Anyone have tips On how to manage ADHD fatigue?

I’m honestly frustrated and so over feeling like this…

I’m a new nurse. I work weekend program at my hospital and start a full time position in February.

😔 Started taking stimulants in 5th grade when i was diagnosed with ADHD (not the hyperactive kind… Ive always had pretty low energy)

😕Not getting the same energy and motivation spike I used to get on stimulants. The last few years I’ve felt like adderall is no longer working for me. I have talked to my psychiatrist and doctor about this but they don’t really know what to do for me…

😩I work 7-7 on Saturday and Sunday and sometimes pick up shifts during the week. I’d say I have a pretty easy flexible schedule but after 2 12s I’m exhausted. I sit around the house during the week and struggle to get up and do things.

☹️I have a hard time keeping my room clean. It’s not dirty but it’s definitely cluttered… I can’t seem to get the motivation to put things in the right place. Yesterday I did clean off my dresser and desk which was huge for me.

🫠My sleep is totally off… some nights I’m in bed early and go to sleep early. Very rarely do I have a night where I don’t wake up several times a night…

If anyone is experiencing something similar comment below. I feel kind of alone right now and I hate feeling this way. It’s been going on for months… I noticed it was worse after I graduated nursing school. It’s not as bad in the summer because I love being outside in the warm sun. Now it’s winter in Wisconsin and it sucks…

2025/12/10 Edited to

... Read moreManaging ADHD fatigue, especially after graduating nursing school and adapting to a demanding work schedule, can be incredibly challenging. Many people with ADHD experience low energy and decreased motivation, which might not respond well to stimulant medications over time. This can feel isolating and frustrating, but there are several practical approaches that may help. First, pay attention to your sleep hygiene. Poor sleep, such as waking frequently at night or inconsistent sleep schedules, worsens fatigue and cognitive function. Establish a bedtime routine, limit screen time before bed, and create a relaxing environment. Even small improvements in sleep can boost daytime energy. Next, incorporating physical activity and outdoor time is beneficial. As you noticed, your symptoms improve during the summer when you spend time outside. Try to schedule short walks or light exercise breaks during your week. Natural light exposure, even in winter, can help regulate circadian rhythms and improve mood. Regarding stimulant medication effectiveness, it's common for tolerance to develop after years of use. Speak openly with your healthcare provider about your symptoms and possible medication adjustments or alternative treatments. Some find combining medication with behavioral therapy or coaching helps maintain motivation and executive functioning. To address clutter and organization challenges, breaking tasks into small, manageable steps can make them less overwhelming. Setting timers or using reminders to clean specific areas for 10-15 minutes at a time may improve your living space without requiring large energy expenditures. Lastly, seek support from others who understand ADHD fatigue. Online communities, support groups, or even talking with colleagues may help reduce feelings of isolation. Remember, you're not alone, and finding tailored strategies may take time and experimentation. Prioritizing self-care and pacing yourself can gradually rebuild your energy and motivation in both your personal life and nursing career.