ADHD Living With ADD/ADHD How ADHD and Adderall Interfere With Your Teen's Sleep By Keath Low Keath Low Keath Low, MA, is a therapist and clinical scientist with the Carolina Institute for Developmental Disabilities at the University of North Carolina. She specializes in treatment of ADD/ADHD. Learn about our editorial process Updated on October 16, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Tetra Images/Getty Images Sleep issues in children and adolescents with ADHD are a common occurrence. Sometimes prescribed stimulant medications, like Adderall, affect sleep. Other times the restlessness that accompanies ADHD causes difficulty falling asleep. Either way, your son or daughter is likely to experience challenges related to sleep deprivation, which can include lack of focus and mood issues. In the long run, children and teens who are sleep deprived may "crash," requiring very long periods of sleep in order to catch up on the rest they need. What's the key to helping your child to sleep? Your challenge is to find a happy medium between 1) when your child's medication has completely worn off (making him too restless for sleep) and 2) when your child's medication is in effect but still too stimulating for sleep. This process may take some trial and error, but with your doctor's help and your child's involvement, you can resolve the problem. Sleep Deprivation and Teens “The restriction in total sleep time experienced by teens worsens as they progress through high school with 12th graders significantly more sleep-restricted than 7th graders. Crashes are inevitable and may occur far more frequently than every four months," says Helene A. Emsellem, MD, director of The Center for Sleep & Wake Disorders in Chevy Chase, Maryland, and author of Snooze…or Lose! Ten ‘No-War’ Ways to Improve Your Teen’s Sleep Habits. Studies have shown that adolescents require 8.5 to 9.25 hours of sleep per night, but teenagers often get considerably less. Sleep and ADHD Dr. Emsellem says that it is important to be aware of the symptomatic overlap between ADD/ADHD and sleep restriction. “Difficulty with attention, focus, and concentration are key symptoms of both sleepiness and ADD/ADHD. The presence of sleep restriction will aggravate ADD/ADHD symptoms. If the worsened symptoms are managed with higher medication doses rather than with the much-needed sleep then symptoms may snowball.” How to Help Your Child Sleep Be sure to talk with your child’s doctor about your concerns. It may be that he or she can adjust the dosage and timing of the medication. This is particularly important “to avoid the spill-over effects in the evening hours which may make it difficult for your teen to wind down and fall asleep,” notes Dr. Emsellem. “It may be a challenge to adjust for the adequate dosage to allow for evening studying, yet not interfere with sleep onset.” These are all issues you will want to discuss with the doctor. Reducing the Side Effects of ADHD Medication 2 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Stein MA, Weiss M, Hlavaty L. ADHD treatments, sleep, and sleep problems: complex associations. Neurotherapeutics. 2012;(9)3:509-17. doi:10.1007/s13311-012-0130-0 US National Library of Medicine. Dextroamphetamine and amphetamine. April 2019. Additional Reading Helene A. Emsellem, MD. “Re: Request for Expert Quotes.” Email to Keath Low. 12 Dec. 07. By Keath Low Keath Low, MA, is a therapist and clinical scientist with the Carolina Institute for Developmental Disabilities at the University of North Carolina. She specializes in treatment of ADD/ADHD. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for ADHD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.