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Why do I experience mood swings that impact my productivity? 

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

If you live with ADHD, you might notice your mood and motivation shifting dramatically from one hour to the next. One moment you are focused and energised; the next, you can’t concentrate or feel emotionally flat. Research from Springer (2022) shows that these mood swings are not about willpower; they are linked to how ADHD affects brain regulation, dopamine balance, and emotional control. 

How ADHD affects mood and focus 

According to a 2025 Frontiers in Psychology  study, difficulties with emotional regulation and impulse control explain most of the variability in ADHD-related behaviour and motivation. When executive functions like planning and self-monitoring are disrupted, emotions can swing sharply, taking focus and productivity with them. 

A 2024 review on the PubMed (2024) found that people with ADHD have altered dopamine signalling in brain circuits that control reward and motivation. This helps explain why interest-based tasks can feel easy and engaging, while routine ones seem exhausting. It is a neurochemical imbalance, not laziness. 

Emotional overload and productivity 

When emotions run high, they can disrupt the brain’s ability to prioritise and complete tasks. Research from Karalunas et al., (2021) suggests that emotional stimuli can directly interfere with cognitive control, leading to frustration, distraction, and “mental shutdown.” Over time, this cycle of high emotional energy followed by fatigue can create the uneven productivity pattern so familiar in ADHD. 

NHS guidance explains that strong emotions can overwhelm focus, particularly under stress or sleep deprivation. Consistent sleep, exercise, and breaks for regulation are practical ways to maintain balance.  

What helps regulate mood swings 

The NICE Guideline NG87 recommends combining medication with psychological and behavioural support. Techniques such as CBT, mindfulness, and emotional regulation training help people recognise triggers, slow reactive responses, and recover focus after emotional dips. 

A 2022 PubMed study also linked self-compassion practices to improved motivation and mood stability, helping individuals treat themselves with patience instead of frustration when productivity drops. 

Structured behavioural programmes like those being developed by Theara Change use these evidence-based methods to build emotional awareness and adaptive coping strategies for ADHD’s daily challenges. 

Takeaway 

Mood swings in ADHD are not a personality flaw; they are part of how the ADHD brain regulates energy, reward, and emotion. With evidence-based tools like mindfulness, CBT, and compassionate self-management, it is possible to steady those emotional highs and lows and rebuild a sense of control over both mood and productivity. 

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.