ADHD: Why Do I Fidget While Trying to Focus? - Psychiatry

More Info

---

Hello! Thank you for reaching out with your concerns regarding your focus and the fidgeting behavior you experience while trying to concentrate. It sounds like you have been managing your symptoms with medication for ADHD, specifically with a medication called Strattera (思銳), for over a year and a half. While it’s great to hear that you’ve noticed improvements in your mood and stress resilience, I understand that the persistent issue of fidgeting, particularly the leg shaking, is still troubling for you.

Fidgeting, such as shaking your leg, is a common behavior among individuals with ADHD. It can be a manifestation of restlessness or a way to self-regulate when trying to focus. This behavior is often referred to as "hyperactivity" in the context of ADHD, although it can present differently in adults compared to children. While children may exhibit more overt hyperactive behaviors, adults often experience internal restlessness, which can lead to fidgeting or other similar behaviors.

The fact that you are on medication but still experience this fidgeting suggests that while the medication may be helping with some symptoms of ADHD, it may not be fully addressing the physical manifestations of restlessness. It's important to remember that ADHD is a complex condition, and medication alone may not resolve all symptoms.
There are several strategies you might consider to help manage your fidgeting:
1. Behavioral Therapy: Engaging in cognitive-behavioral therapy (CBT) or other forms of behavioral therapy can be beneficial. These therapies can help you develop coping strategies for managing restlessness and improving focus. A therapist can work with you on techniques to reduce fidgeting and increase your ability to concentrate.

2. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, or relaxation exercises can help you become more aware of your body and its movements. This awareness can help you recognize when you are fidgeting and allow you to consciously choose to redirect that energy in a more productive way.

3. Physical Activity: Incorporating regular physical activity into your routine can help manage restlessness. Exercise is known to improve focus and reduce symptoms of ADHD. Even short bursts of activity, like taking a walk or doing some stretches, can help release pent-up energy.

4. Fidget Tools: Using fidget tools or stress balls can provide a physical outlet for your restlessness without distracting you from your tasks. These tools can help keep your hands busy while allowing your mind to focus on the work at hand.

5. Adjusting Your Environment: Sometimes, the environment can contribute to feelings of restlessness. Ensure that your workspace is conducive to focus—this might mean reducing distractions, having a comfortable chair, or even using standing desks or balance balls to engage your body while you work.

6. Medication Review: Since you mentioned that the medication has not improved the fidgeting, it may be worth discussing with your healthcare provider. They can evaluate whether your current dosage is appropriate or if a different medication might be more effective for managing your symptoms.

In conclusion, while medication can be a crucial part of managing ADHD, it may not address all symptoms, such as fidgeting. Combining medication with behavioral strategies, physical activity, and mindfulness techniques can provide a more holistic approach to managing your symptoms. I encourage you to discuss these options with your healthcare provider to tailor a plan that works best for you. Thank you for sharing your experience, and I hope you find these suggestions helpful!