8 August 2026 · By Thiago Pires
ADHD from the inside: attention is not a switch
I need to start honestly. ADHD is real, it is a well documented neurodevelopmental condition, it causes concrete suffering and it often improves with proper diagnosis and, where indicated, medication. I have no interest in the lazy idea that "everyone is a bit ADHD". That trivialises the pain of people who live with the condition and gets in the way of those who need a serious assessment.
What phenomenology adds does not compete with clinical practice. It is one more layer, about what it is like, from the inside, to live with an attention that works differently.
We tend to think of attention as a switch a person points wherever they want. That is where the phrases every person with ADHD has heard come from: "just concentrate", "if you really wanted to, you could". But attention is not a switch. It is a relationship between you and the world. We do not decide to pay attention in a vacuum, we are drawn by what has pull, interest, meaning.
This explains the phenomenon that confuses people most: someone who "cannot focus on anything" will dive for hours into what they love. In ADHD, attention is not absent, it is strongly bound to what pulses and disconnected from what is grey and abstract. Staying with what has no pull requires generating internally an interest that, for other people, comes more easily from outside. It is an invisible and exhausting effort, frequently mistaken for laziness.
When we understand attention as a relationship, the place of blame changes. The person stops being someone who "does not try hard enough" and becomes someone who needs real bridges, clinical ones included, between themselves and the tasks life demands.
If this describes your experience or that of someone close to you, we can talk about what actually helps.
Thiago Pires de Azevedo is a clinical psychologist (CRP 05/83313) working online from a phenomenological-existential approach. Psychology, but it doesn't psychologize.
This text is informative and reflective in nature. It does not replace individual psychological or medical care. If you are going through intense distress, please seek a health professional.