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Is It ADHD? (Hint, it's not what TikTok tells you.)



Why high-performing adults are questioning attention, energy, and follow-through

If focus feels harder than it used to - even though you’re capable, motivated, and experienced - you’re asking the right question.


This isn’t about discipline or drive.It’s about how the brain manages attention, energy, and execution under modern demands.


Eye-level view of a cluttered desk with scattered papers and a laptop
A cluttered workspace showing signs of distraction and disorganization

Why adult ADHD is being questioned more than ever


Work today is built for interruption:

  • Constant notifications and context switching

  • High responsibility with little cognitive recovery

  • Pressure to perform without clear priorities


When attention and follow-through decline, the brain adapts.Those adaptations can look like ADHD - even when something else is driving them.

What adult ADHD can look like

(Not what TikTok tells you)


Adult ADHD isn’t about intelligence or effort.It’s about regulation of attention, time, and energy.


Common patterns include:

  • Difficulty initiating tasks without urgency or interest

  • Attention that fluctuates based on meaning and stimulation

  • Time distortion or underestimating how long things take

  • Strong ideas with uneven execution

  • Increased emotional intensity under pressure


These patterns often become more visible as structure decreases and demands increase.


What else can cause ADHD-like symptoms in adults

Several common and very real factors can affect executive function and mimic ADHD.


  • Anxiety or depression

  • Sleep disorders

  • Hoshimoto's or thyroid problems

  • Side effects of medications

  • Hormonal shifts

  • Anemia or vitamin deficiencies

  • Stress or life changes


For example, anxiety can cause racing thoughts and difficulty concentrating, while poor sleep can lead to forgetfulness and irritability. It’s important to consider these possibilities because treatment varies widely depending on the cause.


Close-up view of a person writing in a planner with colorful pens
A person organizing their schedule in a planner to manage ADHD symptoms

How to tell the difference

A few distinctions matter:

  • ADHD patterns tend to be long-standing across childhood through all life stages

  • ADHD focus often improves with urgency or interest

  • Stress-based symptoms fluctuate with workload and recovery

  • Hormonal or medical factors often include physical changes


Understanding the pattern matters more than the label.


The neuroscience behind ADHD (in plain English)

ADHD is rooted in how the brain’s executive networks communicate - not in motivation or capability.


Key neuroscience factors include:

  • Dopamine signaling Dopamine helps the brain prioritize, initiate, and sustain effort. In ADHD, dopamine activity is less consistent, which makes interest, urgency, or novelty powerful drivers of focus.

  • Prefrontal cortex regulation The prefrontal cortex manages planning, inhibition, time awareness, and follow-through. In ADHD, these systems work - just inconsistently, especially under stress or low stimulation.

  • Reward timing ADHD brains are wired to respond more strongly to immediate feedback than distant rewards, which explains why long-term goals can be harder to act on without structure.

  • Stress sensitivityStress reduces prefrontal efficiency for everyone. In ADHD, that drop happens faster, which can amplify distraction and emotional intensity.


This isn’t a deficit.It’s a different operating system - one that performs best with the right inputs and design.

The goal isn’t diagnosis - it’s leverage

High performers don’t need more pressure.They need systems that work with their brain.


When you understand what’s influencing your executive function, you can:

  • Reduce friction in follow-through

  • Design routines that scale

  • Create consistent momentum without burnout

That’s how focus becomes sustainable.


Final takeaway

If you’ve been questioning your focus, clarity, or consistency, here’s the truth:


Your brain is responding to real inputs.When you understand those inputs, you regain control - strategically.

This is how capable adults move from effort to efficiency and create performance that lasts.



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Tina Gaskell, LCPC, ADHD-CCSP

Founder, Betterlife+, Worklife+

Executive Function Performance Catalyst

Neuroscience-Driven Mindset Strategist





 
 
 

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