schizophrenia and antisocial behavior.

But the New Zealand children studied were of particular interest because their birthplace registered “some of the highest gasoline lead levels in the world,” according to the article. Therefore, unusually high levels of lead contaminated the air and soil through the exhaust from automobiles.

These same children were also shown, in a separate study, to experience negative health outcomes when tested in adulthood, at 38 years old. Their increased lead exposures were associated with more significant declines in both IQ and occupational socioeconomic status, which itself can further impact health.

LEAD EXPOSURE AND MENTAL HEALTH IN ADULTS

It’s important to look at how lead exposure affects mental health. In 1999, a five-year study evaluated the connection between lead levels in blood and three common mental health concerns: major depressive, panic, and generalized anxiety disorders. The results showed that higher lead levels in blood increased the odds of depression and panic disorder.

Related: 10 Scary Ways Toxins Poison Your Brain

Those with the highest lead levels were 2.3 times more likely to have depression and 4.9 times more likely to develop a panic disorder, compared to subjects with the lowest levels. Higher lead levels did not show the same association with generalized anxiety disorder.

The nearly 2,000 participants were young adults (20-39 years old) who were considered to have low levels of exposure. Therefore, researchers concluded that lead exposure “at levels generally considered safe could result in adverse mental health outcomes.”

The World Health Organization (WHO) reports that lead causes devastating health impacts globally. Lead contaminates the environment through activities like mining and manufacturing, and it’s present in products from paints and toys to cosmetics and jewelry. It can even be found in drinking water.

The WHO lists numerous harms caused by this heavy metal, including:

  • Increased risk of high blood pressure
  • Cardiovascular problems
  • Kidney damage
  • Reduced fetal growth and premature birth among pregnant women
  • Severe damage to the brain and central nervous system, causing coma, convulsions and even death (with high levels of exposure)
  • Compromised brain development, resulting in reduced IQ and behavioral changes, including reduced attention span
  • Anemia
  • Hypertension
  • Immunotoxicity
  • Toxicity of the reproductive organs

Ultimately, environmental toxins like lead will steal your mind over time. A toxic brain, as shown in SPECT scans, tends to have a scalloped appearance, with decreased overall activity and blood flow. And because the symptoms of neurotoxicity from lead and other dangerous substances may mimic other conditions, this issue can easily be misdiagnosed or undiagnosed.

Related: 23 Everyday Toxins That Destroy Thinking

LEADED GASOLINE AND MENTAL ILLNESS

An article in 2024 noted that exposure to leaded gasoline affected millions of Americans, creating long-term impacts on mental health and personality changes. Generation X (those born between the mid-1960s and early 1980s) showed the greatest related risks for mental health issues like anxiety, depression, and ADHD.

The article also pointed to the possible connection between falling crime rates and reduced lead exposure in the 1990s and 2000s. This theory, known as the lead-crime hypothesis, links criminal behavior (including homicide) and lead exposure.

Authors cited a 2022 study with alarming stats regarding lead exposure in the United States. It estimated that more than 170 million Americans alive were exposed to high lead levels in early childhood. And several million of them “were exposed to five-plus times the current reference level.”

Leaded gasoline significantly contributed to these high exposure levels. The article explained that this increase could trigger “an estimated 151 million additional mental disorders, including heightened risks for anxiety, depression, and attention-deficit/hyperactivity disorder (ADHD).”

Authors called for more lead screening, particularly among children, and psychiatric recognition of lead poisoning as a neurodevelopmental disorder. With more awareness, they hope for increased efforts toward both prevention and intervention.

HEALING A TOXIC BRAIN

While lead poisoning at any age is devastating, there are steps you can take to heal if you suspect toxin exposure.

We're Here To Help

Anxiety, depression, brain fog, and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

Centers for Disease Control, Childhood Lead Poisoning Prevention. https://www.cdc.gov/lead-prevention/php/data/index.html

Bouchard MF, Bellinger DC, Weuve J, Matthews-Bellinger J, Gilman SE, Wright RO, Schwartz J, Weisskopf MG. Blood lead levels and major depressive disorder, panic disorder, and generalized anxiety disorder in US young adults. Arch Gen Psychiatry. 2009 Dec;66(12):1313-9. doi: 10.1001/archgenpsychiatry.2009.164. PMID: 19996036; PMCID: PMC2917196.

 

Reuben A, Schaefer JD, Moffitt TE, Broadbent J, Harrington H, Houts RM, Ramrakha S, Poulton R, Caspi A. Association of Childhood Lead Exposure With Adult Personality Traits and Lifelong Mental Health. JAMA Psychiatry. 2019 Apr 1;76(4):418-425. doi: 10.1001/jamapsychiatry.2018.4192. PMID: 30673063; PMCID: PMC6450277.

Sancar F. Childhood Lead Exposure May Affect Personality, Mental Health in Adulthood. JAMA. 2019;321(15):1445–1446. doi:10.1001/jama.2019.1116

Reuben A, Caspi A, Belsky DW, et al. Association of Childhood Blood Lead Levels With Cognitive Function and Socioeconomic Status at Age 38 Years and With IQ Change and Socioeconomic Mobility Between Childhood and Adulthood. JAMA. 2017;317(12):1244–1251. doi:10.1001/jama.2017.1712

Combs A, Freeland RE, Alfaro Hudak KM, Mumford EA. The effect of occupational status on health: Putting the social in socioeconomic status. Heliyon. 2023 Oct 28;9(11):e21766. doi: 10.1016/j.heliyon.2023.e21766. PMID: 37954338; PMCID: PMC10638021.

World Health Organization. Lead Poisoning. https://www.who.int/news-room/fact-sheets/detail/lead-poisoning-and-health

Decades of Leaded Gasoline Tied to U.S. Mental Health Crisis, by Denis Storey, December 10, 2024. https://www.psychiatrist.com/news/decades-of-leaded-gasoline-tied-to-u-s-mental-health-crisis/

McFarland MJ, Hauer ME, Reuben A. Half of US population exposed to adverse lead levels in early childhood. Proc Natl Acad Sci U S A. 2022 Mar 15;119(11):e2118631119. doi: 10.1073/pnas.2118631119. Epub 2022 Mar 7. PMID: 35254913; PMCID: PMC8931364.

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Misdiagnosed The Secret Cause of Juan’s Depression and ADHD

Young boy with head in hands
When mental health meds don’t work, look deeper. Infections may be the hidden cause. Discover what helped turn Juan’s life around.

Have you or a loved one experienced mental health issues that had an unknown or mysterious cause? Were you prescribed psychiatric medication that addressed some symptoms but aggravated or created others? Or have symptoms not considerably improved with standard treatments?

That’s what happened to Juan, a 22-year-old college student. He had been taking psychiatric medications for more than a decade, but they weren’t working. He was struggling at school, trying to cope with unwanted medication side effects, and dealing with additional mental health problems that had developed.

Why wasn’t Juan getting better?

Drawing on this fascinating case study from Amen Clinics, this blog explores a common culprit that can lead to mental health symptoms as well as brain fog and memory loss. You’ll also learn how this underlying biological factor impacts mental well-being, how to find out if it might be driving your own mental health issues, and how to protect your overall health.

Thousands of SPECT scans at Amen Clinics have shown that immune system issues and infections must be considered when evaluating brain and mental health—especially when mental health symptoms aren’t improving with typical treatments.

JUAN’S STORY: A HIDDEN CAUSE OF MENTAL HEALTH SYMPTOMS

Juan had used stimulant medication to control his attention deficit hyperactive disorder (ADHD) since he was only 10 years old. As a child, he’d exhibited classic symptoms. He was easily distracted and had difficulty remaining seated or following instructions.

By the time he entered Amen Clinics as a 22-year-old pre-law college student, additional mental health symptoms were surfacing. Despite a high IQ, he was failing at school, struggling with depression, and experiencing suicidal thoughts for the first time ever.

Ritalin, his ADHD medication, improved his focus, but it also had major drawbacks, making Juan irritable, impatient, moody, and agitated. Even in Juan’s childhood, his mother noted these effects, but his family became resigned to his “grumpy” personality. He also experimented with alcohol abuse as an adolescent but quit when he was exhibiting noticeably aggressive behavior.

By college, he was having trouble sleeping. For his anxiety, now elevated due to his poor grades in school, he received a prescription for Xanax, but the medication caused memory problems.

At Amen Clinics, Juan’s SPECT scan showed overall low activity in his brain at rest, showing a toxic pattern that is unusual in someone so young. But, unlike in those with ADHD, activity improved with concentration. Why did his resting SPECT scan look so abnormal?

After ruling out possibilities like drug and alcohol use, environmental toxins, severe anemia, and a past history of oxygen deprivation (such as from a near drowning or heart attack), clinicians conducted an infectious disease panel.

Results revealed that Juan had been exposed to multiple infections in his past: Lyme, the Epstein Barr virus, Toxoplasma gondii, Mycoplasma pneumoniae, and Human Herpesvirus 6 (HHV-6). Because both Lyme disease and HHV-6 compromise immune system function, Juan became more susceptible to other infections.

Infections that mimic ADHD and infections that mimic depression can send people down a troublesome path. Taking prescription drugs for these mental health issues doesn’t get to the root cause of the symptoms and may lead to other issues.

Ultimately, Juan simply needed to be treated for his infections while building a stronger immune system. After treatments, Juan enjoyed marked improvements in his mood, temper, focus, and grades. He was even able to discontinue his ADHD medication—and successfully received his law degree.

Related: Can Lyme Disease Change Your Personality?

CAN INFECTIONS CAUSE MENTAL HEALTH SYMPTOMS?

When it comes to possible hidden causes of mental illness, many culprits can contribute. One common correlation—often overlooked—exists between internal infections and mental health. From cancers and HIV/AIDS to allergies and autoimmune diseases, infections can trigger symptoms that mimic ADHD, depression, and more.

To understand the link between immunity, infections, and mental health, it’s important to review the functions of the immune system. This crucial system of the body defends against attackers, both internal and external. Through these attacks, it strengthens to better handle future threats.

External attackers could be bacteria, viruses, or parasites, while internal invaders include cancer cells. In addition to providing defense, the immune system regulates tolerance—for example, how well you handle potential environmental triggers, such as allergens.

Back in 2016, 33 scientists worldwide wrote an editorial in the Journal of Alzheimer’s Disease about how the medical community often overlooks infectious diseases as an underlying cause of cognitive issues. They cited more than 100 studies demonstrating that significant stress or other immune system suppressants can activate dormant viruses in the brain.

The field of psychiatry that studies the link between the immune system and mental health is still in relatively early development, but experts believe it shows promise. According to a 2021 article published in Brain, Behavior, and Immunity Health, scientists have long hypothesized a link between mental states and immune response.

Authors, citing research from 1985, noted that these speculations occurred long before the founding of psychoneuroimmunology, which is the area of research that studies these interactions. They added that in the previous decade, experts were increasingly exploring how to harness the immune system to improve psychiatric patients’ outcomes—an emerging field called immunopsychiatry.

THE LINK BETWEEN IMMUNITY AND MENTAL HEALTH

Immune disorders fall into one of five categories, all of which impact your brain health—and therefore your mental health:

  1. Immunodeficiency disorders, such as human immunodeficiency virus (HIV) or acquired autoimmune deficiency syndrome (AIDS), increase the risk for mental health conditions. For example, people with HIV are more likely to experience depression, anxiety, and cognitive disorders, including dementia.
  2. Allergies such as hay fever, as well as asthma and eczema, can be more than irritating—they can be life-threatening. And a 2018 study of more than 186,000 people found that those with asthma, hay fever, and eczema were 66 percent more likely to develop mental disorders, compared with allergy-free participants. Multiple studies have also linked asthma to increased risk for mild cognitive impairment and dementia.

Related: What is Mild Cognitive Impairment?

  1. Cancers such as leukemia and lymphomas directly affect the immune system, but any cancer can impact mental health. A 2023 article in Future Healthcare Journal noted that the prevalence of depression and anxiety among cancer patients has reached 20 percent and 10 percent, respectively. It also cited data that 35-40 percent of cancer patients have a diagnosable mental health disorder.
  2. Autoimmune disorders occur when your immune system attacks your own tissues. Examples include MS, rheumatoid arthritis, lupus, Crohn’s disease, psoriasis, and type 1 diabetes. Having an autoimmune disease is associated with an increased risk for:
  • Mood disorders
  • Schizophrenia
  • Bipolar disorder
  • ADHD
  • Dementia, including Alzheimer’s disease
  1. Persistent, recurring infections may indicate a compromised immune system. Infectious illnesses include Lyme disease, streptococcus (strep throat), toxoplasmosis, syphilis, helicobacter pylori (H. pylori), HIV/AIDS, herpes, and more. These can lead to mental health problems such as mood disorders, as well as cognitive issues.

HOW TO STRENGTHEN YOUR IMMUNE SYSTEM

Fortunately, illness does not always follow exposure to infectious diseases. Based on many factors—the strength of your immune system, the level of exposure, your stress levels, and your daily lifestyle habits—you may not get sick when exposed.

Here are some tips to keep your immune system strong:

  1. Care for your immune system. Know your personal medical history and check the health of your immune system with blood tests. Watch for allergies, asthma, rashes, or repeated infections. Get tested for common infections—especially infectious diseases that affect the mind, such as:
  • Lyme (Borrelia burgdorferi, the spirochete that causes Lyme disease)
  • HIV/AIDS
  • Syphilis
  • Herpes simplex 1 and 2
  • Cytomegalovirus
  • Epstein Barr virus
  • Toxoplasma gondii
  • Helicobacter pylori
  • Chlamydia pneumoniae
  • Candidiasis
  1. Avoid allergens and infections as much as possible. Try an elimination diet for 30 days. If you have a cat, avoid exposure to the parasite Toxoplasma gondii through proper handling and care. Wear gloves when gardening or handling soil and wash your hands thoroughly afterward. Avoid consuming raw or undercooked meat, raw cured meat, and unpasteurized milk.

Related: Is Your Cat Making You Crazy?

  1. Adopt immune-enhancing habits. Boost your vitamin D. Lower your stress, as high stress levels can compromise your immune system and increase the risk for autoimmune diseases. Try diaphragmatic breathing, prayer, meditation, calming music, hypnosis, or watching a comedy to relax.
  2. Take nutraceuticals to boost immunity. Everyone should take a multivitamin, omega-3 fatty acids, and vitamin D daily. An integrative practitioner can help you determine additional supplements and nutrients to further improve immunity, such as:
  • Therapeutic mushrooms, including lion’s mane, shiitake, reishi, and Cordyceps
  • Aged garlic
  • Anthocyanins, found in fruit and vegetable extracts, blueberries, cranberries, and grapes
  • Echinacea
  • Omega-3 fatty acids
  • Probiotics
  • Turmeric
  • Vitamin C
  • Vitamin D
  • Vitamin E
  • Zinc

In this video, Dr. Eboni Cornish, Amen Clinics’ Functional Medicine Director for its Eastern division, shares the best supplements to promote a healthy immune system.

Click below to tune in:

INFECTIONS IN MENTAL HEALTH DIAGNOSIS AND TREATMENT

Thousands of SPECT scans at Amen Clinics have shown that immune system issues and infections must be considered when evaluating brain and mental health. And it’s especially crucial when mental health issues aren’t improving with standard treatments, such as in Juan’s case.

If you want to reduce your risk of developing mental health symptoms, take steps to strengthen your immune system, and limit your risks for and exposures to infectious diseases. Future research will undoubtedly continue to advance our understanding on the relationship between the brain, the immune system, and mental health.

We're Here To Help

Anxiety, depression, memory loss, and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

De Picker LJ. The future of immunopsychiatry: Three milestones to clinical innovation. Brain Behav Immun Health. 2021 Jul 30;16:100314. doi: 10.1016/j.bbih.2021.100314. PMID: 34589805; PMCID: PMC8474175.

Tzeng NS, Chang HA, Chung CH, Kao YC, Chang CC, Yeh HW, Chiang WS, Chou YC, Chang SY, Chien WC. Increased Risk of Psychiatric Disorders in Allergic Diseases: A Nationwide, Population-Based, Cohort Study. Front Psychiatry. 2018 Apr 24;9:133. doi: 10.3389/fpsyt.2018.00133. PMID: 29740354; PMCID: PMC5928780.

Itzhaki RF, Lathe R, Balin BJ, Ball MJ, Bearer EL, Braak H, Bullido MJ, Carter C, Clerici M, Cosby SL, Del Tredici K, Field H, Fulop T, Grassi C, Griffin WS, Haas J, Hudson AP, Kamer AR, Kell DB, Licastro F, Letenneur L, Lövheim H, Mancuso R, Miklossy J, Otth C, Palamara AT, Perry G, Preston C, Pretorius E, Strandberg T, Tabet N, Taylor-Robinson SD, Whittum-Hudson JA. Microbes and Alzheimer’s Disease. J Alzheimers Dis. 2016;51(4):979-84. doi: 10.3233/JAD-160152. PMID: 26967229; PMCID: PMC5457904.

Fernando A, Tokell M, Ishak Y, Love J, Klammer M, Koh M. Mental health needs in cancer – a call for change. Future Healthc J. 2023 Jul;10(2):112-116. doi: 10.7861/fhj.2023-0059. PMID: 37786642; PMCID: PMC10540791.  

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Can a Head Injury Cause Adult ADHD Symptoms

woman holding her head like it is injured
Discover how head trauma can trigger ADHD symptoms in adults and explore brain-based strategies to restore focus and impulse control.

If you’re struggling with focus or feeling more impulsive and restless, it can seem like these symptoms are coming out of the blue. Even if you never had ADHD as a child, you can still experience ADHD symptoms as an adult. But most people aren’t aware of a common hidden issue that can lead to the development of attention problems in adulthood.

What’s the underlying issue? For some people, it’s head trauma. People who have experienced a traumatic brain injury (TBI)—even a mild head injury—are at a significantly higher risk of developing focus and attention problems.

In fact, a 2020 study found that people with a history of TBI are more than twice as likely to develop ADHD symptoms compared to those without head trauma. 

Research has found that people with a history of TBI are more than twice as likely to develop ADHD symptoms compared to those without head trauma.

In this blog, you’ll gain insights into post-concussion ADHD symptoms, common signs that ADHD symptoms may be from a past head injury, and brain-based strategies to improve focus and attention.

CAN A CONCUSSION CAUSE ADHD?

Head injuries, including mild traumatic brain injuries (mTBI) that don’t cause a concussion and don’t make you lose consciousness, can lead to the onset of attention deficit hyperactivity disorder symptoms. (ADHD was formerly more commonly known as attention deficit disorder (ADD). Today, people often use the terms interchangeably.)

Research shows that people who suffer concussions have significantly higher rates of inattention and impulsivity compared to those with no head trauma.

Unlike childhood ADHD, a neurodevelopmental condition that is present from an early age, ADHD after traumatic brain injury develops later in life as a direct result of brain damage. This distinction is crucial because treatment approaches for TBI-induced attention problems may differ from those for traditional ADHD.

COMMON ADHD-LIKE SYMPTOMS AFTER A HEAD INJURY

If you’ve experienced head trauma in the past, you may be wondering: Does head trauma lead to attention problems? The answer is yes.

The link between brain injuries and ADHD symptoms is well-documented. Research shows that even mild head injuries can damage areas in the prefrontal cortex of the brain responsible for executive functions like attention, concentration, impulse control, and organization—leading to ADHD-like symptoms in adults.

Here are some examples of ADHD symptoms that may develop after a concussion or TBI:

  • Trouble focusing and sustaining attention – Difficulty staying engaged in conversations or tasks at work, home, and even in your relationships.
  • Increased impulsivity and poor decision-making – Acting without thinking, difficulty with patience, or trouble resisting distractions.
  • Forgetfulness and disorganization – Losing track of tasks, misplacing items, and struggling with daily planning.
  • Difficulty following through on tasks – Starting projects but not finishing them, procrastination, and lack of motivation.
  • Emotional dysregulation – Increased mood swings, frustration, and irritability, even over small issues.

A 2023 study published in Journal of Neurotrauma found that people with a history of concussions were significantly more likely to experience these executive function impairments later in life, reinforcing the connection between head trauma and ADHD symptoms.

Press Play to Learn About ADHD Symptoms Related to Head Inuries

In this video, social media entrepreneur reveals that he thought he had ADHD until he got a brain SPECT scan at Amen Clinics. Find out about his real diagnosis.

Click to tune in:

WHY POST-CONCUSSION ADHD IS OFTEN MISDIAGNOSED

One of the biggest challenges in addressing ADHD after traumatic brain injury is that many adults don’t connect their symptoms to a past injury. You may not think that falling off your bike, hitting your head on the steering wheel in a car accident, or repeatedly hitting soccer balls with your head could have lasting consequences. But they can.

Without knowing what to ask or share, it can be difficult for your doctor to see the connection at first. A concussion from years ago may seem unrelated to any current concentration issues, leading to misdiagnosis.

Traditional ADHD diagnostic methods rely on behavioral questionnaires. Most psychiatrists never look at the brain when making a diagnosis. This means that TBI-related ADHD symptoms are often mistaken for lifelong ADHD, anxiety, or even depression.

Another major distinction is that stimulant medications, commonly used to treat ADHD, don’t always work for those with TBI-induced attention problems. Since brain injuries affect blood flow and brain connectivity differently, treatments need to be tailored to the individual.

Related: 9 Frequently Asked Questions About ADD/ADHD

SIGNS THAT ADHD SYMPTOMS MAY BE RELATED TO A HEAD INJURY

If you’re wondering if ADHD symptoms may be related to past head trauma, here are some key questions to consider:

  • Have you ever had a concussion or head injury, even a mild one?
  • Did any focus, impulsivity, or emotional regulation issues begin after a head injury?
  • Have you noticed worsening attention problems over time?

Brain imaging, particularly SPECT scans, can be a valuable tool in differentiating traditional ADHD from brain injury-related attention problems. Unlike standard brain scans, SPECT imaging shows blood flow and activity levels in different brain regions, revealing hidden injuries that could be causing ADHD-like symptoms.

If you suspect that your focus issues stem from a past head injury, working with a brain specialist who understands the link between brain injuries and ADHD is critical for getting the right diagnosis.

THE LONG-TERM IMPACT OF UNTREATED TBI-INDUCED ADHD

Ignoring ADHD symptoms caused by head trauma can have serious consequences. Studies show that untreated post-concussion ADD is linked to:

  • Higher rates of anxiety and depression – Emotional dysregulation from TBIs can contribute to mental health challenges.
  • Difficulties in work and relationships – Struggles with focus and impulsivity can impact career success and personal connections.
  • Increased risk of substance abuse – Many people who struggle with untreated TBI-induced ADD symptoms often self-medicate to cope with attention deficits and emotional instability.
  • Development of mood disordersResearch shows that people with post-concussion ADD symptoms have a higher likelihood of developing mood disorders, highlighting the importance of proper treatment.

HOW TO IMPROVE FOCUS AFTER A TBI

While the effects of head trauma can be frustrating, there are ways to support brain health and restore your focus.

  • Brain-boosting nutrition – Anti-inflammatory foods, omega-3 fatty acids, and antioxidants help repair brain cells. Research suggests that DHA, a key component of Omega-3s, improves cognitive function in individuals with TBIs.
  • Exercise and movement – Physical activity increases blood flow to damaged brain areas and promotes healing. Studies show that moderate aerobic exercise improves cognitive function in TBI patients.
  • Cognitive therapy and neurofeedback – Brain training exercises can help improve attention and impulse control.
  • Supplements for brain recovery – Magnesium, B-complex vitamins, and GABA have been proven to support cognitive function and relaxation.
  • Hyperbaric oxygen therapy (HBOT) – This noninvasive therapy has been shown to improve brain function in TBI patients by increasing oxygen supply to injured areas.
  • Transcranial magnetic stimulation (TMS) is a noninvasive therapy that uses magnetic pulses to stimulate underactive brain regions involved in how concussions affect attention and impulse control as well as treatment of depression.

Implementing these strategies can help you mitigate mild head injury and focus issues. You can even use some of these to treat head trauma and ADHD symptoms in the long run.

Related: Neurofeedback: Natural ADD Treatment with Outstanding Results

NEXT STEPS: HOW TO GET THE RIGHT DIAGNOSIS AND TREATMENT

If you suspect your ADHD symptoms are from a head injury, the next step is to seek a thorough brain-focused examination.

Unlike standard ADHD assessments that rely heavily on questionnaires, a comprehensive evaluation including brain SPECT imaging can help reveal hidden injuries. SPECT scans can reveal low cerebral blood flow and activity that may be contributing to other mental issues.

By taking a brain-based approach to ADHD symptoms, you can regain control of your focus, emotions, and brain health.

We're Here To Help

ADHD, head trauma, and other mental health conditions can’t wait. At Amen Clinics, we provide personalized, science-backed treatment plans designed to target the root causes of your symptoms. Our 360-approach includes brain SPECT imaging, clinical evaluations, innovative therapeutic techniques, medications (when necessary), and holistic lifestyle recommendations to promote the health of your brain, body, and mind. Speak to a specialist today at 888-288-9834 or visit our contact page here.

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Maresca G, Lo Buono V, Anselmo A, Cardile D, Formica C, Latella D, Quartarone A, Corallo F. Traumatic Brain Injury and Related Antisocial Behavioral Outcomes: A Systematic Review. Medicina (Kaunas). 2023 Jul 27;59(8):1377. doi: 10.3390/medicina59081377. PMID: 37629667; PMCID: PMC10456231.

 

Soule, A. C., Fish, T. J., Thomas, K. G. F., & Schrieff-Brown, L. (2025). Attention training after moderate-to-severe traumatic brain injury in adults: A systematic review. Archives of Physical Medicine and Rehabilitation, 106(3), 433-443. https://doi.org/10.1016/j.apmr.2024.07.010

 

Hagiescu, S. (2021) The Connection between Traumatic Brain Injury (TBI) and Attention-Deficit/Hyperactivity Disorder, Therapeutic Approaches. Psychology, 12, 1287-1305. doi: 10.4236/psych.2021.128081.

 

Lennon, M. J., Brooker, H., Creese, B., Thayanandan, T., Rigney, G., Aarsland, D., Hampshire, A., Ballard, C., Corbett, A., & Raymont, V. (2023, June 27). Lifetime traumatic brain injury and cognitive domain deficits in late life: The PROTECT-TBI cohort study. Neurobiology of Disease. https://www.liebertpub.com/doi/10.1089/neu.2022.0360

 

Amen DG, Easton M. A New Way Forward: How Brain SPECT Imaging Can Improve Outcomes and Transform Mental Health Care Into Brain Health Care. Front Psychiatry. 2021 Dec 10;12:715315. doi: 10.3389/fpsyt.2021.715315. PMID: 34955905; PMCID: PMC8702964.

 

Valero-Hernandez E, Tremoleda JL, Michael-Titus AT. Omega-3 Fatty Acids and Traumatic Injury in the Adult and Immature Brain. Nutrients. 2024; 16(23):4175. https://doi.org/10.3390/nu16234175

 

Chin LM, Keyser RE, Dsurney J, Chan L. Improved cognitive performance following aerobic exercise training in people with traumatic brain injury. Arch Phys Med Rehabil. 2015 Apr;96(4):754-9. doi: 10.1016/j.apmr.2014.11.009. Epub 2014 Nov 26. PMID: 25433219; PMCID: PMC4380661.

 

Newman SD, Grantz JG, Brooks K, Gutierrez A, Kawata K. Association between History of Concussion and Substance Use Is Mediated by Mood Disorders. J Neurotrauma. 2020 Jan 1;37(1):146-151. doi: 10.1089/neu.2019.6550. Epub 2019 Sep 18. PMID: 31359826; PMCID: PMC7364309.

 

Jorge RE, Arciniegas DB. Mood disorders after TBI. Psychiatr Clin North Am. 2014 Mar;37(1):13-29. doi: 10.1016/j.psc.2013.11.005. Epub 2014 Jan 14. PMID: 24529421; PMCID: PMC3985339.

 

Iliceto A, Seiler RL, Sarkar K. Repetitive Transcranial Magnetic Stimulation for Treatment of Depression in a Patient With Severe Traumatic Brain Injury. Ochsner J. 2018 Fall;18(3):264-267. doi: 10.31486/toj.17.0075. PMID: 30275792; PMCID: PMC6162118.

 

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