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Is the ADHD Brain Different?

Research shows that people with ADHD often have slightly smaller overall brain volumes and that certain brain areas—like the prefrontal cortex—develop more slowly.

These differences are small but significant and help explain many

ADHD symptoms.

It's important to note: smaller brain size does not mean lower intelligence.

People with ADHD are considered neurodivergent, meaning their brains work differently, not incorrectly.

Brain Regions Affected by ADHD

01

Prefrontal Cortex (PFC)

The prefrontal cortex, especially the right side, plays a major role in:

  • Attention and focus

  • Impulse control

  • Emotional regulation

  • Working memory

 

In ADHD, this area may function less efficiently, leading to executive dysfunction—a term for difficulty with planning, time management, organization, and self-regulation.

 

Common ADHD symptoms from PFC differences:

  • Inattention

  • Time blindness

  • Trouble regulating emotions

  • Difficulty multitasking

  • Impulsive behavior

03

Basal Ganglia

The basal ganglia help regulate movement, behavior, and learning. In ADHD, this region may be smaller or less active, leading to issues with motivation, task completion, and memory.

 

Related ADHD symptoms:

  • Hyperactivity

  • Impulsivity

  • Disorganization

  • Forgetfulness

  • Poor task prioritization

02

Limbic System

The limbic system includes the amygdala and hippocampus and is responsible for emotional reactions and memory.

 

ADHD can cause dysregulation in this area, resulting in strong emotional responses, mood swings, and rejection sensitivity dysphoria (RSD).

 

Common symptoms:

  • Moodiness or irritability

  • Emotional outbursts

  • Sleep disturbances

  • Low self-esteem

  • Difficulty calming down

04

Reticular Activating System (RAS)

The reticular activating system manages alertness, attention, and sleep-wake cycles.

 

In ADHD, the RAS is often dysregulated, contributing to ADHD insomnia and circadian rhythm shifts.

 

Signs of RAS-related issues:

  • Difficulty falling asleep

  • Trouble waking up

  • Inattention during the day

  • Impulsive behavior

  • Chronic fatigue despite adequate sleep

Contact 

ADHD Testing, Jessica Hanlon, MA, NCC, LPMHC

Jessica Hanlon

NCC, MHC-LP, ADHD-PT

Behavioral Health Associates, PC

80 Front Street

Wading River, NY, 11792

Appointments: 475-302-0310

© 2023 by ADHD Focus Finder

 All rights reserved.

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