Article
Attention
Comment
Psychology
6 min read

Paying attention to ADHD– is it really just a fad?

Media fixation with ADHD caught Henna Cundill’s eye, so she decided to investigate its struggles and superpowers.
From a darkly shadowed face, a single illuminated eye stares.
Brands&People on Unsplash.

In a feat of irony, attention deficit hyperactivity disorder (commonly known as ADHD) is now getting a lot of attention. For example, between 28 and 31 January The Times newspaper published one article per day about ADHD. Intrigued, I looked back over the past few months, and I found that The Times has averaged 8 to 10 articles per month which are either partly or exclusively about this topic. These range from celebrity diagnoses to handwringing over the “troubling rise” in incidents of the condition, to concerns about parents gaming the system to get their children disability payments or extra time in exams.  

With all this media hype, it is little wonder that some commentators are inclined to dismiss ADHD as a fad. Scroll through the comments beneath each article, and you will reliably find the rallying cry of, “We didn’t have ADHD in my day!” followed by the patient responses of those who try to correct this fallacy.  

While the high public profile of ADHD is new, the condition itself is not. As early as the mid-1700s a Professor of Medicine called Melchior Adam Weikard was describing patients who were “unwary, careless, and flighty” – behaving in ways governed by impulse, and showing poor skills in punctuality, accuracy, and having an inability to complete tasks, to the detriment of their mental health. His description is of its day. For example, and somewhat amusingly, Weikard (himself German, but at this point living in Russia) also described his patients as follows:  

Compared to an attentive and considerate person such a jumpy person may act like a young Frenchman does in comparison to a mature Englishman. 

Even so, Weikard did not unconsciously adopt all the prejudices and stereotypes of his context: he broke firmly with existing medical consensus when he diagnosed these patients as having a “dysregulation in cerebral fibres” – rather than attributing their difficulties to astrological misalignments or demon possession.  

By characterising ADHD as a brain-based condition, Weikard was ahead of his time, and we’ve come a long way since then. This is not the place to chart the whole biography of ADHD, suffice to say that when someone rolls their eyes and declares dismissively, “We didn’t have ADHD in my day…” – they are either over 300 years old or not talking like a mature Englishman, even if they read The Times.  

The negative side of the condition as being in a constant fight with one’s own thoughts and senses – these are doughty opponents, they always know where to find you, and they only sleep when you do. 

Another thing that is not new, despite what cynical commentators might seek to imply, is the treatment of some aspects of ADHD with medication.  

Doctors have been prescribing amphetamines to patients with ADHD since at least the 1950s. Yet now those medications are in short supply. Contrary to the media hype, fewer than 1 in 10 people with an ADHD diagnosis take prescribed medication, but for some of those who do it can be a lifeline – calming down a washing machine mind that is stuck on constant spin.  

One acquaintance of mine has taken to anxiously touring the local pharmacies, driving to neighbouring towns and villages, desperate to get her prescription filled.  

Another is passing her own tablets on to her son, whose prescribed supply ran out sooner. Sharing prescription medication is, I am duty-bound to add, an illegal practice – but it is hard to expect a parent to medicate themselves whilst seeing their own child struggle to attend school, to complete exam papers and to just generally feel (and I quote) “like a normal person.”  

People who have ADHD sometimes describe the negative side of the condition as being in a constant fight with one’s own thoughts and senses – these are doughty opponents, they always know where to find you, and they only sleep when you do.   

This is not to overlook that there are positives to ADHD too – it is often pointed out that the condition entails a degree of “superpower.” A person living with ADHD may have an incredible ability to focus on one difficult problem to the exclusion of all else, and thus solve it, perhaps devising creative solutions that elude those with a more pedestrian style of thought.  

Also, it is common for people who live with ADHD to be dynamic conversationalists, with high social intelligence and empathy, priming them for success at tasks like broadcasting and debating. Many elite athletes also live with ADHD and say that they able to strive for excellence due to their restless energy and resilience in the face of tough training regimes.  

Given the mixed bag of struggles and superpowers, there is a raging debate about whether ADHD should even be considered as pathology, or just as a neurodivergent way of being human. I suspect there is no right or wrong answer to this – for each person who lives with ADHD it depends on their own experience and how they feel it helps or hinders them to live the life they choose. Neither is it a binary choice: more than one of my own acquaintances who live with ADHD has described themselves as being in a “love-hate relationship” with their neurodivergence.   

ADHD challenges me to unfold my mind too – to become ever more aware and appreciative of the fact that there are many ways to be human. 

Neurodiversity, like any kind of diversity, challenges the way we live to together in communities, choosing or refusing to show empathy towards those who are perceived as ‘other’. There are several places in the Bible where human interconnectedness is likened to the human body – made up of many different parts, with each member dependent on the other for the wellbeing of the body as a whole. In one of his letters, St Paul wrote, “If the whole body were an eye, where would the hearing be? Or if the whole body were an ear, where would the sense of smell be?” Society needs problem solvers, communicators, high achievers, even while society also needs people who can structure, plan and maintain consistency – and above all, society needs these different neurotypes to work together with a certain amount of mutual understanding and trust.  

Reflecting further on the body metaphor, Paul also wrote this: “If one part of the body suffers, the whole body suffers with it.” It is estimated that about 5 per cent of people in the UK has ADHD, so it is likely that includes someone you know. The majority don’t take regular meds, but if you are connected to someone who is usually reliant on these, the next few months may be a time of particular stress and anxiety, as the current medication shortage is expected to continue into late spring. This affects not just those living with ADHD, but all of us, as we live together in our families, communities, and networks. Not everyone chooses to be open about having an ADHD diagnosis, but if they are, now might be a good time to ask them how they experience this condition, both with its positives and negatives, and how you can support them if they are managing without their usual prescription. 

The body metaphor, and Paul’s teaching around it, reminds us that diversity is no accident, God has always been attentive to those who feel divergent or far from the centre, as Jesus affirmed when he announced his ministry would be for the poor, the prisoners, the disabled and the oppressed. The psalmist too, observes that God’s attention and concern for us is so complete, that one is “…hemmed in, before and behind” – even if one strays to the very ends of the Earth, or drives to the pharmacy in the next village. Thus, while the media circus may be new, we can be sure that God has always been attentive to those with ADHD, and wider society is called to be likewise. 

Writing for The Times, Esther Walker describes ADHD as “…the health story that keeps unfolding.” Well, certainly every time I unfold my newspaper, there it is again. But ADHD challenges me to unfold my mind too – to become ever more aware and appreciative of the fact that there are many ways to be human: usually complex, sometimes difficult, often brilliant, and always interconnected.  

Article
Attention
Change
Community
Loneliness
6 min read

Take some risks, invest in your friends

At the other side of risk is a precious thing: the overcoming of distance.

Tom is a physician and completing a theology doctorate. 

Three friends in the street laugh together.
Jed Villejo on Unsplash.

In the year 2000, political scientist Robert D. Putnam published Bowling Alone. Putnam analysed the decline of “social capital” in America, observing that relational networks, community involvement, and civic engagement were all waning. Why “bowling”? Well, for Putnam, the decline of involvement in bowling leagues was representative of his findings. It served as a microcosm of a bigger picture—the broad downtrend in social engagement. 

What of “social capital” in 2025? Everything, it appears, is different. The arrival of the online ecosphere has reframed how “social” is best understood. We are more “connected” than ever. Indeed, the proportion of society attached to a virtual social network, I suspect, outstrips the proportion of society involved in bowling (or other) leagues at their peak. And even in the short history of the world wide web, the nature of social engagement has developed at breakneck speed. A once revolutionary platform for connecting with past pals from school (remember “Friends Reunited”?) now seems prehistoric. We can “connect” in ways that no bowling league could ever have manufactured. Today, the array of relational possibilities is endless. Awaiting your acquaintance are inert artificial friends, with whom—we’re assured—“You can form an actual emotional connection.” Yes, the Replika app offers virtual companions “for anyone who wants a friend with no judgment, drama, or social anxiety involved.” 

What counts as “social” has expanded beyond measure since the year 2000. No doubt Putnam’s book would look different were it released today. But has the tide of social engagement really turned? 

The bond of friendship is precious. And, like many precious things, it is hard-won.  

Does today’s social mindset encourage us to pursue relationships marked by depth, confidence, nearness? The digital realm makes it extremely difficult not to treat connection as a commodity, more a product in the marketplace of life than a good to be pursued for its own worth. It generates a fantasy of risk-free relationships. “If a friendship isn’t working out, leave it; there’s always another one available”—one without “drama”, as the wisdom of Replika would have it. The measure of a good relationship here is not the strength of the bond itself. Such ties are a means to another end. Perhaps how well the relationship serves individual interests or meets personal preferences. And if we swallow this kind of “you do you” pill whole, we shouldn’t be surprised if our basic assumption is that people do not belong together but apart. 

When friendship becomes a commodity, enduring friendship is nothing short of a miracle. We are all too changeable for consumer relationships to last. Our preferences change. Our life-stages change. Once upon a time, lasting non-romantic bonds were perhaps a more given feature of life. When lifelong relationships and local community overlapped far more, the troughs of friendships were less easy to avoid but had to be faced. It wasn’t so easy to dodge “drama” and move on. But if today’s online social realm shapes our expectations of relationships, the long road of friendship becomes—unsurprisingly—uninviting. Seemingly viable alternatives to our present friends are always available. Indeed, if the “you do you” mantra holds, friendship most likely will not. Or at least not of the precious kind. 

Recently, Sheridan Voysey launched the Friendship Lab. Its aim? To make friendships thrive. Voysey, an author and broadcaster, has developed this new resource alongside a team that includes academics in psychology, law, and statistics. The Lab offers both live and on-demand courses to equip individuals and friends with wisdom and skills for fostering reciprocity and deepening connection. The Friendship Lab is Voysey’s answer to a question he asked himself: "Who can you call at 2am when everything has gone wrong?" Hence, its mission: “to see every adult have at least three 2am friends.” 

The Friendship Lab is on to something important. I suspect that something is, at least in part, that friendships require perseverance

In friendship, it takes time to be understood and to understand. We are all so remarkably complex. Our pasts are so multifaceted. There is no straightforward access to another person. No algorithm can achieve it. No personality test can name it. The deep roots of a relationship are established in attention and commitment. They are reinformed through loyalty and perseverance. The resources provided by the Lab point to the fact that friendships form over time. Like a muscle strengthened through repeated use, they are shaped by practices. Developing connection is more like slowly sculpting clay than sharing in a series of transactions.

At the other side of risk is a precious thing: the overcoming of distance. That precious feeling of being at ease. Unguarded and unafraid

This leads to something important: on its own, perseverance is not enough. Something else should be named if friendships are to thrive and last. And it is less common: risk. 

The bond of friendship always involves risk. Friendship is hard-won because it is risky. To let one’s guard down is a step into the unknown, a “drama” that can never be neatly calculated, because we can never know the outcome. And it is a particular kind of risk: the risk of making oneself vulnerable. Of exposing our hopes and fears, our wounds and weaknesses. Or facing these in others. And of course, we are all so aware of what can go wrong. Sometimes putting yourself out there results not in depth but in misunderstanding or, perhaps, rejection. And to be rejected in one’s vulnerability can be humiliating, even devastating. 

But the bond of friendship is established in these daring footsteps of risk. Friendship does not take shape by side-stepping risk but by taking the road through it—a road not free from but marked by missteps and disappointments.  

Yet such steps are not an end in themselves. They lead to a place that addresses a deeper longing—the ache for connection. At the other side of risk is a precious thing: the overcoming of distance. That precious feeling of being at ease. Unguarded and unafraid. The knowledge that you’re in safe hands.  

In an age where seemingly risk-free alternative connections are available, who would dare to take these steps? Some ancient wisdom might be needed here most of all. 

Around 30AD, a man called Jesus of Nazareth walked the road to hard-won friendship like no other. One of his followers described Jesus’ life as one of commitment to his companions “to the end.” Whilst Jesus’ profound teaching and demonstration of love often gets plenty of attention, there is something precious to be mined here. 

Risk and perseverance belonged to Jesus’ life. The risk of misunderstanding and of rejection—both of which he experienced at the hands of those closest to him. He was not immune to these. In fact, what it meant for Jesus to persevere in his commitment to his followers was for him to endure their abandonment of him. They modelled the opposite of friendship. But Jesus’ risk-taking perseverance knew no limit. It led him all the way to death. It persevered through the failure of his friends to reciprocate to the end. This is why it is just so startling that, in rising from the dead, Jesus says to his followers: “no longer do I call you servants… I have called you my friends.” 

If Jesus has walked the ultimate road of befriending us human beings “to the end”, could looking to this source unlock friendship in a new way today? 

There is a woman in the church community I’m part of who was once asked: “why are you part of this church?” Her answer: “I decided to come here.” She is in her eighties and has been part of that community for decades. I envy the simple sense of risk-taking perseverance in her approach. She is not side-stepping the “drama”—the inevitable missteps that belong to life with others. I do not belong to a generation or an age that puts a premium on risk-taking perseverance “to the end” in friendships. But another look at ancient wisdom might give us just the freedom to do so. And if the road to deep connection goes via some kind of “judgement, drama, or social anxiety” then I, for one, am all in. 

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