Can your morning coffee double as a focus tool? For many people with ADHD, that’s more than just a casual question. It’s a daily experiment.

Caffeine is everywhere: coffee, energy drinks, pre-workout blends, even chocolate. It’s legal, widely used, and known to boost alertness. So it makes sense that some people with ADHD turn to it in the hope of dialling in their focus. After all, ADHD is linked to low dopamine activity, and caffeine affects dopamine pathways. But is this everyday stimulant actually helpful for ADHD, or just another well-marketed myth?

How Caffeine Affects the Brain

Caffeine works by blocking adenosine receptors in the brain. This increases alertness and also improves dopamine and norepinephrine activity, two neurotransmitters that are often under-active in ADHD.

In theory, this stimulant effect could help with symptoms like inattention and mental fatigue. Animal studies support this; in rodent models of ADHD, caffeine has been shown to improve attention, learning, and working memory without major side effects. And in healthy adults, caffeine reliably improves reaction time, vigilance, and short-term cognitive performance.

Does That Translate to ADHD?

Some observational evidence suggests it might. One study involving U.S. Army personnel with ADHD found that higher caffeine consumption was associated with slightly fewer reported symptoms like disorganisation and attention difficulty. In other words, more coffee seemed to line up with modest improvements in focus.

That said, this kind of research shows correlation, not cause. People with more severe symptoms may avoid caffeine because of side effects, or those with milder symptoms may find caffeine enough to get by. We can’t say for sure which is driving what.

What About Dopamine?

Dopamine plays a key role in motivation, attention, and executive function. ADHD is often linked to lower dopamine signalling in certain brain regions. Stimulant medications work by increasing dopamine availability. Caffeine does this too, although to a much smaller degree.

Some researchers think caffeine may act as a “mild stimulant” for this reason, and that it could support attention in a similar, though much weaker, way. This has sparked interest in whether caffeine might be a gentler option for those with mild symptoms.

The Risks and Trade-Offs

While the logic is appealing, caffeine isn’t risk-free, especially for people with ADHD.

Sleep Disruption

Caffeine is a well-known sleep disruptor. For people with ADHD, who often already struggle with falling or staying asleep, this can be a major problem. One study found that adolescents with ADHD who used caffeine late in the day had significantly more sleep difficulties than those who didn’t. Inadequate sleep can worsen attention, emotional regulation, and overall functioning.

Anxiety and Jitters

Caffeine increases arousal. That can be useful in small amounts, but too much can lead to anxiety, restlessness, and irritability. These side effects may show up more easily in people with ADHD, who often have co-occurring anxiety. For some, caffeine may amplify impulsivity or mood swings.

Tolerance and Dependence

Over time, the body adjusts to regular caffeine use. This means the same dose becomes less effective, and stopping caffeine can trigger withdrawal symptoms like headaches and fatigue. These dips in energy and focus can make ADHD symptoms feel worse.

What Does the Research Say?

Despite all the interest, controlled clinical trials haven’t found caffeine to be a reliable treatment for ADHD.

A recent meta-analysis of studies in children concluded that caffeine did not significantly improve core ADHD symptoms compared to a placebo. The effects, if present, were small and inconsistent. In adults, there’s very limited data. One review described the findings as scarce and mixed; some small studies show marginal improvements, others show none at all.

In one study, a combination of caffeine and L-theanine (an amino acid found in tea) showed slight gains in attention and calmness for adults with ADHD, but the sample size was small and results were preliminary.

So Is It Worth Trying?

Moderate caffeine, such as a cup of coffee or tea in the morning, may offer a temporary boost in alertness or motivation for some people with ADHD. But it’s not a proven or consistent strategy. And for many, the risks like sleep disruption or increased anxiety outweigh the potential benefits.

If you’re curious, start with small doses and track your response. Avoid caffeine late in the day. Pay attention to how it affects both your focus and your sleep. And if ADHD symptoms are interfering with your work, relationships, or wellbeing, speak with a healthcare provider who can help you explore evidence-based treatment options.

Caffeine might help some people feel a bit more on top of things, but it’s not a substitute for personalised care.

References

  1. Vázquez, J. C., et al. (2022). Effects of Caffeine Consumption on Attention Deficit Hyperactivity Disorder (ADHD) Treatment: A Systematic Review of Animal Studies. Nutrients, 14(4), 739.
  2. McLellan, T. M., et al. (2016). A review of caffeine’s effects on cognitive, physical and occupational performance. Neuroscience and biobehavioral reviews, 71, 294–312.
  3. Cipollone, G., et al. (2020). Exploring the Role of Caffeine Use in Adult-ADHD Symptom Severity of US Army Soldiers. Journal of clinical medicine, 9(11), 3788.
  4. Cusick, C. N., et al. (2020). Caffeine Use and Associations With Sleep in Adolescents With and Without ADHD. Journal of pediatric psychology, 45(6), 643–653.
  5. Lara D. R. (2010). Caffeine, mental health, and psychiatric disorders. Journal of Alzheimer’s disease : JAD, 20 Suppl 1, S239–S248.
  6. Perrotte, G., et al. (2023). Effects of Caffeine on Main Symptoms in Children with ADHD: A Systematic Review and Meta-Analysis of Randomized Trials. Brain sciences, 13(9), 1304.
  7. Sogard, A. S., & Mickleborough, T. D. (2022). The therapeutic potential of exercise and caffeine on attention-deficit/hyperactivity disorder in athletes. Frontiers in neuroscience, 16, 978336.
  8. Kahathuduwa, C. N., et al. (2020). Effects of L-theanine-caffeine combination on sustained attention and inhibitory control among children with ADHD: a proof-of-concept neuroimaging RCT. Scientific reports, 10(1), 13072.

Disclaimer: Medicinal cannabis and CBD oil are unapproved medicines in NZ which means that there is no conclusive evidence for their effect, apart from Sativex. Many doctors do not routinely prescribe cannabis medicines. The above article was written for general educational purposes and does not intend to suggest that medicinal cannabis can be used to treat any health condition. Please consult with your healthcare provider.