How to Sustain Performance with ADHD by Intentionally Managing Dopamine
- Angela Greenwell

- Jul 18
- 7 min read

If you're a professional with ADHD, or if you suspect you might be, there’s a good chance you’ve felt this paradox:
You’re intelligent, creative, and passionate. You’ve had real wins in your career. When a deadline hits, a crisis erupts, or something new, challenging, or urgent appears, your brain switches on. You feel alive, focused, purposeful, and maybe even unstoppable. But when life settles into routine or you’re left to self-direct, you might feel flatlined, scattered, uninspired, or adrift.
The difference between being "on" and "off" can be stark. During an "off" period, you might find yourself shopping online, considering a job change, daydreaming about a new project, looking for snacks, diving into a new hobby, or scrolling endlessly. Your attention is being pulled in search of that missing spark.
What you are searching for is dopamine, the neurotransmitter that drives motivation, reward, and momentum.
Research shows ADHD brains often run with lower baseline dopamine, reduced receptor sensitivity, and disrupted reward signaling, especially in areas like the prefrontal cortex and striatum (Volkow et al., 2009; Tripp & Wickens, 2008). What this means is that people with ADHD often struggle to stay motivated, make decisions, maintain steady progress, and feel consistent satisfaction.
But what if we could help our brains get the dopamine they need? What if we stopped relying on unconscious patterns that lead us to impulsive decisions, binge behaviors, or burnout, and instead intentionally supported our brains with strategies that work?
Ideas to Intentionally Manage Dopamine
Managing dopamine isn’t about indulgently chasing stimulation. It’s about building habits and systems that help you stay "on" more often and recover more smoothly when you start to feel "off."
Many of these strategies are not new, but what might be new to those with ADHD is understanding the significant personal and financial cost of leaving your dopamine needs unmanaged, and the opportunity to take charge of this for yourself. It takes awareness, experimentation, and a willingness to prioritize, systematize, and protect what works.
A quick note: The goal is not to do everything listed here. The goal is to be curious. Try one thing that seems interesting. Notice the difference. Keep what works. The win is in taking the wheel, not doing it all perfectly. Let's get started.
Move Your Body (Often)
This is my first choice when I feel stuck or scattered. Physical activity increases dopamine and norepinephrine, especially in the prefrontal cortex. A 20-minute run can feel like getting a new brain.
It took me time to realize this isn’t just a rescue strategy. For me, it’s essential maintenance, and I aim for 4–5 days a week. That might sound like a lot, but it’s a small price to pay for a better-functioning brain.
Try this: Choose a movement your brain enjoys. I prefer running or walking because it's simple. The more effort it takes to get started, the less likely I am to follow through.
Reduce friction: Use music, an audiobook, or a podcast. Keep gear ready. Pair movement with a friend, trainer, or class for accountability. ADHD brains thrive with external structure.
Why it works: Exercise increases dopamine receptor availability (Meeusen & De Meirleir, 1995).
Go Outside
Going outside is one of the easiest and most effective ways to support dopamine regulation. Bright sunlight stimulates retinal cells that boost dopamine release, especially in the morning. Being outdoors also improves mood, focus, and executive function. It’s not just refreshing, it’s biochemical.
Try this: Get outside within an hour of waking. Just 5–10 minutes of sunlight can help reset your body clock, improve sleep, and stabilize mood.
Make it ADHD-friendly: Pair it with something else. Drink your coffee outside, take a call on a walk, or review your to-do list in natural light.
Why it works: Morning light increases dopamine release in the retina and supports circadian rhythm regulation (Anderson & Rea, 2011; Vandewalle et al., 2009).
Learn Something New
Curiosity is a natural dopamine activator for ADHD brains. But not all learning is energizing. Passive, forced learning feels dull or overwhelming. In contrast, learning that aligns with your values or vision can create clarity, engagement, and momentum.
This doesn’t have to be formal. You might dive into a topic that helps you grow personally or professionally, explore tools for self-understanding, or revisit a question that’s been lingering for years.
Try this: Choose a topic connected to your future self. Engage deeply—take notes, apply it to a goal, or talk it through with someone.
Make it ADHD-friendly: Use formats that work for your brain—audio, visuals, conversations, or movement-based reflection.
Why it works: Personally relevant learning activates dopamine pathways and enhances memory and motivation (Shohamy & Adcock, 2010).
Seek Connection and Accountability
Social dopamine is real. Many people with ADHD focus better with someone nearby. Body doubling, coaching, or shared check-ins can create structure and positive pressure. If connection feels difficult after past experiences, start with small, safe steps. Resources like ADD.org offer supportive communities.
Try this: Meet a friend for coffee. Walk together. Try virtual coworking, text check-ins, or an accountability buddy.
Why it works: Social interaction stimulates dopamine-related attention and reward systems (Krach et al., 2010).
Fuel Your Brain
What and when you eat can affect how your brain regulates dopamine. ADHD brains are sensitive to blood sugar dips, dehydration, and nutrient gaps, all of which can impact energy, mood, and focus.
Dopamine is made from amino acids like tyrosine (from protein) and depends on nutrients like iron, magnesium, zinc, and vitamin B6 to function properly. Even mild dehydration can impair short-term memory and alertness.
Try this: Start your day with protein. Keep quick snacks nearby: nuts, yogurt, eggs. Carry water and notice how hydration affects your focus.
Make it ADHD-friendly: Reduce decision fatigue by prepping snack stations at home or keeping a stash of shelf-stable protein options in your bag, car, or desk. Use reminders or visual cues to check in with hunger and hydration levels before a crash hits.
Why it works: Protein provides dopamine-building blocks. Balanced blood sugar and hydration help maintain consistent neurotransmitter function (Rao et al., 2008; Lieberman, 2003).
Engage Your Senses
Sensory cues like sound, scent, touch, and movement can wake up your nervous system and help you shift into a state of readiness. Rituals work because they create these cues consistently.
Try this: Create a start-up ritual. Play music, light a candle, stretch, or use a scent you associate with focus.
Make it ADHD-friendly: Keep it simple and repeatable. Try fidgets, tapping, or movement at your desk.
Why it works: Sensory routines activate dopamine-driven reward and anticipation systems (Berridge & Robinson, 1998).
Prioritize Sleep
Sleep is repair time for your brain. For ADHD, quality sleep is essential to reset dopamine systems and restore executive function. Skimping on rest makes it harder to focus, regulate emotions, and make decisions.
Many ADHDers are naturally night-owl inclined, making wind-down routines especially important.
Try this: Wake up at the same time daily. Use a calming wind-down routine with dim lights and minimal screens.
Make it ADHD-friendly: Use a buffer zone between tasks and sleep. Read, stretch, or play music to help your brain downshift.
Why it works: REM sleep restores dopamine receptor function and supports mood and cognition (Volkow et al., 2009).
Get Clear on Your Personal Values and Vision
Obligation alone doesn’t motivate ADHD brains, but meaning does. When you connect goals to your personal values, you create direction that endures even when dopamine dips.
Try this: Reflect on what truly matters to you. What themes recur? What triggers frustration? These often point to core values. Journal your values and how they could shape a personal vision.
Why it works: Values-driven goals engage intrinsic motivation and support long-term focus (Deci & Ryan, 2000).
What This Means for Leaders with ADHD
When dopamine is low, it’s easy to fall into self-doubt. You might think you need a new system or to try harder. But the deeper shift often comes from meeting your brain’s core needs by creating routines and support structures that adapt with you.
This is where coaching can help. Not to fix you, but to support awareness, sustainable systems, and resilience through change.
If you’re feeling the gap between your potential and your performance, that’s not a failure. It’s a signal. You’re wired for more, and you don’t have to figure it out alone.
Let’s build something sustainable.
References
Anderson, J. L., & Rea, M. S. (2011). Potential health benefits of exposure to light at night: An emerging hypothesis. Neuroendocrinology Letters, 32(4), 350–356.
Berridge, K. C., & Robinson, T. E. (1998). What is the role of dopamine in reward: Hedonic impact, reward learning, or incentive salience? Brain Research Reviews, 28(3), 309–369. https://doi.org/10.1016/S0165-0173(98)00019-8
Deci, E. L., & Ryan, R. M. (2000). The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268. https://doi.org/10.1207/S15327965PLI1104_01
Halperin, J. M., Berwid, O. G., & O'Neill, S. C. (2012). Emerging support for a role of exercise in ADHD intervention planning. Current Psychiatry Reports, 14(5), 543–551. https://doi.org/10.1007/s11920-012-0297-4
Krach, S., Paulus, F. M., Bodden, M., & Kircher, T. (2010). The rewarding nature of social interactions. Frontiers in Behavioral Neuroscience, 4, 22. https://doi.org/10.3389/fnbeh.2010.00022
Lieberman, H. R. (2003). Nutrition, brain function and cognitive performance. Appetite, 40(3), 245–254.
Meeusen, R., & De Meirleir, K. (1995). Exercise and brain neurotransmission. Sports Medicine, 20(3), 160–188. https://doi.org/10.2165/00007256-199520030-00004
Rao, T. S. S., Asha, M. R., Ramesh, B. N., & Rao, K. S. J. (2008). Nutrition and neurotransmitters. Indian Journal of Psychiatry, 50(2), 69–74.
Sagvolden, T., Johansen, E. B., Aase, H., & Russell, V. A. (2005). A dynamic developmental theory of attention-deficit/hyperactivity disorder (ADHD) predominantly hyperactive/impulsive and combined subtypes. Behavioral and Brain Sciences, 28(3), 397–419. https://doi.org/10.1017/S0140525X05000075
Schultz, W. (2007). Behavioral dopamine signals. Trends in Neurosciences, 30(5), 203–210. https://doi.org/10.1016/j.tins.2007.03.007
Shohamy, D., & Adcock, R. A. (2010). Dopamine and adaptive memory. Trends in Cognitive Sciences, 14(10), 464–472.
Swanson, J. M., Posner, M., Kantor, L., et al. (2007). Attention deficit hyperactivity disorder subtypes: Theoretical framework, measurement, and empirical findings. Biological Psychiatry, 57(11), 1324–1335. https://doi.org/10.1016/j.biopsych.2005.08.024
Tripp, G., & Wickens, J. R. (2008). Research review: Dopamine transfer deficit: A neurobiological theory of altered reinforcement mechanisms in ADHD. Journal of Child Psychology and Psychiatry, 49(7), 691–704. https://doi.org/10.1111/j.1469-7610.2007.01851.x
Vandewalle, G., Maquet, P., & Dijk, D. J. (2009). Light as a modulator of cognitive brain function. Trends in Cognitive Sciences, 13(10), 429–438. https://doi.org/10.1016/j.tics.2009.07.004
Volkow, N. D., Wang, G. J., Kollins, S. H., et al. (2009). Evaluating dopamine reward pathway in ADHD: Clinical implications. JAMA, 302(10), 1084–1091. https://doi.org/10.1001/jama.2009.1308
Volkow, N. D., Tomasi, D., Wang, G. J., et al. (2011). ADHD and dopamine reward pathway: Genetic and functional imaging findings. Biological Psychiatry, 69(12), 1100–1108. https://doi.org/10.1016/j.biopsych.2010.11.013




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