Conversations about ADHD (Attention Deficit Hyperactivity Disorder) are becoming more common in workplaces, and rightly so. With diagnoses rising rapidly and prescriptions for ADHD medication increasing year on year, many managers are finding themselves asking new questions:

• What exactly does ADHD medication do?

• How might it affect performance at work?

• Should managers be involved in conversations about medication?

• What support should employers provide to neurodivergent employees taking ADHD medication?

This blog will unpack the essentials for managers, helping you understand ADHD medication in a workplace context. It’s not about giving medical advice, that’s between employees and their healthcare providers, but about equipping leaders to build inclusive, supportive environments.

ADHD Medication: The Basics

ADHD is a neurodevelopmental condition that affects focus, attention, impulsivity, emotional regulation, and working memory. It’s lifelong, and while it comes with challenges, it also brings unique strengths like creativity, problem-solving, and enthusiasm.

Medication is one of the most researched and effective treatments for ADHD. For many people, it can be life-changing.

There are two main types of ADHD medication:

1. Stimulant medications – such as methylphenidate (Ritalin, Concerta) and lisdexamfetamine (Elvanse, Vyvanse). These increase levels of dopamine and norepinephrine in the brain, improving focus, impulse control, and executive functioning.

2. Non-stimulant medications – such as atomoxetine (Strattera) and guanfacine. These are often prescribed if stimulants don’t work or cause side effects.

It’s important to note: medication doesn’t “cure” ADHD, and employees taking it will still experience the challenges of having ADHD. It just helps manage symptoms, often in combination with coaching, therapy, or reasonable adjustments.

Why This Matters for Managers

You might wonder: why should managers know about ADHD medication? After all, isn’t this private health information?

Yes, medical details are private, and no employee should feel pressured to disclose them. But as a manager, you’re likely to work with employees who are:

• Newly diagnosed and starting medication.

• Adjusting to the impact of medication on their working patterns.

• Navigating side effects while trying to perform at their best.

Understanding the basics allows you to respond with empathy, provide flexibility, and reduce stigma. It also reassures employees that disclosure won’t be met with judgement.

How ADHD Medication Can Affect Work

Every individual is different, but here are some common workplace impacts managers should be aware of.

Positive Effects

• Improved focus: Employees may find it easier to stay on task, sustain attention, and complete projects.

• Better time management: Medication can help reduce procrastination and make deadlines more manageable.

• Reduced overwhelm: Employees often report being less distracted or stressed by competing demands.

• Greater confidence: Feeling in control of focus and memory can boost morale and self-esteem.

Possible Challenges

• Adjustment period: Finding the right dose or type of medication can take time. Employees may feel tired, wired, or experience fluctuations at first.

• Side effects: Some people report reduced appetite, trouble sleeping, or mood changes. These usually stabilise but can impact work in the short term.

• “Wearing off” effect: Stimulants often last 4–12 hours. Some employees may notice symptoms returning later in the day, affecting evening meetings or overtime.

• Not a “magic fix”: Medication improves attention, but it doesn’t automatically teach organisation, planning, or workplace skills. Adjustments are still essential.

Common Myths Managers Should Avoid

Because ADHD medication is often misunderstood, it’s important for managers to challenge myths that can harm neurodivergent employees.

• Myth: ADHD medication is a performance enhancer.
  Fact: It brings functioning closer to a neurotypical baseline. It doesn’t give someone an unfair advantage.

• Myth: If an employee takes medication, they don’t need adjustments.
  Fact: Adjustments like flexible deadlines, quiet spaces, and task management tools are still vital. Medication supports, but doesn’t replace, these.

• Myth: Everyone on TikTok is suddenly “self-diagnosing” ADHD for medication.
  Fact: Diagnosis requires clinical assessment. Rising prescriptions reflect recognition of previously overlooked cases, especially among adults and women.

• Myth: ADHD medication is addictive.
  Fact: When prescribed and monitored, ADHD medication has a very low risk of addiction. In fact, it reduces the risk of substance misuse long-term.

What Managers Can Do to Support Employees on ADHD Medication

You don’t need to be a medical expert — but you do need to create an environment where employees feel safe, respected, and supported. Here’s how:

1. Respect Privacy

Never ask an employee to disclose whether they are on medication. If they choose to share, thank them for trusting you and treat the information as confidential.

2. Be Flexible With Work Patterns

Medication timing may affect energy levels. Some employees may be at their most focused in the morning but less so later in the day. Where possible, schedule important tasks or meetings during their peak focus times.

3. Continue Providing Reasonable Adjustments

Remember, medication doesn’t erase ADHD. Keep offering adjustments such as:

• Clear written instructions.

• Breaking tasks into steps.

• Flexible working hours.

• Access to quiet workspaces.

4. Normalise Neurodiversity Conversations

Stigma around ADHD and its medication can make employees reluctant to seek help. Promote a culture where neurodiversity is celebrated, not hidden. Training for managers can help create this culture.

5. Be Aware of Wellbeing

Some employees may experience side effects, especially early on. A supportive manager can make all the difference by checking in gently: “How are you finding your workload this week? Anything we could do differently to support you?”

The Role of HR and Organisational Policies

For organisations, rising ADHD diagnoses mean it’s time to update policies and practices. Consider:

• Neurodiversity training for managers so they understand ADHD and avoid unhelpful assumptions.

• Clear policies on reasonable adjustments, including support for neurodivergent employees whether or not they take medication.

• Wellbeing resources such as Employee Assistance Programmes (EAPs) that are neurodivergent-friendly.

• Data collection through anonymous surveys to measure how supported neurodivergent staff feel.

Why Understanding ADHD Medication Benefits Employers

Supporting employees who take ADHD medication isn’t just compassionate — it makes business sense.

• Retention: Employees who feel supported are more likely to stay.

• Performance: Better focus and reduced burnout improve productivity.

• Culture: Inclusive environments attract diverse talent and enhance employer brand.

• Legal compliance: ADHD is covered under the Equality Act 2010 in the UK, requiring reasonable adjustments.

Final Thoughts

The rise in ADHD diagnoses and medication use is not an epidemic, it’s much needed progress. It means more employees are finally getting the support they need to thrive. For managers, the role is not to understand the medical science in detail, but to foster environments where neurodivergent colleagues feel respected, valued, and empowered.

Medication is just one piece of the puzzle. Reasonable adjustments, inclusive policies, and empathetic leadership complete the picture.

Here at Enna, we help organisations build neuroinclusive workplaces where ADHD and other forms of neurodivergence are not barriers to success. Whether through manager training, policy audits, or one-to-one coaching, we equip employers to support every employee, whatever their needs.

👉 Find out more about our Neurodiversity Training for Managers or speak to us about a Workplace Audit to ensure your policies are truly inclusive.