ADHD stems from a malfunction of the brain’s attention system, a diffuse linkage of neurons that hitches together areas controlling arousal, motivation, reward, executive function, and movement. Let’s take one element of the attention system: motivation. While it’s true that people with ADHD “just need to get motivated,” it’s also true that, like every other aspect of our psychology, motivation is biological. What about the child who can’t pay attention in class but can sit perfectly still for hours playing a video game?

