ADHD as a disorder of operational capacity: a buffered-state framework for sustained engagement instability - Takeaways - MDSpire

ADHD as a disorder of operational capacity: a buffered-state framework for sustained engagement instability

  • By

  • Tianlai Tang

  • Christine Dong

  • July 16, 2026

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  • 1

    ADHD is often seen as a disorder of executive dysfunction, yet many individuals report difficulties in maintaining engagement over time.

  • 2

    Patients with ADHD can initiate tasks and understand goals but struggle with sustained engagement, especially under cognitive or emotional strain.

  • 3

    Disengagement in ADHD is typically abrupt and involuntary, contrasting with traditional views of gradual fatigue or motivational failure.

  • 4

    The proposed framework conceptualizes ADHD as a disorder of operational capacity, emphasizing the stability of engagement under cumulative demands.

  • 5

    This framework generates predictions about ADHD's sensitivity to cumulative demand and the effects of pharmacological interventions on engagement endurance.

Original Source(s)

ADHD as a disorder of operational capacity: a buffered-state framework for sustained engagement instability

  • by Tianlai Tang, Christine Dong

  • July 16, 2026

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