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Are Dopamine Levels Lower During Boredom or Hyperfocus in ADHD? 

Author: Dr. Rebecca Fernandez, MBBS

According to NICE NG87 and NHS ADHD guidance, dopamine regulation is central to how ADHD affects motivation and attention. When the brain feels under-stimulated, dopamine levels drop, leading to boredom and difficulty staying focused. During hyperfocus, by contrast, dopamine temporarily rises, driving intense attention on a single task. These highs and lows reflect the way ADHD brains handle reward and engagement. 

Dopamine During Boredom 

During low-stimulation or routine tasks, tonic dopamine levels in ADHD are typically lower than average. This means the brain receives less of the “reward” signal that keeps focus steady. As a result, people may feel restless, unmotivated, or distracted, seeking new or more stimulating activities to boost dopamine. Studies show that this under-arousal drives the ADHD tendency to chase novelty or urgency for better engagement. 

Dopamine During Hyperfocus 

In hyperfocus, the opposite occurs. When a task feels rewarding or highly interesting, the brain releases phasic dopamine bursts, especially in the frontostriatal and ventral striatal circuits that control motivation and reward. This surge increases alertness and narrows attention, allowing deep absorption in one activity for long periods. However, as dopamine naturally declines, concentration fades, often leading to exhaustion or loss of interest. 

Managing Dopamine Fluctuations 

Stimulant medication such as methylphenidate or amphetamines helps to stabilise dopamine levels, reducing the extremes between boredom and hyperfocus. NICE and Royal College of Psychiatrists guidance also recommend combining treatment with structured routines, planned breaks, and balanced stimulation to support consistent attention and avoid burnout. 

Reassuring Takeaway 

In ADHD, dopamine levels are lowest during boredom and highest during hyperfocus. This contrast explains why staying engaged in routine tasks can feel hard, while interesting ones can feel all-consuming. Learning to manage these dopamine swings, with medication, structure, and self-awareness, helps balance focus and motivation. For tailored medication and treatment reviews, visit ADHD Certify, a UK-based service offering NICE-aligned ADHD assessments and care. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk
Dr. Rebecca Fernandez, MBBS
Author

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 author's privacy.