Can ADHD Lead to Restless Legs Syndrome?

PostedSeptember 10, 2025

UpdatedSeptember 12, 2025

ByMy Patient Advice

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Research suggests there may be a connection between ADHD and restless legs syndrome (RLS), although the relationship is not yet fully understood. RLS is a neurological condition characterised by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. These symptoms typically worsen in the evening or at night, making it difficult to fall or stay asleep.

The RLS ADHD Link

Several studies indicate a higher prevalence of RLS among individuals with ADHD compared to the general population. One theory is that both conditions may involve irregularities in dopamine regulation, a neurotransmitter that plays a key role in movement control, attention, and motivation. Disruptions in dopamine pathways could explain why neurophysiology RLS ADHD patterns appear to overlap.

Additionally, iron deficiency, which has been linked to RLS, may also be more common in people with ADHD. This shared risk factor could contribute to the increased likelihood of experiencing both conditions.

How RLS Affects ADHD Symptoms

RLS can worsen ADHD-related issues by disrupting sleep. Poor sleep quality may increase inattention, impulsivity, and difficulties with emotional regulation inattention, impulsivity, and emotional regulation difficulties, making daily functioning even more challenging. This cycle can be particularly frustrating for individuals already managing ADHD symptoms.

Managing RLS and ADHD

If you suspect RLS alongside ADHD, speak to a healthcare provider. Treatment options may include iron supplements (if deficient), lifestyle changes, and medications that target RLS symptoms. Improving sleep hygiene and addressing both conditions simultaneously can lead to better overall outcomes.

Understanding the RLS ADHD link can help individuals seek timely support and improve their quality of life. For more insights into neurophysiology RLS ADHD connections, consider reaching out to providers like ADHD Certify.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Sleep disorders.

Victoria Rowe, MSc

Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.