Hyperfocus with Rae Jacobson

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

    29 ENE

    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. 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.

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

    15 ENE

    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. 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.

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

    18/12/2025

    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. 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.

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

    04/12/2025

    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. 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.

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

    20/11/2025

    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. 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.

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

    06/11/2025

    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. 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.

    37 min
  7. Live Q&A: Is Tylenol really dangerous? An ADHD news roundup

    23/10/2025

    Live Q&A: Is Tylenol really dangerous? An ADHD news roundup

    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 ADHDA history of ADHD medicationTimestamps:  (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.

    45 min
  8. Suicidal ideation, masking, and overlooked ADHD: A Coast Guard veteran’s story

    09/10/2025

    Suicidal ideation, masking, and overlooked ADHD: A Coast Guard veteran’s story

    Inattentive ADHD often goes unnoticed. It’s an easier type of ADHD to miss because it’s more internal and less outwardly visible than its hyperactive, impulsive counterpart. But left unaddressed, inattentive ADHD can be just as disruptive. Boys with the inattentive type are especially overlooked — they don’t match the stereotype of what an “ADHD boy” is supposed to look like. So when Brandon Saiz wrote to us about his experience getting diagnosed with ADHD later in life, we knew we had to talk to him. After meeting with Brandon, it was clear his story needed to be shared. Content warning: This episode includes discussion of suicide. Please skip it if that’s not something you’re up for right now. For more on this topic: The 3 types of ADHDListen: The “devastating” findings of a decades-long ADHD studyBrandon Saiz on SubstackDuck, Duck! It's a Goose: Brandon's video gameTimestamps (01:54) Brandon’s background (09:23) How Brandon’s inattentive-type ADHD was overlooked (14:00) On suicidal ideation and inattentive ADHD  (19:57) Brandon’s advice to others For a transcript and more resources, visit the Hyperfocus page on Understood.org. We love hearing from our listeners! 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.

    25 min
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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.

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