Yom Kippur Fast Poses Unique Challenges for Those With ADHD

Yom Kippur, the Day of Atonement, presents a particularly difficult challenge for individuals with Attention Deficit Hyperactivity Disorder (ADHD) due to the combination of fasting, lack of screens, and reduced external stimuli. Their brains naturally have a dopamine deficit, which they typically compensate for with constant small activities like social media browsing, snacking, coffee consumption, or multitasking. On Yom Kippur, these external dopamine sources are cut off, leading to a sharp drop in dopamine levels. This can result in intense boredom, extreme restlessness, irritability, and mental fog, making concentration nearly impossible.

The difficulty is amplified for those who attend synagogue services, which require prolonged sitting, focus on lengthy texts, and quiet adherence to a code of conduct. For an ADHD brain that needs constant movement to stay alert, especially in a fasted state, sitting still and concentrating can feel almost impossible, often leading to frustration and a sense of spiritual failure.

A significant concern for many with ADHD is the use of medication during the fast. While medication can help regulate the system and reduce restlessness, many drugs require water or suppress appetite. The article strongly advises against making independent decisions or relying on online advice. It emphasizes the absolute necessity of consulting with a treating physician beforehand to determine a safe, personalized approach based on individual medical conditions.

To cope with the 25-hour fast, experts recommend several strategies. Gradual reduction of caffeine and sugar in the days leading up to the fast can help prevent severe withdrawal symptoms. Planning activities like reading thrillers, doing puzzles, or playing board games can create engaging moments that naturally release dopamine. Incorporating physical movement through slow walks and engaging in social interactions can also provide natural dopamine boosts. Finally, practicing self-compassion is crucial, acknowledging that the day will be challenging due to unique brain physiology, rather than a sign of weakness.

Dr. Shirley Hershko, a leading ADHD expert in Israel, emphasizes that with an understanding of their biological mechanisms and proper preparation, individuals with ADHD can navigate the holiday safely and calmly. She is the senior expert in Israel for ADHD, a diagnostician and therapist, a lecturer at the Hebrew University, and the author of six successful books, including the bestseller "People of Attention."