Alcohol - a depressant
While alcohol can initially produce stimulating effects, which many ADHD brains might like, making us feel more sociable and energetic, it is fundamentally a depressant. Over time, alcohol’s primary action is to depress the central nervous system, leading to decreased alertness, impaired judgment, and slower reaction times.


Alcohol & dopamine
Initially, alcohol increases dopamine levels, producing feelings of pleasure and euphoria. However, with continued use, alcohol disrupts the brain’s dopamine system by reducing dopamine production, decreasing receptor sensitivity, and damaging dopamine neurons.
a coping strategy
ADHD’ers might often use alcohol to self-soothe because it temporarily alleviates symptoms like restlessness, impulsivity, and anxiety. Alcohol’s initial calming and euphoric effects can help manage emotional dysregulation and social discomfort associated with ADHD. However, this self-medication can lead to a cycle of dependence and worsen symptoms in the long term.


ADHD impulsivity
ADHD’ers are more prone to binge drinking due to the impulsivity and difficulty in regulating behavior. We also often have a heightened sensitivity to alcohol’s effects. This increased vulnerability can lead to a higher risk of developing alcohol use disorders and other substance abuse issues, exacerbating the challenges that we already face with ADHD.
Shame & anxiety
Hangovers can often cause us shame, guilt, and anxiety due to the physical discomfort and cognitive impairment they induce, which can lead us to regret actions while intoxicated. Additionally, the memory lapses and loss of control experienced during drinking may contribute to feelings of shame and embarrassment.
There’s also a big contrast between the pleasurable effects of alcohol consumption and the unpleasant aftermath of a hangover can intensify feelings of guilt and anxiety, particularly if it interferes with responsibilities or relationships.


resources
If you struggle with this, please know what help is out there!
- The Unexpected Joy of Being Sober by Catherine Gray
- Reframe App
- Sober Girl Society – community for women
- A Gentle Path through the Twelve Steps: The Classic Guide for All People in the Process of Recovery
Adhd coaching can help!
ADHD coaching can be instrumental in helping ADHD’ers with various challenges:
- Goal setting
- Accountability
- Understanding strengths and values
- Building structures
- Self-awareness
- Skill building
- Stress management
- Building self-trust
