The Science Behind ADHD: How the Brain Functions Differently

by | Aug 21, 2024

ADHD is a condition we’ve all heard of. It affects countless kids and adults, yet there’s so much more beneath the surface, especially regarding how the brain functions differently. 

In this blog, we’re going to unpack the science behind ADHD, exploring the specific ways the brain operates that contribute to the symptoms of inattention, hyperactivity, and impulsivity. 

Whether you’re personally affected or know someone who is, understanding the neurological basis will change how you approach this disorder, from treatment to everyday interactions. 

Many people may not realize that ADHD presents differently in each individual, making it a complex and unique condition to navigate. By diving deeper into the science, we can better understand the diverse ways it impacts behavior and cognition.

Let’s get started and shed some light on the intricacies of ADHD!

What is ADHD?

ADHD is a condition that makes it a bit tricky for some people to focus, sit still, or control their impulses. Imagine trying hard to pay attention in class when your brain feels like it’s jumping around like a bouncy ball. That’s how it can feel for someone with ADHD.

Our brains are super complex, with different parts that work together. One important part is that it helps us pay attention and stay focused. In people with ADHD, this part might not work as it should. It’s like a radio that doesn’t pick up the right station. So, they might hear a lot of different sounds, making it hard to listen to the teacher.

Scientists have found that people with ADHD might have lower levels of certain chemicals in the brain called neurotransmitters. These chemicals help send signals between brain cells. Focusing and controlling impulses becomes more difficult when these signals get mixed up.

People with ADHD are often very creative and have tons of energy. Sometimes, that energy leads to great ideas! Other times, it might cause them to feel restless or act before thinking things through. Understanding ADHD helps us find better ways to help those who have it.

A young girl is immersed in colorful puzzle pieces, representing a playful approach to TMS therapy for ADHD. 

Neurobiological basis of ADHD

Imagine neurotransmitters like dopamine as messengers zooming around, delivering important notes that help regulate mood, attention, and excitement. In ADHD, it’s as if dopamine messengers aren’t as plentiful, or the notes they deliver get lost more easily. 

This means messages about reward and motivation might not get through correctly. For someone with ADHD, this makes everyday tasks that require sustained attention or delayed gratification (like sitting through a long lecture or completing homework) feel much less rewarding and much more difficult.

Dopamine isn’t the only player, though. Noradrenaline is another critical neurotransmitter involved, which helps with alertness and concentration. In ADHD, if noradrenaline levels are off, it’s like having a faulty alarm system in the brain — it’s harder to stay awake or attentive, which adds to the challenge.

Now, regarding the prefrontal cortex — this part of the brain is like the executive office of that city. It’s supposed to help with planning, decision-making, and impulse control. In people with ADHD, this “office” might not be fully online or might have slower connectivity with other brain areas. 

This means decisions might be rushed or impulses not well-checked, leading to actions without considering the consequences, like blurting out an answer in class without raising a hand.

When the prefrontal cortex isn’t coordinating things smoothly, it’s tougher for individuals with ADHD to filter out distractions — everything from a ticking clock to movements outside the window might pull their attention away from the teacher.

The good news is that understanding these brain mechanics opens up targeted ways to help manage ADHD. For example, medications can increase the availability of neurotransmitters like dopamine and noradrenaline, smoothing out those bumpy roads and fixing the traffic signals in our brain city analogy. This makes it easier for messages about reward and focus to get where they need to go.

Behavioral strategies and therapy also play crucial roles. They’re like teaching someone to drive better despite the traffic issues. Techniques from cognitive behavioral therapy can provide mental tools that compensate for the underactivity of the prefrontal cortex, helping with organization and impulse control.

So, while the challenges of ADHD relate to how certain brain regions and neurotransmitters function, the strategies and treatments available today can significantly improve how individuals with ADHD navigate their daily lives, boosting their ability to focus, make decisions, and manage impulses more effectively. 

It’s all about optimizing the brain’s infrastructure to improve the quality of life.

Brain imaging and ADHD

Scientists have found that the brains of people with ADHD work a bit differently. They have done many brain imaging studies using MRIs that take pictures of the brain. When researchers look at these pictures, they see how different parts of the brain talk to each other. In people with ADHD, some brain areas don’t work together as well as they should. 

Overall, brain imaging shows us that ADHD isn’t about being “bad” or not trying hard enough. It’s about how the brain is wired and how it works. Knowing this helps everyone understand ADHD better.

A boy rests his head on his hand at a desk, reflecting the challenges of ADHD and the potential of TMS therapy.

Genetic and environmental factors

Now, let’s look at genetics. Our genes act like little instructions in our bodies. We get these instructions from our parents. If someone in your family has ADHD, you might have a higher chance of having it, too. Scientists found out that certain genes can make it easier for someone to develop ADHD. So, if your mom or dad has it, you could get those genes and feel a bit different, too!

Now, let’s talk about the environment. This means everything around us, like where we grow up and the things we experience. If kids are around a lot of loud noises or have stressful situations at home, it might affect how their brains develop. Some studies suggest that things like exposure to smoke during pregnancy or not having enough good food can make ADHD more likely.

So, genes and the environment work together to shape how our brains function. When we understand this, we can better help kids with ADHD. It’s super important to support them and make sure they feel understood.

Implications for treatment and management

Now, when it comes to treatment and managing ADHD, we have some cool options. 

Behavioral therapies

Doctors usually start with behavioral therapies. These are tools that help people learn to manage their behaviors and focus better. For example, kids can work with teachers to create a structured classroom environment that helps keep them on track.

Medications

Sometimes, doctors suggest medications like stimulants. They help the brain work more like it should — kind of like getting the trains back on time. Stimulants help improve attention and reduce impulsive actions. It’s important to find the right medicine and the right dose for each person because everyone’s brain is different.

Routines

Families can also help by creating routines at home. Having a set schedule for homework, chores, and playtime makes things less confusing. Positive reinforcement, like praise and rewards, can motivate kids with ADHD to keep trying.

TMS therapy

TMS therapy is a really neat, noninvasive technique we’re using to help manage ADHD, especially when the usual medications and strategies aren’t working. Essentially, it uses magnetic fields to activate brain cells. We focus on the prefrontal cortex, which is crucial for managing attention, making decisions, and controlling impulses — areas that can be tough for someone with ADHD.

We place an electromagnetic coil near the forehead. This coil sends out brief magnetic pulses that travel through the skull and spark small electrical currents in the brain. These currents fire up the neurons in the prefrontal cortex, helping to enhance how this part of the brain works.

So, if you or someone you know is still struggling with ADHD symptoms despite trying the standard treatments, TMS might be worth a shot. It’s like giving the brain a little jumpstart to help it function more effectively.

So, managing ADHD is all about teamwork. With the right support and strategies, people with ADHD can thrive and shine like everyone else.

TMS therapy at Brain Health Center

If you or someone you know is struggling with ADHD and looking for innovative and effective treatment options, consider trying TMS therapy at Brain Health Center. 

TMS, or Transcranial Magnetic Stimulation, offers a noninvasive approach to helping regulate brain activity. It specifically targets areas like the prefrontal cortex to improve focus, impulse control, and decision-making.

At Brain Health Center, we specialize in personalized care tailored to each individual’s needs, using cutting-edge technology to enhance brain function and overall well-being. 

Don’t let ADHD control your life or the life of someone you care about. Contact us today to schedule a consultation and learn more about how TMS therapy can make a significant difference. Take the first step towards a more focused and balanced life with the support of our expert team at Brain Health Center.