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ADHD isn't a lack of attention. It's a problem steering it.

Barkley (1997)

ADHD - Foundations

The basics

People with ADHD can focus deeply. A video game, a deadline, or a new hobby can hold them for hours. The hard part is choosing what to focus on.

Digging in

The brain's control system is weaker. This system picks what matters, starts tasks, switches tasks, and stops impulses. Interest or urgency can override it.

So what

'Try harder' misses the point. The steering is broken, not the engine. Deadlines, structure, and real interest work better than willpower.

Quick check

What is the core problem in ADHD?

Recap

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ADHD is not a shortage of attention

Foundations · 1 of 2

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In ADHD, some brain regions mature later, not less.

Shaw et al. (2007)

ADHD - Foundations

The basics

Brain scans of hundreds of children showed that the brain's outer layer matured about three years later in ADHD. The biggest delay was in areas used for control and planning.

Digging in

Areas that handle the senses and movement developed on the usual schedule. Different parts grew at different speeds; the brain was not simply smaller.

So what

Delay explains a lot. Many people catch up unevenly into their twenties. Needing help at 12 does not mean needing it forever.

Quick check

What did the imaging study find?

Recap

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The brain's timeline runs late, not short

Foundations · 2 of 2

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The youngest kids in a class are diagnosed with ADHD far more often.

Layton et al. (2018)

ADHD - Diagnosis

The basics

In US states with a September 1 cutoff, August-born children were about 34% more likely to be diagnosed than classmates born in September. Those classmates were nearly a year older.

Digging in

In states without that cutoff, the August-September gap vanished. The birthday itself was not the cause. Being the youngest in the room was.

So what

Some diagnoses are partly a comparison effect. Age-relative judgment is a real bias. It is worth naming before treatment starts.

Quick check

Why does the August birthday effect point to a diagnostic bias?

Recap

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Being the youngest in class changes your odds

Diagnosis · 1 of 5

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