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of misdiagnosis in women, who are often treated for anxiety or depression before receiving an ADHD diagnosis due to outdated criteria.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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