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What Causes Inattentive ADHD?

Author: Dr. Rebecca Fernandez, MBBS

One of the most frequent queries from people with ADHD and their families is, “What causes ADHD?” Inattentive ADHD, a subtype marked by forgetfulness, distractibility, and difficulty focusing, often leads to confusion and misplaced blame. It’s important to understand that inattentive ADHD isn’t caused by bad parenting or a lack of willpower. Instead, the underlying ADHD causes are linked to a complex mix of brain-based, genetic, and environmental influences.

Is ADHD a Brain-Based Condition?

Yes, ADHD is fundamentally linked to brain functions. Scientific studies have shown that individuals with ADHD, including the inattentive type, display differences in brain regions responsible for attention, impulse control, and working memory. One key area is the prefrontal cortex, which plays a crucial role in executive functioning. The dopamine system, a key neurotransmitter pathway, involved in motivation and reward, also appears to work differently in people with ADHD. These brain-based differences are part of what makes up the ADHD brain. They help explain why people with inattentive ADHD find it hard to focus, stay organised, and complete tasks.”

What Are the Main Causes of Inattentive ADHD?

The best way to describe inattentive ADHD is as a neurodevelopmental disorder, which means that it evolves with the growth of the brain. One of the most powerful known contributors is genetics. ADHD tends to run in families, according to studies. If a parent or sibling has ADHD, the likelihood of another family member being affected is significantly higher.

In addition to genetics, researchers have found that people with inattentive ADHD have minor variations in brain connectivity and structure. Environmental factors might also be involved, particularly in the early stages of brain development. These can include complications during pregnancy or early life experiences that affect neurological growth.

ADHD causes are complex and vary from person to person. This multifactorial origin is why there is no single explanation for why inattentive ADHD develops.

ADHD Risk Factors to Know

While risk factors do not directly cause ADHD, they may increase the chances of its development in susceptible individuals. One of the medical study research done by Mol Psychiatry in 2018 on Genetics of attention deficit hyperactivity disorder “it shows that is a strong contributor…”

Some well-documented ADHD risk factors include

  • Premature birth
  • Low birth weight
  • Prenatal exposure to tobacco, alcohol, or certain toxins
  • Early childhood neglect or trauma

It’s crucial to remember that these are correlational rather than causative. Many individuals exposed to these factors never develop ADHD, while others without any such exposure, do. This highlights the condition’s complex and multifactorial nature.

When Does ADHD Develop?

ADHD development typically begins in early childhood, with symptoms usually becoming noticeable before age 12. However, symptoms of inattentive ADHD can go unnoticed for years, particularly in quiet children or girls who internalise their symptoms instead of acting them out.

Because of this, some people are diagnosed only in their teens or twenties. These individuals often report longstanding issues with attention, organisation, and memory that went unrecognised during school years.

Myths About ADHD Causes

There is a lot of misinformation about ADHD, which frequently contributes to its stigma. Let’s clarify some common myths

  • ADHD causes are not rooted in bad parenting. Discipline styles do not create ADHD
  • Sugar and food additives do not cause ADHD. Diet may influence behaviour in some cases, but it isn’t a root cause.
  • Excessive screen time doesn’t cause ADHD. Though it may worsen attention in some cases, it’s not the underlying issue.
  • ADHD is not a moral or character failing. It’s a recognised medical condition rooted in brain function.

Debunking these myths helps reduce judgement and promote timely support

Final Thoughts

There is no single cause of inattentive ADHD. Rather, it results from an interplay of genetic, neurological, and environmental factors. Understanding this helps move the conversation away from blame and towards support, empathy, and evidence-based care. If you or a loved one suspects inattentive ADHD, speak to a qualified clinician. You can also explore our ADHD assessment guide or learn more about the different types of ADHD to support informed decisions.

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Author

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

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