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Are Dopamine/Norepinephrine Changes Tied to ADHD and OCD? 

ADHD and OCD (obsessive-compulsive disorder) are distinct conditions, but many individuals experience both in what is known as comorbid ADHD. The link between dopamine and norepinephrine dysfunction in both conditions may help explain why they often occur together. Both neurotransmitters play crucial roles in attention, impulse control, and emotional regulation, and changes in these systems can contribute to the development of obsessive-compulsive symptoms in individuals with ADHD. 

Dopamine and Its Role in ADHD and OCD 

Dopamine is essential for motivation, reward processing, and regulating attention. In ADHD, dopamine dysregulation contributes to symptoms like inattention, impulsivity, and hyperactivity. Similarly, dopamine changes in OCD can influence compulsive behaviours and the inability to stop obsessive thoughts. Both conditions involve dopamine pathways, though in different ways, with ADHD typically involving low dopamine activity in areas like the prefrontal cortex and striatum, and OCD linked to dysregulated dopamine in circuits responsible for reward and habit formation. These overlapping dopamine pathways help explain why ADHD and OCD can co-occur. 

Norepinephrine and Its Role in ADHD and OCD 

Norepinephrine regulates alertness, focus, and emotional responses. In ADHD, norepinephrine dysregulation often leads to difficulty maintaining attention and controlling impulses. In OCD, an imbalance in norepinephrine may contribute to heightened anxiety and compulsive behaviours. Both ADHD and OCD are associated with neurotransmitter pathways that affect stress response, emotional regulation, and attentional control, which further explains why these conditions are often seen together. 

Conclusion 

Dopamine and norepinephrine changes play a key role in the comorbidity between ADHD and OCD, influencing attention, compulsive behaviours, and emotional regulation. Understanding these neurotransmitter pathways can help guide treatment options for individuals managing both conditions. 

Visit providers like ADHD Certify for personal consultations to learn how dopamine and norepinephrine changes affect ADHD and OCD.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Dopamine and norepinephrine systems.

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk

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, author and a reviewer for my patient advice - mypatientadvice.co.uk

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.