Women diagnosed with ADHD at 35 instead of childhood often spend decades misdiagnosed with anxiety or depression. Dr. Sasha Hamdani, a board-certified psychiatrist and ADHD specialist, reveals why ADHD is genetic—not trauma-driven—and how rejection sensitivity dysphoria creates neurological pain that feels overwhelming to those who experience it deeply. ADHD is a genetic regulation disorder affecting attention, motivation, energy, and emotion—not a character flaw or trauma response, though trauma can fragment focus in ways that mimic ADHD symptoms.