ADHD and eating disorders: The shame-and-dopamine cycle

Ever reached for food when you were stressed, bored, or overwhelmed, then felt ashamed afterward? For many people with ADHD, eating isn’t only about hunger. Impulsivity, emotional dysregulation, and low dopamine can shape how, when, and why we eat. For some people that becomes an eating disorder. If that’s you, you’re not alone.
Licensed psychologist Dr. J explains the difference between an eating disorder and disordered eating, and how binge eating disorder, bulimia nervosa, and anorexia nervosa can show up alongside ADHD. Executive dysfunction, trouble sensing hunger and fullness cues, and all-or-nothing thinking can make food feel like a coping tool — and shame can keep the cycle going. The overlap is common, though many people don’t know it.
Dr. J also shares steps you can take today: approaching yourself with self-compassion, asking for help finding care, recognizing your triggers, and building eating routines that work with your brain. For the long term, Dr. J explains why it matters to treat ADHD and the eating disorder together, with a care team trained in both conditions. This may include a psychologist, a psychiatrist, a therapist, and a dietician. Recovery is possible with the right support. You don’t have to figure it out alone.
For more on this topic
Watch: ADHD and eating
Listen: ADHD Aha! on eating disorders
Read: ADHD and eating disorders
For a transcript and more resources, visit The ADHD Channel for Women on Understood.org. You can also email us at [email protected].
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