it would be easy to misinterpret the following scenario as a standoff between two partners: Imagine that your partner asks you to pay the electric bill, and you say to yourself, “OK, I have time to do that today.” But when you sit down to do it, you keep getting distracted. The ADHD brain needs higher stimulation in order to complete this rote task with minimal payoff. Your ADHD brain says, “That task is way too boring, and I refuse to focus on it. Find something that interests me more, which offers me a bigger dopamine reward, and I’ll work with you.” It doesn’t matter that you know you should pay the bill as promised; if your brain won’t engage, it’s an ugly standoff. Perhaps, after a day of procrastination — when your partner will be home in 20 minutes and the bill is still unpaid — there may be enough of an adrenaline rush from a sense of crisis that your brain will engage and you pay the bill.

The ADHD brain and its owner are at odds with one another. It’s difficult to compel a disengaged brain to engage by force of will. In fact, much of the treatment for ADHD involves learning to psych out the brain, so that it will attend to necessary, low-stimulation tasks.

Appreciating the tug-of-war within that pits intellect against neurobiology increases compassion and acceptance for one’s hidden struggle.