Hyperfocus with Rae Jacobson

Are you mad at me? It’s a question “Hyperfocus” host Rae Jacobson has asked more times than she can count. So when Rae saw a book with that exact title, she was a little unnerved. The book is by psychotherapist Meg Josephson, and it’s about the fawn response: a survival instinct that can look like people-pleasing. In this conversation, Meg breaks down what fawning is and why it’s hard to spot — and even harder to stop doing Meg explains how fawning overlaps with (but isn’t identical to) rejection sensitive dysphoria and why it shows up as masking for a lot of neurodivergent people. And she talks about the moment she realized that years of people-pleasing meant she really didn’t know herself at all. In this episode of “Hyperfocus,” learn about a pattern a lot of us have been running on autopilot without realizing it. And learn subtle strategies for change.

Podcaster PJ Vogt has talked about his ADHD for years. Casually. Almost cheerfully. Then things changed. He decided to go off his ADHD medication, and he found the neuropsych report from when he was 13. It didn’t say what he thought. On this episode of Hyperfocus, PJ, who’s spent his entire career making some of the most popular podcasts around – like Reply All and Search Engine — talks about his journey to understand his own brain. And how when he reread that old assessment, he found something messier than the story he’d been telling himself. Host Rae Jacobson follows him through that reckoning and the big question: What happens when the label that shaped your identity turns out to be blurrier than you imagined? They talk through the trade-offs he’s still sorting out now that he’s stopped taking medication, and the advice he’d give younger people with a brain like his.

What if your brain had a volume knob? Researcher Dr. Zachary Gershon joins Rae to explain Homer1a, a gene variant that may hold the key to how we focus. When levels are lower during development, the brain gets better at filtering out distractions, or what scientists call “neural noise.” This discovery could one day lead to non-stimulant treatment options for ADHD. And it started with one scientist’s very personal question.

Hyperfocus listener Jenna Plonsky opens a raw conversation about ADHD, late diagnosis, and the mental health struggles many women face in silence. From postpartum depression to PMDD, this episode explores how hormonal shifts intersect with neurodivergence — and why so many go undiagnosed for decades. It’s an honest look at shame, self-perception, and the turning point that comes with finally understanding your brain.

Rae has a lifelong misconception about her dyscalculia turned on its head. And she learns why labels don’t mean limits.

Diagnoses are meant to help people access care, but some diagnoses carry far more consequences than others. Conduct disorder is one of them. Diagnosing someone with conduct disorder can be like placing a lifelong label on them — a label that can shape how educators, clinicians, and institutions interpret behavior long after the diagnosis is made. Studies show that Black, brown, and low-income children are far more likely to be diagnosed with conduct disorder. And the stigma attached to that label can be severe. Even life-altering. For this episode, we spoke with our brilliant colleague, Dr. Kristin Carothers, a licensed clinical psychologist. She explains what conduct disorder is and why it’s so controversial. And she looks at how race and other biases factor into diagnosis — and what it means to give someone a label that is anything but neutral.

U.S. kids are more depressed, stressed, and anxious than ever. ADHD and autism diagnosis rates are steadily rising. What’s going on? In this episode of Hyperfocus, journalist Jia Lynn Yang joins Rae to examine how major school policy shifts in the U.S. have changed what’s expected of kids, often with unintended — and serious — consequences. Drawing from her New York Times reporting and her personal experience as a parent, Jia Lynn explores whether school itself may be contributing to the crisis — and what kids actually need to thrive.

This week on Hyperfocus, Rae is in the guest seat for an appearance on Hacking Your ADHD, a podcast hosted by William Curb. Listen for a fascinating conversation on a topic that’s really common in ADHD circles: the tendency to attribute everyday behaviors to ADHD.

Last month, the Trump administration laid off over 460 people in the U.S. Department of Education. It included nearly everyone in the Office of Special Education Programs (OSEP), which enforces federal special education laws. A federal judge has temporarily halted the layoffs, but it’s unclear what will happen next. For people who work in or rely on special education services — including 7.5 million kids — the chaos and worry have already begun. So on this week’s Hyperfocus, we wanted to talk to smart people who could give us some perspective on what’s happening. What could it mean for families and for schools? And what does it say about how the administration views neurodivergent people in general? Our guests are Meghan Whittaker, a former chief of staff at the U.S. Department of Education, and Julian Saavedra, an assistant principal.