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Hyperfocus with Rae Jacobson · Nov 20, 2025 · 21 min

Trans with ADHD: Finding good care shouldn’t be this hard

One of the most urgent ADHD research gaps has to do with ADHD and trans people. We know there are lots of trans folks with ADHD. But when it comes to understanding how best to treat them, it’s a whole different story. That’s why we wanted to talk to someone who knows this experience well. Ivan Hsiao is the founder of Trans Health HQ. He joined this week’s Hyperfocus to share his own diagnosis story and to talk about what we do (and don’t) know about being trans with ADHD. For more on this topic: Trans Health HQ Being trans with ADHD (Max’s story) Talking about neurodivergence and gender identity Timestamps: (01:26) Ivan’s diagnosis story (11:18) Trans broken arm syndrome (13:56) What research is there on ADHD in trans people? (17:23) How to practice better care For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org. As kids head back to school, it's a good time to remember: not every student experiences the classroom the same way. Through My Eyes, a free interactive experience from Understood, lets you step into a day in the life of a kid with ADHD, dyslexia, or dyscalculia. See their strengths and challenges in a whole new way. Try it out here. Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.org/give Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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transcript

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show notes

One of the most urgent ADHD research gaps has to do with ADHD and trans people. We know there are lots of trans folks with ADHD. But when it comes to understanding how best to treat them, it’s a whole different story. 

That’s why we wanted to talk to someone who knows this experience well. Ivan Hsiao is the founder of Trans Health HQ. He joined this week’s Hyperfocus to share his own diagnosis story and to talk about what we do (and don’t) know about being trans with ADHD. 

For more on this topic: 

Timestamps: 

(01:26) Ivan’s diagnosis story

(11:18) Trans broken arm syndrome

(13:56) What research is there on ADHD in trans people? 

(17:23) How to practice better care

For a transcript and more resources, visit Hyperfocus on Understood.org. You can also email us at hyperfocus@understood.org.

As kids head back to school, it's a good time to remember: not every student experiences the classroom the same way. Through My Eyes, a free interactive experience from Understood, lets you step into a day in the life of a kid with ADHD, dyslexia, or dyscalculia. See their strengths and challenges in a whole new way. Try it out here.

Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.org/give


Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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