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Are There Salivary Biomarkers Linked to ADHD? 

As research into ADHD biomarkers advances, salivary testing is gaining attention for its non-invasive and practical appeal, especially in children. Saliva is rich in measurable compounds, including stress hormones and immune markers, making it an attractive source for identifying potential biological indicators of ADHD. 

Cortisol and Stress Hormones 

One of the most studied salivary biomarkers in ADHD is cortisol, the body’s primary stress hormone. Children with ADHD often show blunted cortisol responses to stress, particularly those with emotional dysregulation or comorbid anxiety. This dysregulation suggests that HPA axis function (the system controlling stress responses) may differ in ADHD. Measuring cortisol levels through saliva can help researchers track how stress responses vary in children with and without the disorder. 

Other Salivary Indicators 

Beyond cortisol, saliva may contain other relevant markers such as alpha amylase, an enzyme linked to sympathetic nervous system activity. Some studies have found that individuals with ADHD show altered levels of these markers, indicating changes in arousal and alertness systems tied to dopamine and norepinephrine signalling. There is also interest in immune markers found in saliva, as inflammation has been implicated in some ADHD profiles. 

Conclusion 

While still experimental, salivary biomarkers could become valuable tools for non-invasive ADHD screening, especially for children. Their ease of collection and potential to reflect stress and neurochemical regulation make them promising candidates for future diagnostic support. 

Visit providers like ADHD Certify for personal consultations and updates on salivary testing and emerging non-invasive diagnostic tools. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Genetic studies and biomarkers.

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.