Hyperfocus with Rae Jacobson

Finding a therapist is hard. Finding one who actually understands ADHD? That’s a different problem entirely. Clinical psychologist Dr. Michelle Frank, who has ADHD herself, breaks down why people with ADHD struggle to stick with therapy. She looks at everything from the executive function demands of just getting there, to sensory issues, to the rejection sensitivity that makes you think “Does my therapist hate me?!” Plus: How to advocate for yourself in the room, even when your provider doesn’t specialize in ADHD.

For more on this topic

Listen: So... How does that make you feel about your therapist?

Watch: Why people with ADHD can’t sleep (and what actually helps)

Read: A Radical Guide for Women With ADHD, by Sari Solden and Michelle Frank

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

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

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Last year, Hyperfocus took a field trip to San Diego for an ADHD conference called APSARD, which stands for the American Professional Society of ADHD and Related Disorders (quite a mouthful).

A conference of ADHD professionals might not sound fascinating, but it was — and we learned a ton. But there was one person and one talk I really wanted to find: A keynote speech about how ADHD affects women’s bodies by Dr. Sandra Kooij. 

What Sandra is doing is something so sensible and radical: Looking at ADHD as a whole-body issue. Digging into how it can affect women’s hormones, our health, and especially our hearts. 

I find Sandra’s research fascinating and was thrilled when she agreed to sit down for a conversation with me. We didn’t waste any time and quickly set up a makeshift studio for this week’s episode of Hyperfocus. 

Also, a quick note on the audio this week: We had to record this episode outside the conference hotel, on a bustling patio full of ADHD professionals and some noisy birds. So, please forgive the extraneous sounds. 

Note: We originally published this episode on March 6, 2025.

Related resources

MissUnderstood: The ADHD in Women Channel

Did my ADHD make me more likely to have postpartum depression?

ADHD Powerbank: Sandra’s video platform

The Head, Heart, Hormones foundation (in dutch with translations) 

Prevalence of hormone-related mood disorder symptoms in women with ADHD 

The heart health and ADHD connection

For a transcript of this episode and more resources, visit the Hyperfocus page on Understood.org.

We’d love to hear from you. Email us at hyperfocus@understood.org

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.

If you have ADHD, you’re probably exhausted — and there’s a real neurological reason for it. Sleep expert Marlee Boyle, co-founder of Sleep Works, joins us to explain why ADHD brains are wired against a good night’s rest. Plus how perimenopause can make it worse. She walks us through CBT-I techniques, the truth about melatonin, and some surprisingly low-tech tools that can fix your circadian rhythm. If you have trouble falling asleep or staying asleep, this one is for you.

For more on this topic

Watch: ADHD and sleep: 5 strategies to finally beat insomnia

Listen: PMDD: Why women with ADHD are 4x more likely to struggle

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

.

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

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Today’s episode is a crossover with Understood’s new podcast, Everyone Gets a Juice Box. Host Jessica Shaw interviewed Rae about something she rarely discusses on Hyperfocus: Being a mom to a fabulous kid with ADHD. Even with Rae’s 20 years of experience studying and writing about ADHD, getting help for her child in school has been really challenging. Here’s how she’s supporting her daughter while they wait for school services.

For more on this topic

Listen: Everyone Gets a Juice Box

Watch: I’m an ADHD expert. My kid still can’t get help.

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

.

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.

What if your brain had a volume knob? Researcher Dr. Zachary Gershon joins Rae to explain Homer1a, a gene variant that may hold the key to how we focus. When levels are lower during development, the brain gets better at filtering out distractions, or what scientists call “neural noise.” This discovery could one day lead to non-stimulant treatment options for ADHD. And it started with one scientist’s very personal question.

For more on this topic

Watch: Is ADHD genetic? We asked a Harvard scientist | Hyperfocus

Listen: ADHD medication: What do I need to know?

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

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.