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At this point (2022), we know ADHD has a genetic component. The "Hunter versus farmer hypothesis" is the most prevalent anthropological hypothesis (non-medical) about the historical positive/negative selection pressures for ADHD traits. https://en.wikipedia.org/wiki/Hunter_versus_farmer_hypothesi...

The tl;dr is that we think ADHD traits had positive selection pressure for 90% of human history, which is why ADHD is so common. ADHD is actually believed to be dramatically under-diagnosed in certain population slices, like adult women, because the diagnostic criteria was developed based on predominantly male/child subjects.

In the context of scouting for a nomadic hunter-gatherer tribe, ADHD traits seem like a gift.

In the context of modern American society, ADHD traits can lead to strong negative experiences spanning education, career, and relationships. In some contexts (like entrepreneurship), ADHD traits can still be a gift - but I'd hazard a guess that percentage-wise, a larger % of the ADHD population winds up in prison vs. becoming an entrepreneur.

Similar to autism, ADHD is a spectrum neurological disorder. "Disease" is the wrong term to use; "disorder" is the correct medical term. ADHD traits become a disorder they have a negative impact on development (childhood) or negative impact on well-being as an adult.



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