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How Do Hormonal Changes Affect Emotional Regulation in ADHD? 

PostedOctober 6, 2025
UpdatedOctober 6, 2025
ByMy Patient Advice

ADHD hormonal changes can significantly impact emotional regulation, particularly during puberty and other developmental stages. Hormones play a crucial role in brain function and mood regulation, and for individuals with ADHD, these fluctuations can exacerbate mood swings and emotional dysregulation. Understanding how hormonal changes affect emotional responses can help individuals with ADHD better manage their symptoms and improve emotional control. 

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How Hormonal Changes Impact Emotional Regulation in ADHD 

The interplay between puberty and ADHD symptoms can be especially challenging, but with awareness and effective strategies, emotional stability can be achieved.  

During puberty, hormonal fluctuations are at their peak, and they can interact with ADHD symptoms, making emotional regulation more difficult. For individuals with ADHD, these hormonal shifts can lead to heightened mood swings, irritability, and increased emotional sensitivity. These changes can intensify the emotional challenges already present due to ADHD, making it harder for individuals to control their reactions to stress or frustration. 

Emotional dysregulation in ADHD often involves difficulty managing intense emotions, and hormonal changes can amplify these difficulties. The hormonal surges during adolescence, for example, may contribute to unpredictable emotional responses, impulsive behaviour, and mood swings, which can strain relationships and create stress. 

Additionally, ADHD hormonal changes may affect the brain’s dopamine system, which plays a role in emotional regulation and reward processing. When hormonal levels shift, individuals with ADHD might experience increased emotional reactivity or impulsivity, further complicating their ability to manage emotions effectively. 

In conclusion, by understanding how hormonal changes influence ADHD emotional regulation, individuals and caregivers can implement coping strategies, such as mindfulness techniques, emotional awareness, and structured routines, to manage emotional challenges during puberty and beyond. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Emotional Regulation in ADHD.  

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Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk

Avery Lombardi, MSc

Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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. 

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