Nootropics to Enhance Cognition and ADHD

Our Mental Health Expert, Dr. Meghan Van Vleet, Discusses How Nootropics Can Improve Your Attention, Focus, Memory and Learning

Dr. Meghan Van Vleet is a naturopathic doctor at Boulder Natural Health who specializes in ADHD and other neurodivergent issues.  She has studied mental and cognitive health for the last 15 years. She has mentored with Dr. Walsh, PhD with the Walsh Research Institute, Dr. Bredesen, MD and colleagues at Apollo Health and Dr. Greenblatt, MD at Psychiatry Redefined. She has completed a 2-year fellowship with Psychiatry Redefined including an ADHD Intensive. She is also a mother of a neurodivergent child.

What is a nootropic?

Nootropics are a diverse group of medicinal substances that increase blood flow and the delivery of nutrients to the brain. Nootropics may also protect the brain from oxidative stress and inflammation. Nootropics can be an herb or a plant constituent, a vitamin or nutrient, an amino acid or a pharmaceutical. Nootropics have been shown to improve thinking, learning and memory. One of the most common nootropics used in our society is caffeine.

Why are nootropics helpful in ADHD?

Nootropics enhance cognitive functions such as memory and learning, especially in ADHD where these functions are impaired. Nootropics can increase attention and focus, enhance memory and recall, and increase motivation. Nootropics can help increase levels of nor-epinephrine and dopamine in the brain. Because ADHD is a condition where dopamine is dysregulated, nootropics can enhance the regulation and production of these beneficial neurotransmitters. Nootropics also limit the production of stimulating neurotransmitters such as glutamate. They slow the production and release of histamine, which is helpful for ADHD because histamine promotes inflammation.

Which nootropics are the best for ADHD?

The most beneficial noootropics for improving ADHD are oligomeric proanthocyanidins, or OPCs, which are a type of polyphenol or antioxidant. OPCs are found in plant pigments such as the blue in blueberries, the red in red grapes, the green in green tea, the dark brown in cacao (chocolate). Plants produce these antioxidants naturally in order to protect themselves from environmental harms. These antioxidants have been found to protect the human brain from environmental toxicity.

What nootropics do you recommend for ADHD?

As a naturopathic doctor I, (Dr. Meghan Van Vleet,) am always encouraging my patients to eat a rainbow of color for every meal. The greater the variety of color on the plate the more variety of polyphenols and antioxidants in the diet. The greatest health benefits come from the variety of antioxidants consumed. They seem to have a synergistic effect. Overloading on one antioxidant such as turmeric, doesn’t seem to have the same health benefits. My favorite nootropics to enhance cognitive health include:
Bacopa monnieri
Pycnogenol
Ginkgo biloba
Gotu kola
L-theanine
Tyrosine
Phosphytidylserine
Citicholine
Polyphenols / OPCs
Rhodiola rosea
ADHD medications can also act as nootropics. These include Adderall, Vyvanse, Strattera. Caffeine is also a nootropic. Not everyone is going to tolerate all of the nootropics. Some people have a sensitivity to caffeine, some people can get agitated with rhodiola. Every individual is unique. This is where the art of medicine comes in.

Are there other conditions that can benefit from nootropics?

Nootropics can be beneficial for a variety of people outside of ADHD. Nootropics can be beneficial for cognitive decline and dementia. Nootropics can be helpful for people during periods of high stress and overwhelm. I generally do not use nootropics for young children but I do consider nootropics for adolescents and adults with focus, motivation and learning challenges.
Source: Finally Focused, The Breakthrough Natural Treatment Plan for ADHD That Restores Attention, Minimized Hyperactivity, Helps Eliminate Drug Side Effects. By James Greenblatt, M.D. and Bill Gottlieb, CHC.  — *Note: Dr. James Greenblatt, MD is one of Dr. Van Vleet’s mentors.*