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Dr. Gena Gorlin's avatar

As a person who’s been on Adderall for ~15 years, I respectfully disagree. Adderall precisely makes it easier to direct my attention where I want to, which includes the ability to pry myself away from hyperfocus (a symptom of ADHD, as you probably know) and survey the larger context. When people do use Adderall to hyperfocus, as I’ve also done at times, it’s much more of a choice (perhaps owning to a false scarcity mindset along the lines of “when else will I ever get another chance to make this much progress on something I care about”), rather than a compulsion.

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Harjas Sandhu's avatar

As a person with ADHD, I have found that focusing has less to do with improving my ability to sustain keeping my attention on something, and more to do with not getting fully knocked off course by distractions. For example, it's one thing to get knocked out of a flow state because one of my roommates has opened or closed the door somewhere in the house. It's yet another to get a notification from Instagram and then start scrolling Instagram reels and then lose an hour of my time to something I didn't even care about. I am always capable of hyperfocusing on videogames if I so choose—but that's not a good thing.

(I've heard calls to rename ADHD to Attention Dysregulation Disorder, which I quite like. It's not like I have a deficit of attention—it's the regulation that's the issue.)

As Dr. Gena Gorlin said in another comment on this post, my ADHD medication doesn't directly make me more likely to hyperfocus: it makes it easier for me to ignore distraction. Our hypothetical attention drug would be the same. The ability to direct our attention wherever we want is less important than the ability to selectively dampen our curiosity or impulsiveness—but when I phrase it like that, it starts to sound somewhat less desirable.

Meditation is helpful for this, but I think there are also many different kinds of meditation, all with different aims. Not all of them are focused on training you to avoid distraction, and not all of them are specifically about tolerating boredom (which are two separate things anyway). For me personally, a combination of therapy, medication, and meditation has done wonders for my ability to regulate my attention. And during periods when I can't take my medication (this has been the last month for me because I've been sick), I really notice the increase in distractibility and boredom, and rely even more heavily on my habits built from therapy and meditation.

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