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ADHD Isn’t a Deficit of Attention, It’s a Difference in Regulation

  • Writer: Casie Johnson-Taylor, LMFT
    Casie Johnson-Taylor, LMFT
  • Feb 6
  • 3 min read

The name ADHD (Attention-Deficit/Hyperactivity Disorder) is honestly… not great. It suggests that people with ADHD lack attention. In reality, most people with ADHD don’t have too little attention — they have variable control over attention, focus, impulses, emotions, and energy.


In other words, ADHD isn’t about not paying attention. It’s about how attention is regulated.

And that distinction matters a lot.


ADHD as a Spectrum of Traits (Not a List of Failures)


One of the most helpful ways to understand ADHD is to see it as a spectrum of traits, not a checklist of problems.


ADHD traits often show up in two columns:

  • Useful

  • Costly

Not because the person changed — but because context, demands, and expectations did.


For example:

  • High energy

    • Useful: energetic, driven, seemingly indefatigable

    • Costly: restless, impulsive, difficulty slowing down

  • Creativity

    • Useful: innovative, original, big-picture thinker

    • Costly: trouble organizing ideas or following through

  • Hyperfocus

    • Useful: intense productivity when interested

    • Costly: losing track of time, forgetting basic needs

  • Emotional intensity

    • Useful: passionate, empathetic, deeply caring

    • Costly: emotional overwhelm, reactivity, burnout

Same nervous system. Same brain wiring. Different outcomes depending on structure, support, and environment.


ADHD Is a Regulation Difference, Not a Motivation Problem


One of the most damaging myths about ADHD is that people with ADHD are lazy, careless, or unmotivated.


In reality, ADHD involves differences in regulation, including:

  • Attention regulation

  • Emotional regulation

  • Impulse control

  • Energy and arousal levels

  • Task initiation and completion


This is why someone with ADHD can:

  • Focus intensely for hours on something fascinating

  • And feel completely stuck starting something boring or ambiguous


This isn’t a character flaw. It’s a neurobiological difference. People with ADHD often pay excellent attention, when something is interesting, and struggle when it isn’t. That’s not defiance. That’s how the ADHD brain works.


The “Problem” Often Isn’t the Trait — It’s the Environment


Many ADHD traits evolved to be adaptive:

  • Risk-taking

  • Curiosity

  • Fast decision-making

  • Creativity under pressure

  • Thriving in crisis or novelty


The challenge is that modern life often demands:

  • Sustained attention to boring tasks

  • Sitting still for long periods

  • Linear productivity

  • Rigid timelines

  • Administrative perfection

So traits that shine in one context can become liabilities in another. That doesn’t mean the trait is wrong. It means the fit is wrong.


Why So Many Adults With ADHD Feel Ashamed

When ADHD is framed only as what’s “wrong,” people internalize the message, “If I just tried harder, I’d be fine.”


But ADHD traits also include many strengths:

  • Leadership

  • Charisma

  • Creativity

  • Humor

  • Big-picture thinking

  • Passion

  • Persistence

Many adults with ADHD aren’t failing because they lack ability. They’re exhausted from trying to function in systems not built for their nervous system.


A More Accurate (and Compassionate) Reframe


ADHD is not:

  • A lack of attention

  • A moral failing

  • A motivation problem


ADHD is:

  • A difference in regulation

  • A nervous system that responds strongly to interest, urgency, and novelty

  • A brain that thrives with the right supports

When people understand this, something powerful happens. Shame softens. Self-compassion grows. Strategy replaces self-blame.


If you’ve spent your life feeling like you’re “too much” in some moments and “not enough” in others — there’s nothing wrong with you. Your brain isn’t broken. It’s wired differently.

And with understanding, support, and ADHD-informed strategies, those same traits that once felt like liabilities can become strengths you actually know how to work with.


Looking for ADHD-Affirming Therapy in California?


If this resonates, you don’t have to navigate ADHD alone. I provide neurodivergent-affirming therapy for adults with ADHD across California, with a focus on helping clients understand their nervous system, reduce shame, and build strategies that actually work for their brain — not someone else’s idea of productivity or success.


Therapy is a space where we can:

  • Reframe ADHD from a deficit to a difference

  • Untangle years of self-criticism and burnout

  • Improve emotional regulation, follow-through, and self-trust

  • Develop systems that support your real life (not perfection)


Whether you’re newly diagnosed, questioning if ADHD fits, or have known for years but still feel stuck, support can make a meaningful difference.


Learn more about working together or schedule a consultation to see if therapy feels like a good fit. You deserve support that understands how your brain works — and treats you with compassion, not correction.

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