Hyperfocus with Rae Jacobson

Understood.org
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Hyperfocus is a show that zeroes in on what fascinates us about ADHD, mental health, and learning. Big questions like, “Does ADHD make you more likely to have postpartum depression?” Little nitpicks (TikTok was wrong about something?!), and personal conversations with everyone from old bosses and hilarious comedians, to leading researchers. Because on this show, hyperfocus isn’t the distraction — it’s the assignment.

  1. Why there’s no “gold standard” for adult ADHD tests

    -2 H

    Why there’s no “gold standard” for adult ADHD tests

    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 year: Jessica Rosenfeld, a clinical psychologist, and Reneh Karamians, a  neurorehabilitation psychologist. They explained why adult ADHD diagnosis is so difficult, and how new scan technology holds promise for spotting ADHD in the brain.  For more on this topic Listen: Is ADHD genetic? We asked a Harvard scientist Listen: Understood Explains: ADHD in adults For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org . Listen to Everyone Gets a Juice Box, a new podcast from Understood.org where host Jessica Shaw has honest talks with parents raising kids who learn and think differently. 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.

    27 min
  2. Conduct disorder: A controversial diagnosis with lifelong consequences

    12 FÉVR.

    Conduct disorder: A controversial diagnosis with lifelong consequences

    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 ADHDRead: More than just a “bad kid”Read: Study on racial disparities in ADHD and conduct disordersRead: Misdiagnosis of mood disorders in Black teenagersFor a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org . Listen to Everyone Gets a Juice Box, a new podcast from Understood.org where host Jessica Shaw has honest talks with parents raising kids who learn and think differently. 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.

    26 min
  3. The ADHD content economy: How algorithms and incentives turn help into grift

    29 JANV.

    The ADHD content economy: How algorithms and incentives turn help into grift

    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 podcastFor a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org. Listen to Everyone Gets a Juice Box, a new podcast from Understood.org where host Jessica Shaw has honest talks with parents raising kids who learn and think differently. 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.

    42 min
  4. Kids are at a breaking point, and school policies might be to blame

    15 JANV.

    Kids are at a breaking point, and school policies might be to blame

    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 snapshotRead: The evolution of common core standardsFor a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org. Listen to Everyone Gets a Juice Box, a new podcast from Understood.org where host Jessica Shaw has honest talks with parents raising kids who learn and think differently. 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.

    42 min
  5. How are ADHD and chronic pain connected?

    2025-12-18

    How are ADHD and chronic pain connected?

    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 bookThe Weak Link: Hypotonia in Infancy and Autism Early Identification - PMCADHD-pain: Characteristics of chronic pain and association with muscular dysregulation in adults with ADHDOrder 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. Listen to Everyone Gets a Juice Box, a new podcast from Understood.org where host Jessica Shaw has honest talks with parents raising kids who learn and think differently. 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.

    26 min
  6. The over-pathologizing of ADHD (From Hacking Your ADHD)

    2025-12-04

    The over-pathologizing of ADHD (From Hacking Your ADHD)

    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. Listen to Everyone Gets a Juice Box, a new podcast from Understood.org where host Jessica Shaw has honest talks with parents raising kids who learn and think differently. 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.

    49 min
  7. Trans with ADHD: Finding good care shouldn’t be this hard

    2025-11-20

    Trans with ADHD: Finding good care shouldn’t be this hard

    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 HQBeing trans with ADHD (Max’s story)Talking about neurodivergence and gender identityTimestamps:  (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. Listen to Everyone Gets a Juice Box, a new podcast from Understood.org where host Jessica Shaw has honest talks with parents raising kids who learn and think differently. 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.

    21 min
  8. The uncertain future of special education in the United States

    2025-11-06

    The uncertain future of special education in the United States

    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 servicesWhat 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 lawTimestamps: (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. Listen to Everyone Gets a Juice Box, a new podcast from Understood.org where host Jessica Shaw has honest talks with parents raising kids who learn and think differently. 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.

    37 min
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À propos

Hyperfocus is a show that zeroes in on what fascinates us about ADHD, mental health, and learning. Big questions like, “Does ADHD make you more likely to have postpartum depression?” Little nitpicks (TikTok was wrong about something?!), and personal conversations with everyone from old bosses and hilarious comedians, to leading researchers. Because on this show, hyperfocus isn’t the distraction — it’s the assignment.

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