Hyperfocus with Rae Jacobson

How does ADHD collide with femininity and gender expression? This has been a big question on Rae’s mind. So recently, she sat down with her friend and colleague Cate Osborn for a chat on her podcast, Sorry I Missed This. We’re sharing that episode with you today.Cate and Rae dig into what it felt like to watch other girls “get it.” The tidiness. The calm. The effortlessness. All things that executive dysfunction made feel out of reach. They talk about the pressure to be nurturing, organized, and endlessly available — and what happens when your br...

Your smartwatch tracks your steps and your pulse. Soon, devices like it could track your brainwaves, and even tell if the wearer is neurodivergent. Brain-monitoring wearables that purport to help with focus, sleep, and even ADHD are already being sold online. This is called “neurotechnology,” and it’s a fast-moving market with almost zero regulation. Stephen Damianos of the Neurorights Foundation joins us to unpack the potential promise — and dangers — of this emerging technology. We discuss the unique risks it poses for neurodivergent people, and why your brain data might be the most valuable, and least protected, informatio...

Many people with inattentive ADHD feel like something is missing from their diagnosis. That missing piece might be cognitive disengagement syndrome, or CDS: a cluster of symptoms including daydreaming, confusion, daytime sleepiness, and more. CDS isn’t officially its own disorder. But scientists and clinicians are beginning to recognize it as something distinct from ADHD — though it often overlaps. Pediatric psychologist Melissa Miller explains how CDS differs from ADHD, what it looks like, and why it’s linked to anxiety and depression. She also shares early research on treatment, plus the strengths that may come with it...

ADHD can create all kinds of challenges in the workplace. Like a list of infinite things to do and to remember. A busy, ever-changing schedule. And co-workers who don’t always know what’s going on in your mind.  There’s a lot to figure out. But recently, Rae Jacobson found herself wondering what it's like on the other side — to manage someone who’s neurodivergent and still figuring it out.  So, Rae called her former boss, Caroline Miller, the editorial director of the Child Mind Institute.  On this episode of Hyperfocus, Rae and Caroline g...

Fidget toys, like NeeDohs, are sold out and  banned in classrooms. Journalist Anna North joins us to unpack how fidget toys went from gag gifts to a generational obsession, and what that shift reveals about neurodivergence, attention, and play. Plus, fidget toys are not just for kids. We look at how they are destigmatizing fidgeting for neurodivergent adults. And we dig into the science behind fidgeting, the history of the fidget spinner, and whether this wave of acceptance for sensory needs will survive.  For more on this topic:   Read: Why your kid is obsessed with squishy toys...

Finding a therapist is hard. Finding one who actually understands ADHD? That’s a different problem entirely. Clinical psychologist Dr. Michelle Frank, who has ADHD herself, breaks down why people with ADHD struggle to stick with therapy. She looks at everything from the executive function demands of just getting there, to sensory issues, to the rejection sensitivity that makes you think “Does my therapist hate me?!” Plus: How to advocate for yourself in the room, even when your provider doesn’t specialize in ADHD. For more on this topic Listen: So... How does that make you feel abo...

Last year, Hyperfocus took a field trip to San Diego for an ADHD conference called APSARD, which stands for the American Professional Society of ADHD and Related Disorders (quite a mouthful). A conference of ADHD professionals might not sound fascinating, but it was — and we learned a ton. But there was one person and one talk I really wanted to find: A keynote speech about how ADHD affects women’s bodies by Dr. Sandra Kooij.  What Sandra is doing is something so sensible and radical: Looking at ADHD as a whole-body issue. Digging into how it ca...

If you have ADHD, you’re probably exhausted — and there’s a real neurological reason for it. Sleep expert Marlee Boyle, co-founder of Sleep Works, joins us to explain why ADHD brains are wired against a good night’s rest. Plus how perimenopause can make it worse. She walks us through CBT-I techniques, the truth about melatonin, and some surprisingly low-tech tools that can fix your circadian rhythm. If you have trouble falling asleep or staying asleep, this one is for you. For more on this topic Watch: ADHD and sleep: 5 strategies to finally beat insomnia Listen: P...

Today’s episode is a crossover with Understood’s new podcast, Everyone Gets a Juice Box. Host Jessica Shaw interviewed Rae about something she rarely discusses on Hyperfocus: Being a mom to a fabulous kid with ADHD. Even with Rae’s 20 years of experience studying and writing about ADHD, getting help for her child in school has been really challenging. Here’s how she’s supporting her daughter while they wait for school services. For more on this topic Listen: Everyone Gets a Juice Box Watch: I’m an ADHD expert. My kid still can’t get help. ...

What if your brain had a volume knob? Researcher Dr. Zachary Gershon joins Rae to explain Homer1a, a gene variant that may hold the key to how we focus. When levels are lower during development, the brain gets better at filtering out distractions, or what scientists call “neural noise.” This discovery could one day lead to non-stimulant treatment options for ADHD. And it started with one scientist’s very personal question. For more on this topic Watch: Is ADHD genetic? We asked a Harvard scientist | Hyperfocus Listen: ADHD medication: What do I need to know? For...

Rae puts on her most uncomfortable pants (on purpose!) to ask a fashion designer and former special ed teacher whether adults can actually get over sensory issues. Julia DeNey, founder of sensory clothing brand Sense-ational You, breaks down why tactile sensitivity doesn’t disappear at 18, what adaptive fashion can (and can’t) fix, and why telling yourself “today’s the day I get over it” is the worst possible strategy. For more on this topic Listen: ADHD and sensory overwhelm: Itchy tags and tight clothes Read: ADHD and sensory overload Watch: Is “ring of fire” ADHD real? For...

Hyperfocus listener Jenna Plonsky opens a raw conversation about ADHD, late diagnosis, and the mental health struggles many women face in silence.  From postpartum depression to PMDD, this episode explores how hormonal shifts intersect with neurodivergence — and why so many go undiagnosed for decades. It’s an honest look at shame, self-perception, and the turning point that comes with finally understanding your brain. For more on this topic Watch: Did my ADHD make me more likely to have postpartum depression? Listen: ADHD and: Hormones For a transcript and more resources, visit Hyperfocus on Unders...

Our team has been seeing something called “ring of fire” ADHD spreading across the internet. It’s a supposed subtype of ADHD promoted by Daniel Amen, a celebrity psychiatrist with clinics in multiple states and a huge online following. But in reporting this episode, we found that “ring of fire” ADHD isn’t recognized by mainstream science. Nor are brain scans approved by the FDA as a diagnostic tool for ADHD. Our guest today, clinical psychologist Roberto Olivardia, PhD, explains why he believes Dr. Amen’s approach is unethical — and how it may lead to real harm for pati...

Rae has a lifelong misconception about her dyscalculia turned on its head. And she learns why labels don’t mean limits. For more on this topic Listen: Kids are at a breaking point, and school policies might be to blame Listen: The uncertain future of special education in the United States The discrepancy model: What you need to know For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org . As kids head back to school, it's a good time to re...

Last fall, I heard something that floored me: The tests we have for ADHD in adults don’t work very well. As an adult with ADHD, I think about this all the time because our diagnosis is so stigmatized and so misunderstood. It’s overdiagnosed. It’s underdiagnosed. Everybody has it. Nobody has it. If only there were a silver bullet or some test that could definitively say yes or no. So, I asked the two Chicago School faculty members who got me thinking about this after their presentation at the CHADD conference last y...

Diagnoses are meant to help people access care, but some diagnoses carry far more consequences than others. Conduct disorder is one of them.Diagnosing someone with conduct disorder can be like placing a lifelong label on them — a label that can shape how educators, clinicians, and institutions interpret behavior long after the diagnosis is made. Studies show that Black, brown, and low-income children are far more likely to be diagnosed with conduct disorder. And the stigma attached to that label can be severe. Even life-altering.For this episode, we spoke with our brilliant colleague, Dr. Kris...

The ADHD internet is crowded and not all content is created equal. From unlicensed coaches to miracle cures and viral “hacks,” misinformation spreads fast and wide.The problem is that many prominent voices have little to no formal training. And algorithmic incentives encourage creators to bait their audience.Cate Osborn, known online as @catieosaurus, joins Hyperfocus to explain how the ADHD content economy works. She looks at why grifting thrives and how power, profit, and trust in online mental health spaces affect our understanding of ADHD.For more on this topic:  Read: What is...

U.S. kids are more depressed, stressed, and anxious than ever. ADHD and autism diagnosis rates are steadily rising. What’s going on? In this episode of Hyperfocus, journalist Jia Lynn Yang joins Rae to examine how major school policy shifts in the U.S. have changed what’s expected of kids, often with unintended — and serious — consequences. Drawing from her New York Times reporting and her personal experience as a parent, Jia Lynn explores whether school itself may be contributing to the crisis — and what kids actually need to thrive.For more on this topic:<...

If you have ADHD or autism, research shows you’re at a much higher risk for developing chronic pain — a connection many doctors and patients still don’t know about. In this episode of Hyperfocus, we talk with a doctor who’s trying to change that.Dr. Michael Lenz, a Wisconsin-based pain specialist, explains what the medical community is discovering about the connection between ADHD, autism, and chronic pain, including conditions like fibromyalgia and migraines. He also shares stories from his practice, including times when treating a patient’s ADHD unexpectedly improved their chronic pain symptoms.For more...

This week on Hyperfocus, Rae is in the guest seat for an appearance on Hacking Your ADHD, a podcast hosted by William Curb. Listen for a fascinating conversation on a topic that’s really common in ADHD circles: the tendency to attribute everyday behaviors to ADHD.For more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org. As kids head back to school, it's a good time to remember: not every student experiences the classroom the same way. Through My Eyes, a free interactive experience from Und...