Hyperfocus is an intense form of mental concentration or visualization that focuses consciousness on a subject, topic, or task. In some individuals, various subjects or topics may also include daydreams, concepts, fiction, the imagination, and other objects of the mind. Hyperfocus on a certain subject can cause side-tracking away from assigned or important tasks.
Psychiatrically, it is considered to be a trait of ADHD together with inattention, and it has been proposed as a trait of other conditions, such as schizophrenia, and autism spectrum disorder (ASD). [1] [2]
The psychological theory around brain lateralization has been considered[ clarification needed ] around hyperfocus as a mental health symptom. It is under study but not empirically proven. [3] [4] [5]
Hyperfocus may bear a relationship to the concept of flow. [2] In some circumstances, both flow and hyperfocus can be an aid to achievement, but in other circumstances, the same focus and behavior could be a liability, distracting from the task at hand. However, unlike hyperfocus, "flow" is often described in more positive terms, suggesting they are not two sides of the same condition under contrasting circumstance or intellect. [5]
Hyperfocus may in some cases also be symptomatic of a psychiatric condition. In some cases, it is referred to as perseveration [2] —an inability or impairment in switching tasks or activities ("set-shifting"), [6] or desisting from mental or physical response repetition (gestures, words, thoughts) despite absence or cessation of a stimulus. [7] [8] [9] [10] It is distinguished from stereotypy (a highly repetitive idiosyncratic behaviour). [1]
Conditions associated with hyperfocus or perseveration include neurodevelopmental disorders, particularly those considered to be on the autism spectrum and attention deficit hyperactivity disorder (ADHD). In ADHD, it may be a coping mechanism or a symptom of emotional self-regulation. So called "twice exceptional" people, with high intellect and learning disabilities, may have either or both of hyperfocus and perseverative behaviours. [2] [1] They are often mimicked by similar conditions involving executive dysfunction or emotional dysregulation, and lack of diagnosis and treatment may lead to further co-morbidity. [1]
In ADHD, formulation and thinking can be slower than in neurotypical people (though this is not universal), and may be "long winded or tangential". [1] [11] These inattentive symptoms occur dually with what has been termed "hyperfocus" by the 2019 European Consensus Statement on Adult ADHD. The over-concentration or hyperfocus often occurs if the person finds something "very interesting and/or provide(s) instant gratification, such as computer games or online chatting. For such activities, concentration may last for hours on end, in a very focused manner." [1]
ADHD is a difficulty in directing one's attention (an executive function of the frontal lobe), not a lack of attention. [12] [13] [14]
Conditions unlikely to be confused with hyperfocus often involve repetition of thoughts or behaviors such as obsessive–compulsive disorder (OCD), trauma, [15] and some cases of traumatic brain injury. [6]
Two major symptoms of autism spectrum disorder (ASD) include repetitive sounds or movements and fixation on various things including topics and activities. [16] Hyperfocus in the context of ASD has also been referred to as the inability to redirect thoughts or tasks as the situation changes (cognitive flexibility). [17]
One suggested explanation for hyperfocus in those with ASD is that the activity they are hyperfocused on is predictable. Aversion to unpredictable situations is a characteristic of ASD, [18] while focusing on something predictable, they will have trouble changing to a task that is unpredictable. [16]
Schizophrenia is a mental condition characterized by a disconnect from reality, including grandiose delusions, disorganized thinking, and abnormal social behavior. [19] Recently, hyperfocus has come into attention as a part of the cognitive symptoms associated with the disorder. In this use, hyperfocus is an intense focus on processing the information in front of them. This hypothesis suggests that hyperfocus is the reason those afflicted with schizophrenia experience difficulty spreading their attention across multiple things. [20]
Some research [ which? ] has shown that psychopaths are hyperfocused on obtaining a reward and as a result their ability to use contextual cues, punishment or contextual information for adjusting their behaviour may be impaired. Moreover, they develop tunnel vision blocking out any stimulation (such as fear of achieving the goal).
A mental disorder is an impairment of the mind disrupting normal thinking, feeling, mood, behavior, or social interactions, and accompanied by significant distress or dysfunction. The causes of mental disorders are very complex and vary depending on the particular disorder and the individual. Although the causes of most mental disorders are not fully understood, researchers have identified a variety of biological, psychological, and environmental factors that can contribute to the development or progression of mental disorders. Most mental disorders result in a combination of several different factors rather than just a single factor.
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by executive dysfunction occasioning symptoms of inattention, hyperactivity, impulsivity and emotional dysregulation that are excessive and pervasive, impairing in multiple contexts, and otherwise age-inappropriate.
Developmental disorders comprise a group of psychiatric conditions originating in childhood that involve serious impairment in different areas. There are several ways of using this term. The most narrow concept is used in the category "Specific Disorders of Psychological Development" in the ICD-10. These disorders comprise developmental language disorder, learning disorders, motor disorders, and autism spectrum disorders. In broader definitions ADHD is included, and the term used is neurodevelopmental disorders. Yet others include antisocial behavior and schizophrenia that begins in childhood and continues through life. However, these two latter conditions are not as stable as the other developmental disorders, and there is not the same evidence of a shared genetic liability.
Atomoxetine, sold under the brand name Strattera, is a medication used to treat attention deficit hyperactivity disorder (ADHD) and, to a lesser extent, cognitive disengagement syndrome. It may be used alone or along with psychostimulants. It is also used as a cognitive and executive functioning enhancer to improve self-motivation, persistence, attention, inhibition, and working memory. Use of atomoxetine is only recommended for those who are at least six years old. It is taken orally. Atomoxetine is a selective norepinephrine reuptake inhibitor and is believed to work by increasing norepinephrine and dopamine levels in the brain. The effectiveness of atomoxetine is comparable to the commonly prescribed stimulant medication methylphenidate.
Autism spectrum disorders (ASD) are neurodevelopmental disorders that begin in early childhood, persist throughout adulthood, and affect three crucial areas of development: communication, social interaction and restricted patterns of behavior. There are many conditions comorbid to autism spectrum disorders such as attention-deficit hyperactivity disorder and epilepsy.
Adult Attention Deficit Hyperactivity Disorder is the persistence of attention deficit hyperactivity disorder (ADHD) in adults. It is a neurodevelopmental disorder, meaning symptoms must have been present in childhood except for when ADHD occurs after a traumatic brain injury. Specifically, multiple symptoms must be present before the age of 12, according to DSM-5 diagnostic criteria. The cutoff age of 12 is a change from the previous requirement of symptom onset, which was before the age of 7 in the DSM-IV. This was done to add flexibility in the diagnosis of adults. ADHD was previously thought to be a childhood disorder that improved with age, but recent research has disproved this. Approximately two-thirds of childhood cases of ADHD continue into adulthood, with varying degrees of symptom severity that change over time, and continue to affect individuals with symptoms ranging from minor inconveniences to impairments in daily functioning.
The hunter versus farmer hypothesis is a proposed explanation for the nature of attention-deficit hyperactivity disorder (ADHD). It was first suggested by radio host Thom Hartmann in his book Attention Deficit Disorder: A Different Perception.
Sensory overload occurs when one or more of the body's senses experiences over-stimulation from the environment.
Cognitive disengagement syndrome (CDS) is an attention syndrome characterised by prominent dreaminess, mental fogginess, hypoactivity, sluggishness, slow reaction time, staring frequently, inconsistent alertness, and a slow working speed. To scientists in the field, it has reached the threshold of evidence and recognition as a distinct syndrome.
The Autism Diagnostic Observation Schedule (ADOS) is a standardized diagnostic test for assessing autism spectrum disorder. The protocol consists of a series of structured and semi-structured tasks that involve social interaction between the examiner and the person under assessment. The examiner observes and identifies aspects of the subject's behavior, assigns these to predetermined categories, and combines these categorized observations to produce quantitative scores for analysis. Research-determined cut-offs identify the potential diagnosis of autism spectrum disorder, allowing a standardized assessment of autistic symptoms.
Neurodevelopmental disorders are a group of conditions that begin to emerge during childhood. According to the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, (DSM-5) published in 2013, these conditions generally appear in early childhood, usually before children start school, and can persist into adulthood. The key characteristic of all these disorders is that they negatively impact a person's functioning in one or more domains of life depending on the disorder and deficits it has caused. All of these disorders and their levels of impairment exist on a spectrum, and affected individuals can experience varying degrees of symptoms and deficits, despite having the same diagnosis.
Attention deficit hyperactivity disorder predominantly inattentive, is one of the three presentations of attention deficit hyperactivity disorder (ADHD). In 1987–1994, there were no subtypes or presentations and thus it was not distinguished from hyperactive ADHD in the Diagnostic and Statistical Manual (DSM-III-R). In DSM-5, subtypes were discarded and reclassified as presentations of the same disorder that change over time.
Despite the scientifically well-established nature of attention deficit hyperactivity disorder (ADHD), its diagnosis, and its treatment, each of these has been controversial since the 1970s. The controversies involve clinicians, teachers, policymakers, parents, and the media. Positions range from the view that ADHD is within the normal range of behavior to the hypothesis that ADHD is a genetic condition. Other areas of controversy include the use of stimulant medications in children, the method of diagnosis, and the possibility of overdiagnosis. In 2009, the National Institute for Health and Care Excellence, while acknowledging the controversy, stated that the current treatments and methods of diagnosis are based on the dominant view of the academic literature.
Perseveration, in the fields of psychology, psychiatry, and speech–language pathology, is the repetition of a particular response regardless of the absence or cessation of a stimulus. It is usually caused by a brain injury or other organic disorder. Symptoms include "lacking ability to transition or switch ideas appropriately with the social context, as evidenced by the repetition of words or gestures after they have ceased to be socially relevant or appropriate", or the "act or task of doing so", and are not better described as stereotypy.
In psychology and neuroscience, executive dysfunction, or executive function deficit, is a disruption to the efficacy of the executive functions, which is a group of cognitive processes that regulate, control, and manage other cognitive processes. Executive dysfunction can refer to both neurocognitive deficits and behavioural symptoms. It is implicated in numerous psychopathologies and mental disorders, as well as short-term and long-term changes in non-clinical executive control. Executive dysfunction is the mechanism underlying ADHD Paralysis, and in a broader context, it can encompass other cognitive difficulties like planning, organizing, initiating tasks and regulating emotions. It is a core characteristic of ADHD and can elucidate numerous other recognized symptoms.
The imprinted brain hypothesis is an unsubstantiated hypothesis in evolutionary psychology regarding the causes of autism spectrum and schizophrenia spectrum disorders, first presented by Bernard Crespi and Christopher Badcock in 2008. It claims that certain autistic and schizotypal traits are opposites, and that this implies the etiology of the two conditions must be at odds.
In psychiatry, stilted speech or pedantic speech is communication characterized by situationally inappropriate formality. This formality can be expressed both through abnormal prosody as well as speech content that is "inappropriately pompous, legalistic, philosophical, or quaint". Often, such speech can act as evidence for autism spectrum disorder (ASD) or a thought disorder, a common symptom in schizophrenia or schizoid personality disorder.
Hypofrontality is a state of decreased cerebral blood flow (CBF) in the prefrontal cortex of the brain. Hypofrontality is symptomatic of several neurological medical conditions, such as schizophrenia, attention deficit hyperactivity disorder (ADHD), bipolar disorder, and major depressive disorder. This condition was initially described by Ingvar and Franzén in 1974, through the use of xenon blood flow technique with 32 detectors to image the brains of patients with schizophrenia. This finding was confirmed in subsequent studies using the improved spatial resolution of positron emission tomography with the fluorodeoxyglucose (18F-FDG) tracer. Subsequent neuroimaging work has shown that the decreases in prefrontal CBF are localized to the medial, lateral, and orbital portions of the prefrontal cortex. Hypofrontality is thought to contribute to the negative symptoms of schizophrenia.
Jan K. Buitelaar is a Dutch medical doctor, psychiatrist, author, and academic. He is a professor of psychiatry and child and adolescent psychiatry at Radboud University Medical Centre and former Head of Child and Adolescent Psychiatry at Karakter Child and Adolescent Psychiatry.
Bradley S. Peterson is an American psychiatrist, developmental neuroscientist, academic and author. He is the Inaugural Director of the Institute for the Developing Mind at Children's Hospital Los Angeles (CHLA), and holds the positions of Vice Chair for Research and Chief of the Division of Child & Adolescent Psychiatry in the Department of Psychiatry at the Keck School of Medicine at the University of Southern California.
…there are no empirical data that support hyperfocus as an aspect of ADD/ADHD. In gifted children without ADD/ADHD, this rapt and productive attention state is described by Csikszentmihalyi (1990) as 'flow.' … What has been coined 'hyperfocus' in persons with ADD/ADHD seems to be a less medical-sounding description of perseveration. Thus the apparent ability to concentrate in certain limited situations does not exclude the diagnosis of ADD/ADHD.
David Neeleman, Founder of JetBlue Airways … reported in an interview with ADDitude magazine his ADHD prevents him from being detail-oriented and completing doing day-to-day tasks, saying, 'I have an easier time planning a 20-aircraft fleet than I do paying the light bill.'