Can You Be “Too Smart to Have ADHD?”

can you be too smart to have ADHD? Dr Thomas E. Brown's research says no.

High intelligence does not protect you from the effects of ADHD. Period.  Research tells us that, including research from Thomas E. Brown, PhD, below. Yet, it’s too often assumed—from childhood well into adulthood—that high IQ rules out ADHD entirely. In other words, you can be too smart to have ADHD.

When my husband, a molecular biologist, and I started dating, I thought, “Wow, he’s the absent-minded professor in the flesh.”

I asked my friend, a fellow journalist married to a biochemist, “Does he always miss the freeway exit?” She said: “All the freakin’ time.”

The implication was clear: Scientists live on another plane of existence. Don’t expect them to be connected to the mundane realities of life. Just accept it. Appreciate their intelligence in other areas. That’s the common wisdom.  But all scientists don’t have ADHD!  Unfortunately, believing these stereotypes means that many high-intelligence people with ADHD never get the help they deserve.

Case in Point: My Husband

It would be another two years before I would connect the dots from my husband’s many puzzling behaviors to this thing called ADHD.  Turns out, my husband got through his doctoral program not because he is a blazing genius. His peers were very smart, too. Rather, he did it  because he summoned every ounce of sheer grit and willpower he had.  Oh, and he consumed tankards of coffee while wearing earphones in the library basement. Did I mention he had no life outside the lab?

Still, over 20 years I’ve heard again and again: “Well, your husband is so brilliant because of his ADHD.”  I know where they get this assumption. It’s a popular marketing angle in the “Adult ADHD Industrial Complex.”  But I find this trope misguided at best and dangerous at worst.

My husband got through PhD school because he was smart and extremely motivated.  He loves his work, currently in cancer genetics. When someone we know is diagnosed with cancer, I’m sad but he’s angry. Cancer is his sworn enemy. He’s impatient for better treatments.

Another motivating factor?  The terrifying prospect of doing physical labor the rest of his life! In his high school and early college days, he simply did not have the motivation and initiation for any kind of exercise except cycling.  There was no way he could do physical work every day. He knew he would not survive in that kind of job.

The bottom line is: Earning that PhD was immensely harder for him than it was for his peers. It didn’t have to be that hard.

too smart to have ADHD

Executive Functions: Unrelated to Intelligence

If you’re like me, you know several people with ADHD (diagnosed or not) who’ve been trying to finish their Ph.D. thesis for ages. This often brings folks to my Palo Alto  Adult ADHD group: trying to finish a PhD at Berkeley or Stanford.

Do them a favor, and forward to them this post. They might be glad to know if heir challenges in procrastinating, prioritizing, and all the other Executive Functions have nothing to do with intelligence—high or low. Nor does it indicate they aren’t “cut out for” that field of study. Or, worse, they “aren’t serious about it.”

Now I’ll turn you over to a preeminent ADHD expert, Thomas E. Brown, PhD.

From Thomas E. Brown, PhD:

Psychologist Thomas E. Brown is now based in Southern California. His Brown Clinic in Manhattan Beach is a point of light there in an otherwise bleak landscape for ADHD.

During his many years at Yale University, Dr. Brown conducted several studies to learn more about high IQ individuals with ADHD. Here is an excerpt from his 2007 newsletter. It’s as true today as it was then.  You’ll find links to the abstract and/or full text of the now-published papers.

High IQ Children and Adults with ADHD

Often, high IQ children and adults who suffer from ADHD are told by parents, educators, and clinicians that they cannot have this disorder because they are so bright. Many seem to assume that being very bright protects individuals from having ADHD. Recent research at Harvard and at Yale has demonstrated that individuals with high IQ can and do suffer from ADHD.

In the J. of Child Psychology and Psychiatry (2007, 48: 7 pp. 687-694), Antshel and colleagues at Harvard reported on samples of children with IQ ≥ 120, 49 with ADHD diagnosis and 92 matched controls. They found that in comparison to controls, those children with ADHD:

  • Repeated grades more often
  • Needed more academic supports
  • Had more comorbid psychopathology
  • Were rated by their parents as having more functional impairments

ADHD was also shown to have elevated incidence rates in relatives of those with high IQ and ADHD.

When compared with a group of high IQ children without ADHD and to normal IQ children without ADHD, those with both high IQ and ADHD had a much higher incidence of ADHD among their relatives than did high IQ controls as well as normal IQ controls (23% vs 2.5% vs. 5.9%).

These data suggest that the ADHD of those in the high IQ sample cannot be explained as a consequence of their having high IQ.

You can read the paper here:  Is attention deficit hyperactivity disorder a valid diagnosis in the presence of high IQ? Results from the MGH Longitudinal Family Studies of ADHD

Brown Et Al Studies: High IQ Subjects with ADHD

My colleagues and I completed two somewhat similar studies at Yale.

First, n our study of 157 adults with ADHD and IQ ≥ 120, we found that 73% were significantly impaired on at least 5 of 8 measures of executive function (working memory index and processing speed index on the WAIS-IQ test, index score for short term memory of stories just heard; 5 cluster scores of Brown ADD Scale).

Here is the link to that paper’s abstract, in a 2009 issue of Journal of Attention Disorders: Executive Function Impairments in High-IQ Adults with ADHD

Second, in our study of 117 children with high IQ and ADHD (ages 6 to 17 years), 62% showed significant impairment in at least 5 of 8 similar EF measures.

Here is the link to that full paper:  Executive Function Impairments in High-IQ Children and Adolescents

Meanwhile, taken together, these three studies offer substantial evidence to support the notion that ADHD does occur in very bright children and adults.

In some ways, these very bright individuals with ADHD may be at greater risk than many others because their ADD impairments often are not recognized by educators, parents or themselves until they have suffered years of frustration and underachievement in school.

 

Did high IQ or achievement in your field obscure ADHD for you personally or for a loved one?

We’d love to know your perspective on this topic.

—Gina Pera

47 thoughts on “Can You Be “Too Smart to Have ADHD?””

  1. High IQ has hidden ADHD and ADHD has hidden high IQ for decades… I realised I had a high IQ when I was around 27 or 28, and realised I had ADHD two years ago, I’m 36. And now I have a psychiatrist who told me yesterday that hyperfocus is not compatible with ADHD since ADHD struggle with focus so yeah. I found a genius who thinks the stereotypes about ADHD from 20 years ago are still relevant today.
    I need to find a new one but they’re rare, often not available and I need to call and I hate to call so yeah that’s awesome.

    1. Hi Anna,

      Yes, “Two E” (Twice Exceptional) folks with ADHD really can fall through the cracks.

      It doesn’t help that the “ADHD Gifters” give the public and professionals the idea that the high IQ is because of ADHD — and you don’t want to “medicate away the gifts.”

      If I had a dollar for every nitwit psychiatrist/therapist story, I’d be rolling in dough. It’s insane, really. A huge public-health menace.

      You know, these online “tele health” clinics are largely a Silicon Valley venture-capital play by people who don’t know the first thing about psychiatry or mental health. BUT, some people with ADHD are finding them helpful, having given up on local resources.

      Best of luck to you. You deserve better!

      g

  2. I won’t say I was a genius as a kid, but I was always in the top classes (I’m 55), told I was gifted when I was younger, and graduated high school with a 4.0 and in the top 10 of a pretty large class. I got to college and had no idea how to study, plan my time, go to all my classes or do anything much but party! I graduated with a decent GPA and floundered when I moved out of state. I got into credit card debt, managed to only get fired once (from a job where I was responsible for proofing newsletters – excruciating!) and finally met a man who is extremely organized and calm. For our 20+ years of marriage, he has been frustrated by my inability to finish anything. I take a 10 mg dose of Adderol to focus at work when I need it (but now realize I need to really figure out the Rx with a doctor who knows adult ADHD. Our very bright 21 yr old son’s recent diagnosis (poor kid flew under the radar his entire life but hopefully we’re starting the right road to get him the real help he needs) caused both my husband and me to completely re-think and research how profoundly ADHD can impact someone’s life. Thank you Gina for your work and your resources!

    1. Hi Tracy,

      Classic! Cruised through school via innate smarts, so you never had to deal with all the pragmatics the rest of us had to deal with! 🙂

      Definitely, you want medication to be active during “interaction times” at home, on the weekend.

      10 mg of Adderall might not be cutting it, even during worktime. There can be a rebound/crash, too.

      I’m almost ready to launch Course 2 in my program, on sleep and medication. Stay tuned!

      And, I do believe Course 1 – “Foundations” – will be very useful to you and your husband — and you can share with your son.

      best,
      g

Leave a Comment

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Stay in Touch!
Ride the ADHD Roller Coaster
Without Getting Whiplash!
Receive Gina Pera's award-winning blog posts and news of webinars and workshops.
P.S. Your time and privacy—Respected.
No e-mail bombardment—Promised.
No Thanks!
close-link