The School of Greatness The School of Greatness

The Real Root of ADHD Isn't Trauma, It's This | Dr. Sasha Hamdani

Aug 26, 2026 · 1h 19m

Summary

Lewis Howes interviews Dr. Sasha Hamdanek, a psychiatrist and ADHD specialist, to clarify that ADHD is primarily genetic rather than trauma-induced, though trauma can mimic symptoms. They discuss the high rate of misdiagnosis in women, who are often treated for anxiety or depression before receiving an ADHD diagnosis due to outdated criteria. Dr. Hamdanek explains rejection-sensitive dysphoria and offers tools for emotional regulation to help those with intense neurological wiring manage their responses.

Topics discussed

Sponsors: Amica Insurance and Indeed ADHD root causes, genetics, and diagnostic types Clinical diagnosis process and medication as first-line treatment Trauma, hypervigilance, and their impact on focus Differentiating ADHD from PTSD, anxiety, and thyroid issues Diagnostic bias against women and emotional dysregulation Misdiagnosis cycles and late diagnoses in mothers Depression criteria vs. ADHD symptoms and rejection sensitivity Rejection Sensitive Dysphoria (RSD) and emotional sensitivity Building emotional resilience and regulating the nervous system Brain science: Amygdala hijack and frontal lobe response Guest's childhood ADHD medication experience and academic struggles Self-diagnosis journey and coping with family loss Navigating overwhelming emotions and mental space consumption Hormonal impacts on ADHD and societal challenges for women Modern societal overwhelm and advice on children's screen time Practical tools for emotional regulation and movement Handling RSD: Bad advice and the power of presence Turning sensitivity into strength and parenting with emotional literacy Sponsors: Bioptimizers and Amazon Health AI Rejection as redirection and navigating relationship fears Guest's love story: Overcoming fear of parental rejection The Three Truths, book promotion, and closing remarks
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