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Understanding ADHD Mood Swings: A Journey Through Emotional Waves

Understanding ADHD Mood Swings: A Journey Through Emotional Waves

Blog Outline

ADHD is usually known for causing problems with focus, impulsiveness, and being overly active. But people with ADHD might also have mood swings or feel very happy or sad in a short time. Such changes can vary from extreme happiness to severe sadness without any well-understood reason.

In this blog post, we will examine ADHD mood swings, does ADHD cause mood swings, can ADHD cause mood swings, are mood swings a symptom of ADHD, how to deal with ADHD mood swings, whether ADHD is a mood disorder, and why they occur.

What Are ADHD Mood Swings?

People with ADHD and mood swings often experience sudden and unpredictable mood changes. They might feel happy one minute and angry or sad the next, and they don’t always know why this happens. Such mood shifts can be irritating, not only for the patient himself and fellow workers but also for relatives. They can damage personal relations, impede business activity, and cause burnout.

Example:

Suppose you look forward to getting up each morning feeling happy and looking forward to the day’s events but find yourself moody and aggressive at mid-morning with no apparent reason as to why you should be so. At lunchtime, you may find yourself full of energy, but by dinnertime, you are full of anxiety. Such fluctuations of feelings can leave the individual feeling weary and bewildered.

Read More: ADHD vs Depression: Finding The Link Between Them

Causes of ADHD Mood Swings

There is no single cause of ADHD mood swings but a combination of the following:

  • Neurochemistry and Dysregulation

It is associated with neurotransmitters, including dopamine and norepinephrine, essential in controlling mood and attention in individuals. These neurotransmitters relay signals in the brain that influence concentration, drive, and reward. When off-balance, moods can change quickly, leading to mood swings.

  • Emotional Dysregulation

Being under control of emotions is a severe issue in patients with ADHD. It is defined as a person regulating their emotions when responding to different stimuli. People with ADHD might react strongly to small things, like getting very upset or excited over minor mistakes. It can be challenging to control their emotions, and their moods can change quickly.

  • Rejection Sensitivity Dysphoria or Simply Sensitivity to Rejection

Another thing with ADHD is that the majority of them suffer from Rejection Sensitivity Dysphoria (RSD), which is an enhanced reaction to perceived rejection. In this, the patient may quickly sift through emotions like anger, sadness, or a feeling of worthlessness if provoked when there is no intention to reject or criticize. This increased awareness is a significant component of ADHD and adds to the propensity for mood dysregulation.

  • Factors associated with their environment and lifestyles

Although mood swings are part of ADHD, some factors may worsen them within a short period. These factors include stress, inability to sleep, poor or unhealthy diet, and excessive stimulation from noisy and chaotic environments. Some internal stimuli may flood the brain with signals that ordinarily enhance the mood and cause more frequent mood changes.

How ADHD Mood Swings Affect Daily Life 

Mood swings can have a significant impact on various aspects of an individual’s life:

  • Relationships: Emotional instability can trouble the people around you, your friends and family, or even a partner. ADHD patients might tend to misinterpret the feelings and intentions of their partners or find themselves arguing. Families may be constantly anxious or worried to see how the person with ADHD is going to respond next.
  • Work and School Performance: As suggested earlier, mood fluctuations will likely affect attention and productivity. A person may wake up with a good attitude and be productive throughout the day, only to get interrupted or bored once they are in another mood. This can make it hard to stay focused and finish tasks on time.
  • Self-Esteem: ADHD patients may suffer from fluctuations in emotions and gradually lose self-esteem when they experience episodes where they explicitly realize they are overemotional. They may start to develop these feelings about themselves and take on labels such as ‘emotional,’ ‘broken,’ or other labels, which can lead to anxiety or depression.

Managing ADHD Mood Swings: Practical Strategies

Although persons with ADHD know that their emotions change from one extreme to another, they can always find ways to mimic how they handle their changed moods.

  • Mindfulness and emotional awareness

Most experts agree that to gain control over mood swings, one needs to learn to be more emotionally intelligent. Mindfulness techniques that are prescriptive or may involve meditation, deep breathing, or journaling help an individual learn signs that depict a change in mood. If they recognize these triggers at their getting phase, they can avoid getting carried away by their emotions.

Tip:

Some time should be devoted to mindfulness meditation every few days. Concentrate on your breath, and don’t judge your thoughts and feelings. This can help you develop emotional strength over time.

  • Routine and Structure

Making a schedule and maintaining stability can be overwhelming when the patient is emotionally distressed. Sufferers should learn regularity, as time for sleep, meals, exercises, and rest stabilizes their emotions. Lack of structure and order triggers mood fluctuations, and therefore, structure can be beneficial for ADHD patients.

  • Cognitive Behavioral Therapy (CBT)

CBT is structured and is one of the best-recommended treatments that exist to treat people with ADHD to assist them with better management of emotions. CBT is a technique that works to enable a person to recognize negative thoughts that cause problems with mood regulation. It becomes beneficial when these thoughts are changed and replaced with more acceptable ways of dealing with stress to decrease the extreme highs and lows of mood swings.

Example:

An individual suffering from ADHD might learn to understand that their impulsive temper means that their thoughts are distorted (for instance, thinking, “I am always wrong,” when one judge is wrong) and replace it with rational, less extreme thinking.

  • Psychiatric Medication

In some cases, the patient may have to take medication since mood swings are also a symptom of ADHD. Psychiatric medicines act to balance neurotransmitters and can help people maintain a stable mood. Coordinating with a doctor to discover what form of treatment that includes physical therapy and medication is needed for long term healing is crucial.

  • Self-care program and stress management program

Stress management is essential to human emotions. Practical self-care, including daily schedules that include exercise, leisure activities, and social interactions, tends to decrease stress and increase mood. Also, other stress causes can be defined before reaching burnout and learning to say no more often in such situations.

Tip:

Include exercises or activities that make you happy and relieve stress in your daily routine. Whether the patient wants to paint, garden, or meet friends, such lessons can help improve the patient’s emotional regime and decrease the risk of mood swings.

Read More: Understanding Episodic Acute Stress: Causes, Symptoms, And Management

Conclusion: Finding Balance in Emotional Waves

Emotional liability is an incredible issue regarding ADHD, although you don’t have to let this control your life. It is, therefore, crucial for individuals with ADHD to learn what causes the change in their mood and how best to deal with it using practices such as practicing mindfulness, therapy, and self-care.

Lastly, do not forget that managing emotional fluctuations with ADHD is quite a slow process and can take lots of encouragement and time. No matter the support of a professional or an individual schedule, managing emotional fluctuations with ADHD is questionable. People can manage their flood fluctuations and lead healthy emotional and mental lives.

Frequently Asked Questions

ADHD can also cause fluctuations in mood. Some symptoms may need more evaluation and may even be due to other conditions like bipolar disorder, panic disorder, or depression. A visit to the doctor is required if you have regular fluctuations in the mood or have rapid mood swings

Bipolar mood in ADHD is characterized as changes in the mood that occur often and without any noticeable pattern. This may range from switching from happy to sad, angry, or anxious mood within a short period.

The primary causes include dysregulated neurotransmitters, stress management difficulties, and impulsivity.

Reference and Footnotes

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Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.
Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

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Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry
Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
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Griselda Hernandez

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As a licensed Psychiatric-Mental Health Nurse Practitioner (PMHNP) with a robust background in psychiatric and substance abuse nursing, Griselda provides compassionate, evidence-based care to individuals facing mental health and addiction challenges. The core of her practice focuses on promoting holistic wellness, fostering resilience, and empowering patients in their recovery journey. Specializing in the assessment, diagnosis, and treatment of adolescents with various mental health disorders, Griselda strives to create a therapeutic environment where patients feel valued, respected, and supported.

“My approach is grounded in years of diverse experience, including work in psychiatric units and medical detox units for both adults and adolescents. This extensive background has equipped me with the skills and knowledge to manage complex psychiatric and substance abuse conditions effectively. I am committed to staying updated with the latest advancements in psychiatric care, integrating cutting-edge therapies and best practices into my treatment plans. Collaboration is key to my practice; I work closely with multidisciplinary teams, families, and community resources to provide coordinated and comprehensive care tailored to each individual’s unique needs.”

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Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.