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How to Explain ADHD Hyperfocus and Boredom Swings to Family 

Author: Dr. Rebecca Fernandez, MBBS

Trying to explain ADHD attention patterns to family can be challenging. Many people see ADHD as a constant struggle to focus, but the reality is more complex. The ADHD brain can switch rapidly between deep hyperfocus and intense boredom, leaving others confused or hurt. Helping family understand this cycle can improve empathy and reduce conflict. 

The Science Behind ADHD Focus Swings 

The NICE NG87 guideline (2024) explains that ADHD affects the brain’s self-regulation systems, especially those linked to dopamine, the chemical that drives motivation and reward. When something feels interesting, dopamine levels rise, making focus easy. When stimulation drops, attention becomes harder to sustain. 

According to the NHS England ADHD Taskforce (2025), this biological imbalance explains why people with ADHD might appear “all in” one moment and disengaged the next. It is not a choice or a lack of care. It is a brain seeking balance between stimulation and calm. 

A 2025 review in Frontiers in Psychiatry found that hyperfocus and boredom exist on the same attention spectrum. Both are linked to fluctuations in dopamine and executive function, the part of the brain that manages task-switching and self-monitoring. 

How to Talk About It 

When explaining this to family, it helps to use practical examples. You might say, “My brain focuses like a spotlight, not a lamp. I can lock onto one thing completely, then struggle to redirect that light.” Using analogies turns invisible challenges into something relatable. 

Mind UK (2024) advises using calm, factual explanations rather than self-criticism. Family members often respond better when they understand that ADHD is neurological, not behavioural. Encourage them to see hyperfocus as intensity, not indifference, and boredom as under-stimulation, not laziness. 

Sharing NHS resources, such as the NICE NG87 guideline, can help families understand that ADHD is recognised as a medical condition requiring support, not judgment. 

Building Understanding Together 

Simple routines and shared communication strategies can make a big difference. Agree on signals or reminders for breaks, discuss energy levels openly, and plan family time during periods of higher focus. If needed, family therapy or ADHD coaching can help bridge communication gaps. 

Theara Change (launching soon) will offer ADHD-focused therapy and coaching designed to improve understanding and relationships. For assessment or medication review, ADHD Certify provides affordable, online ADHD assessments and ongoing care for adults and children in the UK. 

Takeaway 

ADHD attention swings are not personal, they are physiological. By explaining hyperfocus and boredom as part of how the ADHD brain regulates stimulation, families can replace frustration with understanding and work together toward better balance and connection. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk
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.