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I think that's what other recent psychological/neurological research has found too (citation needed--but do remember reading about it recently from multiple sources).

It figures that everyone each has their individual baseline "propensity to stay focused"--and sleep deprivation degrades someone's focus below that. You take a normal person and sleep deprive them, and their "propensity to stay focused" is lowered, but still might fall within an acceptable/functional range.

One theory that's gaining traction is that people with ADHD have a somewhat lower baseline than average, and when you throw in sleep deprivation, their "propensity to focus" falls into dysfunctional territory. Ergo, ADHD might have a large sleep component.

In all cases (which corroborates with your experiences), they found that people are really poor at actively self-detecting those fluctuations.



> Ergo, ADHD might have a large sleep component.

Yeah, I can count on one hand the number of times in my life when I woke up in the morning, even after a good night of sleep, and felt "refreshed". I didn't even know what that meant until I had a conversation with a coworker who just hops out of bed and is "on" immediately. Feels like there is a connection with my ADHD diagnosis.


Happens to me roughly once per year, twice in a good year. Usually I am too busy enjoying the novelty of it to put it to good use getting things done.


A fitbit has been lifechanging for me on that front. Get one, and ruthelessly focus on improving your sleep.

I have three layers of blinds (get portable blackout blinds); I use earplugs; I try to keep the room temp low.

My mood, ability to think clearly, happiness etc. is very sensitive to my moving-average quality of sleep.

I think a week or two of "fair" (fitbits levels) sleep is a catastrophe for me -- I need a high average.


Yeah I’ve gone through all of the sleep optimizations—eye mask, chilipad, blu-blocker shades two hours before bed, wake-up light—and it has produced marginal improvements that I still maintain but nothing revolutionary.

I know that caffeine consumption can be a big issue, but that’s a lost cause. Caffeine is like crack for someone with ADHD, and I’ve given up on trying to quit given my current demanding lifestyle. Maybe one day when my to-do list is shorter.


Try one of those wake-up lights if you can. Bright light in the morning can really help with waking up smoothly, or at least getting you into a relaxed half-awake state that makes an alarm less jarring.

Anecdotal source: Having a (tiny but well-angled) skylight does wonders for me in the summer months.


Did you manage to improve it, feeling refreshed after waking up?


For me it's not just "focus on task" but also tasks with multiple interacting components (sounds like programming?). Lack of sleep makes it very hard to follow interacting chains of cause and effect.

I do find that for whatever reason the right amount of sleep deprivation makes me more upbeat and social (and silly). Like somehow the anxious, analytical part of me gets switched off first so the well-rested parts that rarely get used can steal the show.


Oh god, this explains so many things. My wife is suffering ten times worse from the maternity related sleep deprivation than what other moms report. I'll talk to her about more active sleep management.


>One theory that's gaining traction is that people with ADHD have a somewhat lower baseline than average, and when you throw in sleep deprivation, their "propensity to focus" falls into dysfunctional territory

Part of the criteria for diagnosis is that your symptoms are persistent and chronic enough such that your life is impaired. That's already squarely in dysfunctional territory without sleep problems.

Given ADHD affects all of your executive functions, it tends to impact all facets of your life. You're 400% more likely to be obese than someone who is non-ADHD. With that comes obstructive sleep apnea. With that comes less sleep and more problems.

So, ADHD has its own special way of making itself worse.




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