A whimsical illustration featuring the text "ADHD & Dopamine" in bold letters, with a cheerful character underneath, depicted with pink hair and a big smile, wearing a brain hat with a smaller character on top, both surrounded by sparkles.

ADHD and Dopamine: The Crucial Connection

Dopamine significantly impacts Attention Deficit Hyperactivity Disorder (ADHD), influencing focus, impulsivity, and mood regulation. Balancing dopamine levels and their interaction with receptors and transporters in the brain is crucial for managing ADHD symptoms. Tailored strategies like Dopamine Menus offer personalized approaches to enhance mental health and daily functionality for individuals with ADHD. This highlights the importance of dopamine dynamics in treating ADHD, emphasizing the role of genetic factors and the dopamine transporter gene. Research on dopamine's role in ADHD continues to offer insights into improving treatments for those affected by this neurodevelopmental disorder.

Published on
27/3/2024
Updated on
estimated reading time
minutes

Written by

Tayler Hackett

TMAC Editorial Manager & Trainee Psychotherapist

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In this Article

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A word form our expert

How to Spice Up Your Routine with a Dopamine Menu For ADHD

If you're always scrolling through TikTok or Instagram, you've probably come across something called a 'dopamenu' or dopamine menu. But what's the deal with it, and how can it help those of us with ADHD brains? 🧐

In this article, we'll discuss:

  • How dopamine plays a significant role in the unique wiring of the ADHD brain, and how ADHD medication uses dopamine to reduce symptoms of ADHD. 💊
  • How a dopamine menu can help improve mental health and manage ADHD symptoms naturally, such as issues with impulse control, mood swings and focus. 
  • A step-by-step guide to creating your dopamine menu, including ideas for feel-good, fulfilling activities that naturally increase dopamine. 🤩


If you're craving some motivation and inspiration to spice up your ADHD routine, we've got you covered. Let's dive in! 👇

Understanding the ADHD-Dopamine Connection

The word 'dopamine' is one of those words that gets thrown around a lot, especially in the world of ADHD. But what does it actually do in our brains, and why is it so important? 

In essence, dopamine is one of our main 'motivation molecules.' 💪 It’s one of the key neurotransmitters involved in the brain's complex reward and pleasure centers - also known as the dopamine reward pathway. Dopamine helps regulate several important functions, including attention, focus, impulse control, coordination, and the ability to experience satisfaction. 🤤

When we do something enjoyable like eat a tasty meal, hang out with friends, or finish a project we've been hyper-focusing on, our brains get flooded with feel-good dopamine. This surge reinforces those behaviors and motivates us to repeat them. 

Do you ever get a bit of a buzz when you know you're approaching the finish line of something great or the anticipation of receiving praise or rewards for achieving your goals? That's dopamine working its magic ✨ by providing that hit of anticipatory pleasure, pride, and motivation to keep chasing more of those feel-good moments. 

But for ADHD brains, there are some glitches in how dopamine gets passed between brain cells and networks. Researchers have spotted differences in both dopamine receptors and dopamine transporters compared to neurotypical folks, which can be traced back to something called the dopamine transporter gene - and many peer reviewed studies use this gene to explain why there can be genetic factors involved in developing ADHD. 

Stimulant medications are one of the most common methods for managing Attention Deficit Hyperactivity Disorder (ADHD) - they work by focusing on the brain's dopamine system to enhance mental focus, clarity, and productivity. Usually, within brain cells, dopamine moves from one neuron to another, attaching to dopamine receptors to facilitate essential signaling for attention and productivity. 

As the relationship between ADHD and dopamine dysfunction is so complex, research suggests that there are various models that may explain how alterations in dopamine activity could be the cause of symptoms of ADHD. 

Among these, many researchers argue that the effectiveness of stimulant medications for alleviating ADHD symptoms provides a solid theory; as these medications work by blocking dopamine transporters, they slow down the reuptake of dopamine and norepinephrine. This action allows dopamine in the brain to have longer in the synaptic gap between neurons, enhancing signal transmission. 

In other words, dopamine gets more time to work its magic. 🪄 Stimulant medications don't necessarily give the brain more dopamine; they help the brain use what dopamine it already has more efficiently. 

An illustration shows the character with pink hair looking puzzled next to a 'Dopamine Delivery' conveyor belt that is labeled 'Out of Order,' with a single dopamine molecule laying on the floor indicating a malfunction.

Some studies suggest that this indicates a potential dysfunction in people with ADHD, where an overactive dopamine transporter mechanism leads to dopamine being removed too quickly from the synaptic gap,  impacting cognitive functions and contributing to the symptoms of ADHD such as difficulty maintaining attention.

Day to Day Dopamine

Understanding the connection between ADHD and dopamine is one thing, but how does a dopamine deficiency manifest in everyday life? 

Well, when all those critical dopamine functions related to motivation, working memory, regulating distractions, and impulse control don't work smoothly, we’re left with those classic everyday ADHD struggles like:

  • Inattentive symptoms like zoning out during conversations, difficulty focusing on tasks, and frequently losing things. 😦
  • Problems with self-regulating behaviors leading to impulsive choices, mood instability and even depression. 😢
  • Losing motivation quickly, even for topics that initially provoke interest. 🥱

Additionally, the altered dopamine pathways may drive some with ADHD to unconsciously 'self-medicate' through anything that stimulates the brain, whether that's:

  • Excessive social media scrolling
  • Video game marathons
  • Sugary snacks and junk food
  • Caffeine and energy drinks
  • Alcohol or drug use
  • Risky behaviors and adrenaline seeking activities
  • Feel-good things like sex, gambling, or shopping

Now, as we all know, these can provide us with a big rush of feel-good dopamine, and in moderation, they’re not always bad things. 💕But when we have a constant need for stimulation, the effects often wear off quickly and we’re left feeling pretty underwhelmed, sad, ashamed or rejected. 😞

In fact, have you ever wondered why TikTok has 1 billion monthly active users, even though it's only been around for a few years? 😉The algorithms behind TikTok aim to captivate users by delivering quick, dopamine-driven rewards through engaging content, which mirrors the tendencies of those with ADHD seeking stimulation to compensate for dopamine deficiencies, drawing them towards activities that offer immediate gratification but short-lived effects. 

In other words, we're more likely to 'zone out' and get stuck in a TikTok loop. 😵

The good news is understanding the role of dopamine deficits and dysfunction in ADHD gives us clues into helpful management strategies, whether that's through combining stimulant medications with lifestyle changes or giving natural management strategies a go. Whichever path resonates most with your needs, learning how to hack your ADHD brain in a way that carefully balances dopamine can be life-changing. 🥳

So, if you relate to the dopamine deficiency dilemma, constructing your own dopamine menu could just be what you need. 🥰

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What Is A Dopamine Menu?

When we think of menus, we're typically picturing the kind that has us deciding between a juicy burger or a fresh Caesar salad. 🤤But what if I told you there's a menu that doesn't cater to your hunger but to your happiness and wellbeing? Enter the 'dopamine menu' - or affectionately dubbed by its fans, the 'dopamenu.' Jessica McCabe popularized this genius concept in her 2020 YouTube video for the channel 'How to ADHD', and it's been a game-changer for many folks in the community.

So, what exactly is a dopamine menu? Imagine a curated list of activities you can pick from based on your current need, neatly categorized by the joy and stimulation they provide. It's a toolkit for anyone feeling a bit lost in their search for something fulfilling to do, especially when the usual go-tos don't seem to hit the spot or result in three hours spent scrolling on social media. 😬

This is a two-panel comic; on the left, a character with pink hair appears confused and overwhelmed with scattered thought bubbles containing symbols like music notes and question marks. On the right, the character happily points to a 'Dopamine Menu' board showing icons for video games and music.

Why Dopamine Menus Work 

Although the concept of the dopamine menu is relatively new, the reason it can be so helpful to many stems from the fact that its fundamental principles come from behavior therapy and behavioral strategies, which encompasses various techniques to change harmful behaviors and reinforce positive ones.

Here's why integrating a dopamine menu works so well as a unique way to manage and treat ADHD, from a behavior therapy standpoint. 👇

Tailored Strategies for Positive Change

Behavior therapy focuses on increasing productive behaviors and minimizing less helpful ones. The dopamine menu seamlessly integrates into this approach by offering a selection of activities that aim to replace certain behaviors with healthier ones. In the context of ADHD, this might include unhealthier methods of seeking stimulation (like impulsive behaviors) with more fulfilling ones that give you a more sustainable, productive dopamine boost. 

Immediate Rewards for Motivation

A key pillar of behavioral therapy is positive reinforcement - rewarding actions to encourage their repetition. The dopamine menu acts as a quick-access source of rewards that offer you immediate gratification that can keep you motivated. This approach is especially crucial here, as people with ADHD tend to struggle with delayed gratification due to differences in dopamine, impaired executive functioning, altered time perception, and challenges in evaluating rewards, leading them to prefer immediate rewards over delayed ones.

Structured Decision-Making

For people with ADHD, making choices can sometimes be overwhelming, leading to decision fatigue or impulsive decisions. The dopamine menu offers a structured way to make choices, presenting a go-to list of options without having to overthink it, which aligns with behavioral therapy's goal of creating structure.

Developing Self-Regulation

Another focus of behavioral therapy for ADHD is improving self-regulation abilities, which is our capacity to manage thoughts, emotions, and behaviors in a goal-directed way. Essentially, it's being able to consciously steer ourselves in positive directions rather than operating on autopilot or being driven solely by impulsive behaviors. This aspect is also incredibly beneficial for many of us also managing a co-occuring mental health condition, such as a mood disorder or substance abuse disorder. Having a quick point of reference of things to do that keep us grounded and regulated can keep us safe from risky behaviors and control impulses like the urge to self-harm. 💕   

Customization and Personal Relevance

Effective behavioral therapy is highly personalized, considering an individual's needs, preferences, and circumstances. Similarly, the dopamine menu is completely tailored to your needs, ensuring the activities are engaging and rewarding to you. Essentially, this approach means you're more likely to want to do and stick to it - a significant challenge when many standard self-care and ADHD management strategies are very generalized and don't offer much novelty or excitement. 🥱

The Dopamine Menu Formula

So, we've explored how and why the dopamine menu works - but what exactly goes into creating one? 

Let's break it down. ⬇️ 

Appetizers

Quick and easy, these little bursts of joy are your go-to when you need a quick win. Picture a 5-minute Duo Lingo session, ten minutes playing with your dog, or even checking a swift, straightforward errand off your to-do list for that day. They're the perfect bite-sized activities to lift your spirits without a big time investment and are generally low-effort, high-reward. 😁

Entrees

Entrees are those meaningful activities that give you a more profound sense of fulfillment. They take a bit longer but are more related to your identity, personality, and interests. It could be losing yourself in a good book, working on a personal project, or volunteering. These activities require full engagement and presence and reward you with a profound sense of achievement and joy. 😍

Sides

Sides bring a dash of fun to the routine; they're easy-to-do activities that don't require too much focus but make tedious activities and chores more rewarding and stimulating. Sides include activities like listening to a podcast or audiobook as you do laundry or 'gamifying' your workout routine. 🏃

Specials

Specials are less frequent but exciting activities you look forward to and plan for. Examples of 'specials' include attending a concert of your favorite band, planning a weekend getaway, or booking a luxurious spa day with a friend. These activities offer something to aspire to and get excited about; they act as powerful, motivational boosts that enrich your life, providing memorable experiences that sustain your happiness and fulfillment over the long term. 

Desserts

Just like a sweet treat, these activities tempt us with immediate gratification. They're readily available and quick to deliver a dopamine rush, making it easy to indulge a bit too much. 😉 Of course, enjoying a dessert now and then is perfectly fine - it's all about moderation. But just like with junk food, having too much of these activities too often isn't great for our mental health or ADHD symptoms. 

Desserts include social media scrolling, binge-watching a TV show, and playing games on your phone for hours (I'm looking at you, Candy Crush!) 😂 While these things can provide a quick hit of happiness, balancing them with the other activities on your menu can prevent burnout and keep those dopamine levels nicely balanced. It also makes them more enjoyable, as you’re not as desensitized to them - essentially, they have more novelty. 🤩

How To Create a Dopamine Menu

Creating your very own dopamine menu doesn't need to be complicated. 👍

Here's a simple step-by-step guide to crafting a dopamine menu that keeps your brain's reward system nice and balanced. 

Step 1: Reflect on Your Joys

Kick things off by reflecting on the activities that light up your life, give you a buzz of excitement, or leave you feeling satisfied. Sometimes, these take a little longer to think of than those that promise a quick fix but leave us feeling underwhelmed. 

Step 2: Craft Your Menu

Bring your dopamine menu to life, ensuring each activity finds its perfect spot on the menu. There's no right or wrong way to do this; some people use the notes app on their phone or a journal - others like to get creative and make a digital graphic version. 

Step 3: Check It’s Realistic

Take a moment to ensure your menu is as realistic and actionable as possible. There's no use having '10 minutes of yoga' on there if you realistically have no intention of doing it, even if you'd love to. 😜If something doesn't quite fit your lifestyle or you're likely to lose interest quickly, let it go - it doesn't mean they can't go back on later. 

Step 5: Prep Your Ingredients

Consider what you need to make each activity easily accessible – maybe setting up your space, gathering materials, or blocking off time. The goal is to make starting as effortless as possible by reducing the steps you need to take.

Step 6: Display Your Menu

Place your menu where you'll see it often, like a piece of art on your wall, a cute digital background, or a note in a spot you look at every day. It's all about keeping those options in your line of sight. 👀

Step 7: Put It Into Action

Whenever you're craving some dopamine or looking to switch up your routine, consult your dopamine menu. Pick something that fits your mood, time, and energy, choosing rich fulfillment over quick fixes. Can't decide? Use a random choice generator app or website - which in itself is pretty fun! 😀

Step 8: Keep Your Menu Fresh

Periodically revisit your menu to sprinkle in new interests, adapt to changes, or drop what no longer serves you, keeping your menu as vibrant and relevant as possible. 

A cheerful character with pink hair, wearing a chef's hat, stands with arms raised in excitement. Around the character are colored circles containing icons of a book, a game controller, headphones, and a tennis racket, representing various interests or activities.

Key Takeaways

  • Understanding Dopamine and ADHD: Dopamine plays a crucial role in the brain's reward and pleasure centers, affecting attention, focus, impulse control, and satisfaction. In ADHD, glitches in dopamine transmission impact these functions, contributing to classic ADHD symptoms.
  • How to Increase Dopamine: Stimulant medications help prolong dopamine's action, enhancing focus and reducing impulsivity. Lifestyle changes and natural management strategies can also balance dopamine levels, improving ADHD symptoms.
  • The Power of a Dopamine Menu: Creating a dopamine menu is a personalized way to manage ADHD symptoms by engaging in activities that boost dopamine in healthy, fulfilling ways.
  • A typical dopamine menu is made up of the following:
  • Appetizers: Quick, easy activities that give a brief dopamine boost.

  • Entrees: Activities involving deeper engagement and providing a significant sense of achievement.

  • Sides: A way to add enjoyment to routine tasks, making them more engaging.

  • Specials: Activities that are less frequent but highly rewarding things to look forward to.

  • Desserts: Activities that offer immediate gratification but should be enjoyed in moderation to avoid negative impacts on mental health.

  • Crafting Your Dopamine Menu

  • Start by reflecting on activities that bring you joy and satisfaction.

  • Organize these into categories on your menu, ensuring they're realistic and accessible for your lifestyle.

  • Keep your menu visible to remind you of your options, and regularly update it to reflect your current interests and needs.


Creating a dopamine menu is more than just managing ADHD; it's about switching things up to give you the dopamine boost and stimulation that many ADHD brains lack. 🚀

With a bit of fine-tuning, we can increase dopamine naturally and healthily without falling into the vicious cycle of self-medicating and relying on quick wins.  👍

What’s Next?

Curious about which other ways you can naturally increase dopamine in the brain? We’ve got you covered with these related articles. ⬇️

The Positive Effects of Exercise For ADHD

The ADHD Food Connection

Using An ADHD Planner To Get Stuff Done & Boost Dopamine

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Frequently Asked Questions (FAQs)

Does ADHD affect dopamine levels?

Absolutely! Research suggests that ADHD and dopamine are closely linked. People with ADHD might have lower dopamine levels, affecting how brain cells communicate, which can impact focus, mood, and impulsivity.

What are signs of low dopamine?

Common signs of low dopamine include lack of motivation, fatigue, inability to experience pleasure, mood swings, memory issues, and problems with attention and concentration. These overlap a lot with ADHD symptoms. Struggling with low dopamine levels is also a risk factor for things like addictive behaviors, including drug abuse, gambling addiction, and overeating.

Why is life harder with ADHD?

ADHD can make life more difficult on a daily basis because lower dopamine levels affect the brain's ability to regulate attention, emotions, motivation, and impulse control, leading to struggles with focusing, completing tasks, controlling behaviors, and managing emotions. Having an ADHD diagnosis is also a risk factor for many mental health disorders, so this can make it even more challenging to live with ADHD, especially when trying to work, study, maintain relationships, and cope with everyday responsibilities.

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