Mel Anderson isn't making a scientific argument. She's making a personal one. As a personal trainer and menopause strength coach with a late ADHD diagnosis, she found something unexpected in cold water: quiet. Not the absence of thought, but the kind of focused presence that ADHD brains rarely encounter without pharmaceutical help. Her claim is simpleācold water swimming changed how her brain works, at least for a few hours at a time.
What makes this worth taking seriously isn't the anecdote. It's the mechanism behind it.
ADHD is, at its core, a dopamine regulation problem. The brain's reward circuitry doesn't respond to low-level stimulation the way neurotypical brains do. That's why ADHD presents as impulsivity, restlessness, people-pleasing, novelty-seekingāthe brain is constantly hunting for dopamine hits that satisfy a deficit the rest of us don't experience as acutely. Stimulant medications work by flooding dopamine pathways. They're effective, and for many people, essential.
Cold water does something remarkably similar, through entirely different means. The norepinephrine spike from immersion is well-documented. What's less often discussed is the sustained dopamine elevationānot a short burst, but a prolonged increase that can last hours after you exit the water. The 2024 cold water immersion research in our knowledge base confirms this pattern: sympathetic nervous system activation, sustained neurochemical response, measurable cognitive effects post-immersion.
There's genuine consensus that cold exposure elevates dopamine and norepinephrine. Where experts diverge is on clinical application. Cold water swimming has been studied as an add-on treatment for depressionāthe 2022 feasibility paper in our papers collection is cautiously optimisticābut the ADHD-specific research is thin. Most clinicians remain appropriately skeptical of substituting environmental interventions for established pharmacological ones. Mel herself is clear on this: it's complementary, not a replacement.
Susanna Soeberg's work on winter swimming adds another layer. Her research points to how cold exposure builds a different kind of mental resilienceānot just through chemistry, but through the discipline of returning to discomfort voluntarily, repeatedly. That consistent practice reshapes how the nervous system responds to stress. For an ADHD brain that struggles with emotional regulation, that retraining has real value.
If you're managing ADHDāmedicated or notācold exposure is worth adding as a morning ritual, not a hero protocol. Three to four times per week, whatever temperature feels genuinely uncomfortable. The dopamine window afterward is real. Use it for focused work, not scrolling.
Mel mentions something almost in passing: the proprioceptive input of open water swimming. This is worth sitting with. ADHD brains are often under-stimulated at the sensory level. The combination of cold temperature, physical exertion, and the unpredictable sensory environment of natural waterācurrents, cold patches, the physical demands of staying afloatāmay be doing something pharmaceuticals can't replicate. It's whole-body engagement. Every proprioceptor firing at once. That's not just a dopamine story. That's the nervous system getting what it was built for.