Episodi

  • Conduct disorder: A controversial diagnosis with lifelong consequences
    Feb 12 2026

    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. Kristin Carothers, a licensed clinical psychologist. She explains what conduct disorder is and why it’s so controversial. And she looks at how race and other biases factor into diagnosis — and what it means to give someone a label that is anything but neutral.

    For more on this topic

    • Read: The difference between disruptive behavior disorders and ADHD
    • Read: More than just a “bad kid”
    • Read: Study on racial disparities in ADHD and conduct disorders
    • Read: Misdiagnosis of mood disorders in Black teenagers

    For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org

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    ADHD Unstuck is a free, self-guided activity from Understood.org and Northwestern University designed to help women with ADHD boost their mood and take small, practical steps to get unstuck. In about 10 minutes, learn why mood spirals happen and get a personalized action plan of quick wins and science-backed strategies that work with your brain. Give it a try at Understood.org/GetUnstuck.

    Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.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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    26 min
  • The ADHD content economy: How algorithms and incentives turn help into grift
    Jan 29 2026

    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 an ADHD coach?
    • Read: 50% of mental health TikToks contain misinformation (The Guardian)
    • More on Cate: Cate’s book, tour dates, and podcast

    For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org.

    ADHD Unstuck is a free, self-guided activity from Understood.org and Northwestern University designed to help women with ADHD boost their mood and take small, practical steps to get unstuck. In about 10 minutes, learn why mood spirals happen and get a personalized action plan of quick wins and science-backed strategies that work with your brain. Give it a try at Understood.org/GetUnstuck.

    Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.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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    42 min
  • Kids are at a breaking point, and school policies might be to blame
    Jan 15 2026

    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:

    • Read: Jia Lynn’s piece: America’s children are unwell. Are schools part of the problem?
    • Read: CDC youth mental health snapshot
    • Read: The evolution of common core standards

    For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org.

    ADHD Unstuck is a free, self-guided activity from Understood.org and Northwestern University designed to help women with ADHD boost their mood and take small, practical steps to get unstuck. In about 10 minutes, learn why mood spirals happen and get a personalized action plan of quick wins and science-backed strategies that work with your brain. Give it a try at Understood.org/GetUnstuck.

    Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.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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    42 min
  • How are ADHD and chronic pain connected?
    Dec 18 2025

    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 on this topic:

    • Dr. Lenz’s podcast and book
    • The Weak Link: Hypotonia in Infancy and Autism Early Identification - PMC
    • ADHD-pain: Characteristics of chronic pain and association with muscular dysregulation in adults with ADHD
    • Order friend of the show Craig Thomas’ book
    • NIH study on joint hypermobility

    For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org.

    ADHD Unstuck is a free, self-guided activity from Understood.org and Northwestern University designed to help women with ADHD boost their mood and take small, practical steps to get unstuck. In about 10 minutes, learn why mood spirals happen and get a personalized action plan of quick wins and science-backed strategies that work with your brain. Give it a try at Understood.org/GetUnstuck.

    Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.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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    26 min
  • The over-pathologizing of ADHD (From Hacking Your ADHD)
    Dec 4 2025

    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.

    ADHD Unstuck is a free, self-guided activity from Understood.org and Northwestern University designed to help women with ADHD boost their mood and take small, practical steps to get unstuck. In about 10 minutes, learn why mood spirals happen and get a personalized action plan of quick wins and science-backed strategies that work with your brain. Give it a try at Understood.org/GetUnstuck.

    Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.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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    49 min
  • Trans with ADHD: Finding good care shouldn’t be this hard
    Nov 20 2025

    One of the most urgent ADHD research gaps has to do with ADHD and trans people. We know there are lots of trans folks with ADHD. But when it comes to understanding how best to treat them, it’s a whole different story.

    That’s why we wanted to talk to someone who knows this experience well. Ivan Hsiao is the founder of Trans Health HQ. He joined this week’s Hyperfocus to share his own diagnosis story and to talk about what we do (and don’t) know about being trans with ADHD.

    For more on this topic:

    • Trans Health HQ
    • Being trans with ADHD (Max’s story)
    • Talking about neurodivergence and gender identity

    Timestamps:

    (01:26) Ivan’s diagnosis story

    (11:18) Trans broken arm syndrome

    (13:56) What research is there on ADHD in trans people?

    (17:23) How to practice better care

    For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org.

    ADHD Unstuck is a free, self-guided activity from Understood.org and Northwestern University designed to help women with ADHD boost their mood and take small, practical steps to get unstuck. In about 10 minutes, learn why mood spirals happen and get a personalized action plan of quick wins and science-backed strategies that work with your brain. Give it a try at Understood.org/GetUnstuck.

    Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.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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    21 min
  • The uncertain future of special education in the United States
    Nov 6 2025

    Last month, the Trump administration laid off over 460 people in the U.S. Department of Education. It included nearly everyone in the Office of Special Education Programs (OSEP), which enforces federal special education laws.

    A federal judge has temporarily halted the layoffs, but it’s unclear what will happen next. For people who work in or rely on special education services — including 7.5 million kids — the chaos and worry have already begun.

    So on this week’s Hyperfocus, we wanted to talk to smart people who could give us some perspective on what’s happening. What could it mean for families and for schools? And what does it say about how the administration views neurodivergent people in general?

    Our guests are Meghan Whittaker, a former chief of staff at the U.S. Department of Education, and Julian Saavedra, an assistant principal.

    For more on this topic:

    • What the special education layoffs mean for your child’s IEP and school services
    • What happens to my child’s IEP if the U.S. Department of Education closes?
    • The R-word is back: How do you get people to care?
    • Special education: Federal law vs. state law

    Timestamps:

    (03:04) A breakdown of the layoffs

    (10:16) How worry is already hitting families and schools

    (18:02) What to know about school vouchers

    (29:50) “Find your space to serve”

    For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org.

    ADHD Unstuck is a free, self-guided activity from Understood.org and Northwestern University designed to help women with ADHD boost their mood and take small, practical steps to get unstuck. In about 10 minutes, learn why mood spirals happen and get a personalized action plan of quick wins and science-backed strategies that work with your brain. Give it a try at Understood.org/GetUnstuck.

    Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.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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    37 min
  • Live Q&A: Is Tylenol really dangerous? An ADHD news roundup
    Oct 23 2025

    ADHD just keeps finding itself in the news. It can feel like a lot for those of us who have it or care for someone who does.

    Recently, Hyperfocus host Rae Jacobson sat down with a couple colleagues at Understood.org for a livestream to discuss the news and take community questions. Her guests were Dr. Andy Kahn, a licensed psychologist, and Dr. Keona “KJ” Wynne.

    Together, they chatted about the controversy surrounding Tylenol, what we really know about the cause of neurodevelopmental disorders, and how to talk to your kids about scary or misleading messages in the news.

    On this week’s Hyperfocus, we’re sharing that conversation in full.

    For more on this topic:

    • Fact-checking the MAHA report’s claims about ADHD
    • A history of ADHD medication

    Timestamps:

    (01:10)  Does Tylenol use during pregnancy cause neurodevelopmental disorders?

    (15:32) Is ADHD being overdiagnosed?

    (28:35) Are too many kids taking stimulant medications?

    (41:01) How can we talk to our kids about scary or misleading media messages?

    For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org.

    ADHD Unstuck is a free, self-guided activity from Understood.org and Northwestern University designed to help women with ADHD boost their mood and take small, practical steps to get unstuck. In about 10 minutes, learn why mood spirals happen and get a personalized action plan of quick wins and science-backed strategies that work with your brain. Give it a try at Understood.org/GetUnstuck.

    Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.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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    45 min