Hyperfocus with Rae Jacobson

Is ADHD a spectrum? What that does (and doesn’t) mean

October 22, 2026·19 min
Episode Description from the Publisher

“Isn’t everyone a little ADHD?” If you have ADHD, you’ve heard it. Maybe you’ve felt the flash of rage, and the sadness underneath, because the question can make it sound like your life-altering brain difference is being reduced to a personality quirk. But there’s a more thoughtful version that could be worth asking: Is ADHD a spectrum?Psychiatrist and writer Dr. Awais Aftab, author of the newsletter “Psychiatry at the Margins,” helps host Rae Jacobson untangle what that word “spectrum” actually means. A spectrum doesn’t mean everyone is a little bit ADHD. But he helps explain how we draw the line between neurodivergent and neurotypical, and what it really means for something to be a “disorder.” They get into why diagnosis rates may be rising in a world of 1,000 emails a day, the role of medication, and why changing environments won’t help everyone equally.Rae also gets honest about the whiplash of ADHD narratives, from “broken” to “superpower” to “we’re all a little like this,” and about rebuilding a sense of self along the way. It gets emotional.For more on this topicRead: Psychiatry at the MarginsRead: Awais Aftab in The New York TimesWatch: The fawn response: The survival instinct behind people-pleasing | HyperfocusFor a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org.  Getting your child the support they need at school shouldn’t feel like a fight. But for millions of families, it does. In Zero Reject, an investigative podcast from Understood.org, award-winning journalist Anya Kamenetz looks at how changing federal policies are reshaping special education — and what’s at stake for families trying to access the support their children are legally entitled to. Start listening now.Understood is a nonprofit where millions of people who are navigating neurodivergence find clear guidance, practical tools, and people who get it. To help us continue this work, donate at u.org/give Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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