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What research exists on ADHD hyperfocus control? 

Author: Dr. Rebecca Fernandez, MBBS

Hyperfocus is one of the most intriguing and paradoxical traits seen in ADHD. It describes a state of intense concentration in which someone becomes deeply absorbed in an activity for long periods, often losing awareness of time and surroundings. According to recent research, it isn’t an excess of attention but rather a difficulty regulating when and where attention is applied

Understanding hyperfocus in ADHD 

Studies between 2022 and 2025 have refined how hyperfocus is measured. The Adult Hyperfocus Questionnaire (AHQ) and its newer dispositional version help researchers assess how frequently people with ADHD experience this immersive attentional state. Evidence published in Scientific Reports (2024) shows that adults with ADHD are more likely to experience hyperfocus when tasks are intrinsically motivating rather than externally rewarded. 

Neuroimaging research links hyperfocus to the brain’s attention and reward networks. Studies indexed on PubMed indicate that people with ADHD may struggle to switch between the default mode, salience, and executive control networks, systems that regulate internal thought and goal-directed focus. When a task feels stimulating, dopamine-driven reward circuits can sustain engagement far longer than usual, explaining why hyperfocus often appears in areas of strong personal interest. 

Can hyperfocus be controlled? 

There is currently no medication designed specifically to control hyperfocus. Instead, the NICE ADHD guideline (NG87) recommends behavioural and cognitive approaches that strengthen self-regulation. These include using timers or alarms to break up long periods of focus, scheduling transitions between tasks, and developing metacognitive awareness, recognising early signs of over-immersion and building structured reminders to disengage when needed. 

Experts from the Mayo Clinic and Cleveland Clinic emphasise that hyperfocus isn’t inherently harmful. The goal isn’t to suppress it but to redirect it towards productive or fulfilling activities while maintaining balance with rest and self-care. Awareness training, environmental structure, and therapy-based support can help individuals manage attention patterns more effectively. 

Private UK assessment providers such as ADHD Certify also explore traits like hyperfocus during ADHD evaluations, ensuring both strengths and challenges are considered as part of a full diagnostic profile. 

The takeaway 

Current evidence from NHS, NICE, and recent PubMed studies suggests that hyperfocus in ADHD reflects a regulation problem, not an attention surplus. Instead of trying to eliminate it, the most effective approach is to learn how to guide and balance it. With self-awareness, structured support, and behaviour-based techniques, hyperfocus can become a strength rather than an obstacle. 

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.