Name: ADHD 影響性生活是什麼感覺？ 😳 (How Does ADHD Impact Sex?)
Uploaded: 2026-02-14T18:07:49.000Z
Duration: 7 min 17 s

我們來聊聊注意力不足過動症和性。

這兩者之間是如何互相影響的？為什麼呢？

Many of the struggles those with ADHD face, such as inattention, impulsive behavior and hyperactivity, to name a few, have a sneaky way of showing up in sexual and romantic relationships that can be difficult to detect at first.

注意力不足過動症患者常面臨的許多挑戰，像是注意力不集中、衝動行為和過動等等，這些問題會悄悄地影響到性與情感關係，一開始可能不容易察覺。

If you struggle with ADHD or know someone who does, some of the behaviors we're going to discuss might seem familiar.

如果你本身有注意力不足過動症，或是認識有這樣情況的人，接下來我們要討論的某些行為可能會讓你覺得似曾相識。

So today we're going to explore how having ADHD can impact sex and relationships, because there's some surprising connections.

所以今天我們要來探討，注意力不足過動症是如何影響性與關係的，因為這裡面有些令人驚訝的關聯。

Hypersexuality and hyposexuality People with ADHD often experience sexuality in extremes, but

性慾亢進與性慾減退 注意力不足過動症患者的性慾常常會走向極端，

like a pendulum, the extremes can swing in either direction.

但就像鐘擺一樣，這種極端可以朝任一方向擺盪。

Some may feel hypersexual, craving, intensity, novelty or stimulation.

有些人可能會感覺性慾亢進，渴望強烈、新奇或性刺激。

Studies show that people with ADHD report higher sexual interest and more frequent sexual behaviors compared to non ADHD groups.

研究顯示，與沒有注意力不足過動症的群體相比，注意力不足過動症患者的性慾和性行為頻率都更高。

It makes perfect sense since sexual stimulation triggers the Release of the 4 key Feel good hormones such as dopamine, serotonin, endorphins and oxytocin, and

這完全說得通，因為性刺激會觸發多巴胺、血清素、腦內啡和催產素這四種關鍵的愉悅荷爾蒙釋放，

those with ADHD crave reward due to the lower levels of dopamine in their brain.

而注意力不足過動症患者因為大腦中的多巴胺水準較低，會渴望獎勵。

Others with ADHD might feel hyposexual, the opposite of hypersexuality, and

其他注意力不足過動症患者可能會感覺性慾減退，這與性慾亢進相反，

it's when a person experiences a significant loss of interest in sex followed by a low sex drive.

也就是說，一個人會對性失去顯著的興趣，接著性慾低落。

Because ADHD comes with things like stress, emotional overwhelm, rejection, sensitivity and sensory overload, all of which can shut everything down instantly.

因為注意力不足過動症會伴隨壓力、情緒崩潰、被拒絕的敏感性以及感官超載等問題，所有這些都可能瞬間讓一切關閉。

Those who have ADHD know that the feelings of overwhelm can be mentally draining, which might lead some to avoid sex altogether.

患有注意力不足過動症的人知道，過度飽和的感覺會耗費心神，這可能會讓一些人完全避免性行為。

Other issues related to adhd, such as struggling with emotional dysregulation, can make intimacy feel more draining than exciting.

與注意力不足過動症相關的其他問題，例如難以處理情緒失調，會讓親密關係感覺更耗費心神而非令人興奮。

So if your desire swings wildly from high to low, that's actually very adhd.

所以如果你的性慾忽高忽低，這其實跟注意力不足過動症很像。

Typical Impulsivity and Risk Impulsivity is a common ADHD symptom and while not present in all individuals who have adhd, since it exists on a spectrum, it can be reflected in sexual behavior in some individuals.

典型的衝動行為和風險衝動行為是注意力不足過動症的常見症狀，雖然不是所有注意力不足過動症患者都有，但因為它是一個光譜，在某些人身上可能會反映在性行為上。

Research confirms that individuals with adhd, especially those with untreated symptoms, are statistically more likely to engage in unprotected sex, casual encounters, inconsistent contraception use, or jumping into relationships quickly.

研究證實，注意力不足過動症患者，特別是未經治療的患者，統計上更有可能從事無保護性行為、一夜情、避孕措施使用不一致，或快速進入一段關係。

In a peer reviewed study from 2023 researchers surveyed 1,392 adults, including 541 people diagnosed with ADHD.

在一項2023年的同行評審研究中，研究人員調查了1,392名成人，其中包括541名被診斷患有注意力不足過動症的人。

The study found that both male and female adults diagnosed with ADHD engaged in riskier sexual behavior than those without.

研究發現，無論是男性還是女性，被診斷患有注意力不足過動症的成人，比沒有該症狀的人從事了更多高風險的性行為。

It also found that the risk was even greater in females with adhd, such as having sex at a younger age, using contraception less often, having more sexual partners, and

研究還發現，患有注意力不足過動症的女性風險更高，例如較年輕時發生性行為、較少使用避孕措施、有更多性伴侶，以及

engaging in more infidelity in comparison to their ADHD males and non ADHD peers in the study.

與研究中的注意力不足過動症男性和非注意力不足過動症的同儕相比，她們有更多的外遇行為。

Additionally, both male and female participants with ADHD reported lower satisfaction both overall and sexually, despite being sexually active at similar rates to others.

此外，兩性參與者都表示，儘管他們與他人一樣活躍於性行為，但整體和性方面的滿意度都較低。

Sex and relationships can already be challenging and stressful, but

性與情感關係本來就充滿挑戰和壓力，

struggling with ADHD adds another layer of difficulty due to impulse control, emotional intensity and dopamine driven behaviors.

但注意力不足過動症又因為衝動控制、情緒強度和多巴胺驅動的行為，增加了額外的難度。

This is exactly why many experts emphasize the importance of taking things slow, communicating intentions clearly and practicing impulse control along with mindfulness Hyper Focus and Fade Out Hyperfocus in individuals with ADHD manifests as an intense focus and concentration on a subject or activity that deeply interests them, which can even cross over into a state of hyper fixation and can be unhealthy in the context of dating and relationships.

這正是許多專家強調，對於注意力不足過動症患者來說，放慢腳步、清楚溝通意圖、練習衝動控制和正念非常重要的原因。注意力不足過動症的過動聚焦和消退，表現為對深感興趣的主題或活動的強烈專注和集中，甚至可能進入過度固定的狀態，這在約會和關係中可能是不健康的。

This hyperfocus can make everything feel intense and euphoric passionate.

這種過度聚焦會讓一切感覺都很強烈和令人興奮。

All consuming sex can feel incredible in this phase because the thrill of novelty fuels dopamine.

在這個階段，令人沉迷的性行為會感覺很棒，因為新奇的刺激會促進多巴胺。

But here's the twist that hyperfocus doesn't last forever.

但這裡有個轉折，這種過度聚焦不會永遠持續下去。

As the chemistry settles and routine sets in and the novelty of the other person starts to wear off, interest can fade fast, not because the person stops caring, but

隨著化學反應穩定下來，進入例行公事，對方的新鮮感開始消退，興趣可能會迅速減退，不是因為對方不再關心，而是

because the dopamine drop hits, which can lead to confusion, emotional distance, or mismatched desire in the relationship.

因為多巴胺下降了，這可能導致關係中的困惑、情感疏遠或慾望不匹配。

It can be really difficult and disappointing for the person on the receiving end to understand why the sudden whirlwind romance just faded out.

對於關係中另一方來說，要理解為什麼突然的浪漫旋風就這樣消失，可能會非常困難和令人失望。

However, having ADHD doesn't mean relationships are doomed from the start.

然而，患有注意力不足過動症並不意味著關係從一開始就註定失敗。

With awareness, understanding and open communication, these relationships can still thrive and grow inattention, sensory sensitivity and connection it's easy to underestimate the impact that sensory and inattention issues have on relationships.

有了覺察、理解和開放的溝通，這些關係依然能夠蓬勃發展，在注意力不集中、感官敏感和連結方面，很容易低估感官和注意力不集中問題對關係的影響。

For those with adhd, this can come in the form of getting distracted during sex, having trouble staying mentally present, or feeling overwhelmed by certain touches or sensations.

對於有注意力不足過動症的人來說，這可能表現為性行為中分心、難以保持精神上的專注，或是被某些觸感或感覺壓垮。

Not because they don't care, but because their nervous system is simply reacting differently.

並不是因為他們不在乎，而是他們的神經系統反應方式不同。

ADHD and sex is also a much more complex issue than you'd think.

注意力不足過動症和性，其實比你想像的還要複雜。

A review published in 2020 by the journal of Sexual Medicine found that adults with ADHD often report higher sexual desire and more frequent sexual behaviors.

發表在2020年《性醫學期刊》上的一篇評論發現，注意力不足過動症的成人經常報告性慾較高且性行為較頻繁。

However, they also reported lower sexual satisfaction and higher rates of sexual dysfunction compared to adults without adhd.

然而，他們也報告說，與沒有注意力不足過動症的成人相比，性滿意度較低且性功能障礙的發生率較高。

This gap between high sexual desire and sexual dysfunction help explain why sex and relationships can feel so difficult for people with ADHD because seeking thrill and novelty increases the dopamine.

這種高性慾和性功能障礙之間的差距，有助於解釋為什麼性與關係對注意力不足過動症患者來說會如此困難，因為追求刺激和新奇會增加多巴胺。

ADHD brains are constantly craving, but keeping up is exhausting and draining.

注意力不足過動症的大腦不斷地渴望，但要跟上這種渴望是令人筋疲力盡的。

This is why communication, reassurance and slower pacing can make a huge difference.

這就是為什麼溝通、 aseguramiento（保證）和放慢腳步可以帶來巨大的改變。

那麼，這一切到底意味著什麼呢？

ADHD affects sex and relationships in dozens of subtle ways, from desire to impulsivity to emotional connection to the rhythm and intensity of intimacy over time.

注意力不足過動症會以數十種細微的方式影響性與情感關係，從慾望、衝動行為到情感連結，以及親密關係隨時間的節奏和強度。

But none of these patterns mean something is wrong with you.

但這些模式中的任何一種，都不代表你本身有問題。

They just mean your brain works differently.

這只是代表你的大腦運作方式不同。

And once you understand the patterns, you can work with them instead of feeling confused or ashamed by them.

一旦你瞭解了這些模式，你就能與之共處，而不是感到困惑或羞愧。

So if you have ADHD or know someone who does, remember, these patterns in sex and relationships are not a flaw, they're just part of how your brain works.

所以，如果你有注意力不足過動症，或者認識有注意力不足過動症的人，請記住，這些在性與情感關係中的模式並非缺陷，它們只是你大腦運作方式的一部分。

Understanding them is the first step toward building more fulfilling connections.

理解它們是建立更充實連結的第一步。

With patience, communication and self awareness, relationships can not only survive, but thrive.

只要有耐心、溝通和自我覺察，關係不僅能維持，更能蓬勃發展。

You're not broken, you're just wired differently.

你沒有壞掉，只是大腦的接線方式不同。

Did anything we discussed in this video resonate?

我們在這個影片中討論的內容，有什麼讓你產生共鳴的嗎？

Let us know what you think in the comments.

在留言區告訴我們你的想法吧。

And as always, thank you so much for watching and have a wonderful day.

最後，非常感謝你的收看，祝你有美好的一天。