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Posted by Alex Jordan

ADHD overstimulation and understimulation: why both happen

ADHD overstimulation and understimulation: why both happen
Medically reviewed by Dr. Anuradha Kohli on 22 Jan 206
10 minute read

ADHD can cause overstimulation and understimulation. Here’s why 

If you have ADHD, you may recognise this contradiction. 

You feel bored, flat or restless, yet also overwhelmed, tense or on edge. Sometimes within the same hour. Sometimes at the same time. 

It can leave you questioning yourself. How can you be under-stimulated and over-stimulated at once? Why does everything feel either too much or not enough? Why do simple tasks feel unbearable one day and urgent the next? 

This pattern often gets misread by others. From the outside, it can look like inconsistency, moodiness or lack of effort. From the inside, it can feel incredibly exhausting and confusing. 

You need to know that this is not a personal failing. And it is not about willpower. 

It is a feature of how ADHD affects the regulation in the brain and nervous system [1][2]. 

For many people, these swings feel unpredictable. You might plan your day carefully, only to find your energy or tolerance shift without warning. Something that felt manageable in the morning becomes overwhelming by the afternoon. Or a task you avoided for hours suddenly feels urgent late at night. 

This guide explains why ADHD causes swings between overstimulation and understimulation, what each state feels like, why they often overlap and how to respond in ways that support regulation rather than add more pressure. 

The ADHD stimulation paradox 

ADHD is closely linked to differences in dopamine regulation. Dopamine helps the brain decide what feels engaging, motivating or worth paying attention to [3]. 

When you have ADHD, your baseline dopamine levels tend to run lower than average. This does not mean there is no interest or curiosity. It means that everyday tasks often fail to generate enough internal stimulation to keep the brain engaged on their own. Routine activities can feel flat, draining or uncomfortable, even when you want to do them [3][8]. 

At the same time, having ADHD affects how incoming information is filtered. Sensory input, thoughts, emotions and demands are less effectively screened out. Instead of arriving gradually, stimulation can arrive all at once. Cognitive load increases quickly. Emotional input carries more weight [4][5]. 

This creates the ADHD stimulation paradox. 

Your brain seeks stimulation because it feels under-activated. But once stimulation increases, it can tip rapidly into overload. Too little input feels uncomfortable or agitating. Too much input feels chaotic and exhausting. 

This explains why focus, mood and energy fluctuate so sharply. The issue is not attention. It is regulation. 

So what may look like inconsistency from the outside is actually a nervous system struggling to stay within a workable range of stimulation [1][8]. 

This narrow range means regulation requires constant adjustment. Small changes in environment, demand or emotional load can push the system outside its comfort zone. What feels like a minor stressor to others may carry more weight when your regulation is already stretched. 

This is why advice that focuses on discipline or persistence can be harmful. It assumes stability where there is none. Regulation works best when strategies respond to the current state rather than forcing consistency at all costs [1][3].

What is ADHD overstimulation? 

ADHD overstimulation occurs when incoming input exceeds your brain’s capacity to process it comfortably. 

That input does not have to be dramatic. It can be: 

  • Sensory 
  • Cognitive 
  • Emotional 
  • Social 
  • Noise 
  • Bright light 
  • Visual clutter 
  • Constant interruptions 
  • Emotional tension 
  • Competing demands  

Overstimulation is not about sensitivity. It is about processing load. When the brain is already working hard to regulate attention and stimulation, additional input pushes the system past its limit [2][6]. 

At this point, the nervous system shifts into a heightened state of alert. Regulation drops. Control narrows. The body prepares to protect itself. 

What does ADHD overstimulation feel like? 

Overstimulation usually starts internally. 

You might feel: 

  • A rise in anxiety or irritability 
  • Thoughts speed up, fragment or loop 
  • Everything feels urgent 
  • Small interruptions feel intolerable 
  • Tasks that felt manageable minutes earlier suddenly feel impossible 
  • Decision-making becomes harder, not easier 
  • You may struggle to prioritise or to articulate what you need 
  • Emotionally, reactions can intensify quickly. 

Physically, overstimulation can show up as: 

  • Muscle tension 
  • Headaches 
  • Jaw clenching 
  • Pressure behind the eyes 
  • A strong urge to escape the situation 

Behaviourally, this state often leads to: 

  • Either meltdown or shutdown 
  • Becoming reactive or snappy 
  • Others withdraw, go quiet or disengage 

These responses are protective. Neither is chosen [6][9]. 

ADHD and SleepEven when the body is exhausted, the nervous system remains switched on, making it hard to wind down or stay asleep [2]. 

Recovery from overstimulation often takes longer than expected. Even once the immediate trigger has passed, the nervous system may remain on high alert. You might feel drained, foggy or emotionally flat for the rest of the day. 

This recovery lag can create knock-on effects, like: 

  • Tasks get postponed 
  • Social interactions feel harder 
  • Small demands feel heavier 

Without understanding the recovery phase, people often blame themselves for not bouncing back quickly. 

Allowing recovery time is not indulgent. It is part of your regulation.To help the system reset rather than accumulate further stress, try:  

  • Building in pauses 
  • Reducing demand temporarily 
  • Shifting to low-load activities  

To help the system reset rather than accumulate further stress [2][6]. 

ADHD overstimulation symptoms 

Common signs include: 

  • Sensory overload from noise, light or touch 
  • Emotional dysregulation 
  • Racing or intrusive thoughts 
  • Difficulty focusing or completing tasks 
  • Trouble falling or staying asleep 

These patterns are widely recognised in ADHD clinical descriptions and experiential research [2][9]. 

Common triggers for ADHD overstimulation 

Overstimulation is usually driven by context, not character. 

Common triggers include: 

  • Loud or unpredictable noise 
  • Bright lighting or visual clutter 
  • Multitasking and rapid task switching 
  • Social demands and prolonged interaction 
  • Emotional conflict or pressure 
  • Time urgency combined with lack of control 

Modern environments demand constant filtering. For an ADHD nervous system, this load accumulates faster and clears more slowly [4][6]. 

How to cope with ADHD overstimulation 

When overstimulated, the instinct is often to push harder or try to regain control mentally. This usually backfires. 

Overstimulation happens because the nervous system is overloaded, not because you lack motivation. The most effective response is to reduce input and help the system settle first. 

Reduce sensory input 

Lowering noise, light or visual clutter reduces the amount your brain has to process.  

Stepping into a quieter space, using headphones or taking a short break can calm overload quickly. This is regulation.[6]. 

Regulate the nervous system 

Lowering noise, light or visual clutter reduces the amount your brain has to process. Stepping into a quieter space, using headphones or taking a short break can calm overload quickly. This is regulation, not avoidance [6]. 

Use stimming intentionally 

Stimming is a way the body releases excess stimulation. Movements like fidgeting, pacing, tapping or rocking help regulate sensory and emotional load. In ADHD, these behaviours support regulation rather than interfere with it, even if they’ve been discouraged in the past [7]. 

What is ADHD understimulation? 

ADHD understimulation happens when there is not enough meaningful input to engage the brain. It is often called boredom, but ADHD boredom is not neutral.  

It can feel agitating, uncomfortable or physically painful.  

This state reflects low dopamine availability, where the brain struggles to reach an activation level that feels tolerable, let alone engaging [3][7]. 

What does ADHD understimulation feel like? 

Understimulation can feel like: 

  • Intense boredom 
  • Mental fog or zoning out 
  • Restlessness or agitation 
  • Irritability or low mood 
  • Difficulty starting tasks 

You may want to engage but feel completely unable to get going. That absence of stimulation makes you feel uncomfortable. Even time can feel slow or heavy. 

Sometimes people misinterpret this as laziness. In reality, it reflects a nervous system that is stuck below its optimal stimulation range [7][8]. 

Understimulation often carries a strong emotional charge because it clashes with intention. You may care about the task in front of you, understand its importance and still feel unable to engage. This gap between intention and action can be deeply frustrating. 

People often respond by pushing harder. They sit longer, force focus, or criticise themselves internally. This rarely helps. Instead, it adds emotional load without increasing stimulation, which can tip the system toward shutdown. 

Understimulation can also distort time perception. Minutes feel longer. Deadlines feel distant until they suddenly feel urgent. This contributes to last-minute surges of activity, which are often misread as procrastination rather than a response to rising stimulation [8]. 

Recognising understimulation early allows for gentler correction. Adding movement, novelty or sensory input sooner prevents the state from deepening and reduces the need for extreme urgency later [7]. 

ADHD understimulation vs depression 

Understimulation and depression can look similar, but they are not the same thing.  

Understimulation tends to lift when stimulation changes. Adding novelty, urgency or movement often helps the fog clear. ADHD and depression do not usually respond that way. It lingers, even when stimulation increases and often comes with a deeper sense of hopelessness, loss of interest and reduced pleasure across daily life. 

 If low mood feels constant, heavy or unchanged by what you do, it is a sign to seek professional support [2]. 

Why ADHD boredom can feel physically painful 

For many people with ADHD, boredom is not quiet or passive. It can feel uncomfortable in the body. 

When stimulation is low, dopamine signalling drops. This can show up as heaviness, fatigue or an almost full-body sense of drag [3]. It is not just mental. You feel it. 

This is why some people with ADHD fall asleep when they are bored. When there is not enough stimulation to stay alert, the brain disengages. It is also why impulsive behaviours appear. Scrolling endlessly, jumping between tasks or seeking quick hits of novelty are ways the nervous system tries to raise stimulation. These are attempts to self-regulate, not moral failures or lack of discipline [7][8]. 

How to deal with ADHD understimulation 

When understimulated, the goal is not discipline. It is to add the right kind of input. 

Add novelty and urgency 

Timers, short challenges and micro-deadlines increase urgency and stimulation. Changing environments or task formats can also help the brain engage without overwhelming it [8]. 

Use movement and sensory input 

Movement increases arousal and dopamine release. Background noise, music, fidgets or pacing provide sensory input that supports focus rather than distracts [7]. 

Can you be overstimulated and understimulated at the same time? 

Yes. This is common in ADHD. 

You might feel bored by the task in front of you, yet overwhelmed by the noise, pressure or emotional demands around it. Or mentally under-engaged while socially overstimulated. In these moments, the nervous system is being pulled in opposite directions at once [4][8]. 

This happens a lot in modern environments. Open-plan spaces, constant notifications and ongoing expectations create a mix of boredom and overload. The work itself does not provide enough stimulation, while the environment provides far too much. 

The result often feels like being stuck. You cannot focus enough to properly engage, but you also cannot switch off enough to rest. Over time, this can lead to irritability, withdrawal or emotional exhaustion. 

In these moments, the aim is not to fix motivation. It is to adjust the balance. Sometimes that means reducing background input first. Other times it means adding structure, urgency or novelty to the task itself. What helps depends on which side of regulation is driving the discomfort [4][8]. 

ADHD, relationships and stimulation imbalance 

Stimulation imbalance affects relationships just as much as work or focus. 

In long-term relationships, understimulation can look like disengagement, distance or boredom. During conflict or emotional intensity, overstimulation can take over.  

That often shows up as: 

  • Shutdown 
  • Withdrawal 
  • Emotional flooding 

From the outside, these responses are easy to misread. Your partner may assume a lack of care, interest or effort. But, in reality, they usually reflect your nervous system limits rather than emotional intent [4][9]. 

Understanding stimulation states changes the conversation. It reduces blame, softens those assumptions and makes it easier to talk about what support actually helps in the moment. 

When ADHD burnout starts to show up 

When swings between overstimulation and understimulation stop feeling occasional and start feeling constant, ADHD burnout can set in. 

Burnout feels like your system running out of room. You are emotionally exhausted. Your tolerance for noise, demands and decision-making drops. Things that used to help no longer touch the sides. Recovery takes longer and effort costs more. 

This is beyond tiredness. It is a nervous system that has been stretched beyond its workable range for too long [10]. 

Burnout usually builds quietly. The early signs are easy to brush off. You may notice you are more irritable, less patient or slower to recover, but you keep pushing through because you have before. Over time, those signs become harder to ignore. 

As burnout deepens, regulation gets harder on both ends. Small stressors trigger overload. Low-demand moments slide quickly into disengagement. The system loses flexibility. 

At this stage, rest alone rarely fixes it. Support may be needed to ease ongoing pressure, reset expectations and rebuild regulation. Noticing burnout early gives you more space to respond before it becomes entrenched [10]. 

When to consider ADHD support or treatment 

Coping strategies are useful, but they are not always enough. 

If overstimulation and understimulation are affecting your work, sleep, relationships or mental health, personalised ADHD management can help identify patterns and support regulation. 

Support focuses on working with your nervous system, not forcing behaviour change [1]. 

FAQs

 

Sources

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