Stimulant medications, primarily methylphenidate (Ritalin, Concerta) and amphetamine-based drugs (Adderall, Vyvanse), are the most successful and common first-line treatments for ADHD, effectively reducing core symptoms in 70-80% of people, with no single one being universally "best" as individual responses vary. Both classes work similarly by boosting dopamine and norepinephrine, and if one doesn't work well, switching to the other class is often the next step.
The most common and effective medications are methylphenidates and amphetamines. Atomoxetine and the a-adrenergic agonists are also widely-used, while tricyclics such as modafinil and Wellbutrin are less common and typically less effective6.
As a common side effect during pharmacological treatment of ADHD (Clavenna & Bonati, 2017), the headache might also decrease compliance to medications (Ahmed & Aslani, 2013) and increase rates of treatment failure (Buitelaar et al., 2015), with negative long-term consequences for outcomes (Barkley, 2008).
The 20-minute rule for ADHD is a productivity strategy to overcome task paralysis by committing to work on a task for just 20 minutes, leveraging the brain's need for dopamine and short bursts of focus, making it easier to start and build momentum, with the option to stop or continue after the timer goes off, and it's a variation of the Pomodoro Technique, adapted for ADHD's unique challenges like time blindness. It helps by reducing overwhelm, providing a clear starting point, and creating a dopamine-boosting win, even if you only work for that short period.
Stimulant medications are highly efficacious and are the gold-standard for treating the inattention, impulsivity and excessive motoric activity associated with ADHD.
The ADHD "30% Rule" is a guideline suggesting that executive functions (like self-regulation, planning, and emotional control) in people with ADHD develop about 30% slower than in neurotypical individuals, meaning a 10-year-old might function more like a 7-year-old in these areas, requiring adjusted expectations for maturity, task management, and behavior. It's a tool for caregivers and adults with ADHD to set realistic goals, not a strict scientific law, helping to reduce frustration by matching demands to the person's actual developmental level (executive age) rather than just their chronological age.
In terms of non-stimulant medications, ADHD specialists recommend using atomoxetine as a first-choice medication for both children and adults. Second-choice options include guanfacine or clonidine for children, and bupropion or nortriptyline for adults.
Increase stress relief by exercising outdoors—people with ADHD often benefit from sunshine and green surroundings. Try relaxing forms of exercise, such as mindful walking, yoga, or tai chi. In addition to relieving stress, they can teach you to better control your attention and impulses.
For adults, 7-8 hours is recommended. Try to avoid napping during the day. Optimise your sleep environment. Make sure your environment is quiet, calm and comfortable.
What is the Five-Second Rule? The Five-Second Rule is a technique to get things done the moment they cross your mind. The rule is once you get an instinct or gut feeling to do something that you know you should be doing, start it immediately.
Fruit juice, citrus, and foods high in vitamin C can increase acid levels in your digestive system. This can lower the levels of some ADHD medications in your body, potentially making them less effective.
The best lifestyle for ADHD involves a foundation of balanced nutrition (whole foods, lean protein, < Omega-3s, reduced sugar/processed items), consistent, engaging exercise, and excellent sleep hygiene (routine, dark room, no screens). Key additions include stress management (mindfulness, yoga, breaks), strong organization (planners, lists, reminders), and building supportive routines and environments, complementing any formal treatment.
Adult ADHD symptoms may include:
The 10-3 rule for ADHD is a productivity strategy involving 10 minutes of focused work followed by a 3-minute break, designed to match the ADHD brain's need for short bursts of effort, making tasks less overwhelming and procrastination easier to manage by building momentum with quick, structured intervals. It helps individuals with ADHD ease into tasks, offering a tangible goal (10 mins) and an immediate reward (3 mins) to keep focus without burnout, often incorporating movement or preferred activities during breaks.
Symptoms of ADHD usually start before the age of 12. They involve a person's ability to pay attention to things (being inattentive), having high energy levels (being hyperactive) and their ability to control their impulses (being impulsive).
Several newer medications are expanding what's possible for ADHD treatment in 2025. Here is a look at a few of them: Azstarys: A newer stimulant combining dexmethylphenidate with a prodrug for smoother, more controlled delivery. Qelbree (viloxazine): A non-stimulant recently approved for children and adults.
There is significant research that shows mindfulness and meditation improve mood and positive feelings. Moreover, meditation has been demonstrated to improve many symptoms of ADHD including focus, concentration and mood regulation. There are many strategies for increasing mindfulness.
The 24-hour rule for ADHD is a self-regulation strategy to combat impulsivity by creating a mandatory waiting period (often a full day) before reacting to emotionally charged situations or making significant decisions, allowing time for reflection and reducing regretful snap judgments, especially for things like impulse purchases or arguments. It's a pause button that gives the brain space to process, move from impulse to intention, and evaluate choices more logically, helping manage ADHD's impact on emotional regulation and decision-making.
For some, bending the wrists inward may either provide sensory input or alleviate sensory discomfort, creating a more comfortable sleeping experience.
External Frustration
People with ADHD have a low frustration tolerance, usually related to inattention-related poor focus and forgetfulness. This leads to feeling overwhelmed by tasks at home and work, which then triggers mood swings, anger, and rage.
Best Jobs for People with ADHD
ADHD burnout might feel like:
Modafinil
Modafinil is a strong nootropic and a wakefulness-promoting agent widely used to treat ADD and narcolepsy. Many people regard it as the best alternative to Adderall due to its effectiveness and safety. Modafinil boosts cognition, motivation levels and helps in maintaining focus for extended periods of time.
Side effects of ADHD medications can include sleep problems, decreased appetite, delayed growth, headaches and nausea, tics, moodiness, and rebound (irritability when the medication wears off). Most side effects of ADHD medication can be managed by adjusting the dosage and/or schedule of the medicine.
A 2022 narrative review concluded that data indicate a combination of the omega-3 fatty acids eicosapentaenoic acid (EPA) and DHA with the omega-6 gamma-linolenic acid (GLA) being associated with ADHD symptom improvement.