ADHD and Dopamine: An Example
Let’s imagine a neurotypical person (Pat) and a person with ADHD (Terry). Pat dedicates the first day of the month to paying his bills and is never late on payments. If Pat will be on vacation on the first of the month, he remembers to pay them before he leaves, just like he remembers to pack a charger and his toothbrush. For Pat, these things are more or less automatic and require little/no cognitive bandwidth..
For Terry, these things are much more difficult to manage. When she’s very interested in something, it’s easy for her to get lost in a project for hours at a time. New and exciting things cause a neurobiological response of increased dopamine, the very thing an ADHD mind is lacking. But boring tasks like paying bills lack novelty and are much more difficult to remember to do on time. If she’s leaving for vacation and is wrapped up in packing and planning her trip, there is a greatly increased chance she’ll forget about the bills and incur some late fees.
Neither Terry nor Pat is better than the other – they’re just different. And, once Terry understands her challenges and stops trying to force herself to conform to someone else’s process, she frees herself to find systems that work much better for her. For example, she might set up all her bills on an auto-pay account or track her payments with fun stickers on a calendar, so that she can forget about that chore and still have confidence that everything is paid on time.
As you can see, differences in dopamine regulation can lead to difficulties in maintaining focus, organizing tasks, and managing impulses. Due to the common stereotypes, we’ll say this over and over: ADHD is not a result of laziness or a lack of intelligence, and the fix isn’t as simple as “just concentrate! It is a genuine and complex neurological condition that affects millions of people worldwide.