EPISODE · Jun 22, 2026 · 1H 1M
Why Your ADHD Brain Might Have Been an Evolutionary Advantage ft. Dr. Alex Curmi
from Hold On, What Was I Saying? · host Emily Southwell and Megan Richards
Is ADHD actually a disorder — or is it a brain that evolved for a completely different world?In our first ever guest episode, we sit down with Dr. Alex Curmi — psychiatrist, psychotherapist, and host of The Thinking Mind podcast — for one of the most eye-opening conversations we've ever had on this show.We get into evolutionary psychology, why the ADHD brain may have been an extraordinary advantage in hunter-gatherer times, and why modern life — think open-plan offices, smartphones, TikTok, and 9-5 schedules — is essentially kryptonite for the way our brains are wired.But this episode goes way beyond the theory. Dr. Alex gets into the stuff that actually affects our day-to-day lives: why so many women aren't diagnosed until their thirties or forties, why medication alone isn't enough, and the specific, practical interventions that can genuinely help with the ADHD symptoms that nobody talks about enough — impulsive spending, emotional dysregulation, and rejection sensitive dysphoria.In this episode:What evolutionary psychology actually is and why it changes how you see your ADHD brainThe hunter-gatherer theory — why ADHD traits that feel like problems today may have been survival superpowersWhy smartphones and social media actively make ADHD symptoms worse (neurologically, not just in a "phones bad" way)The real reason so many women are diagnosed late — and what gets missedWhy ADHD is a spectrum and what severe ADHD actually looks like day-to-dayThe overdiagnosis vs. underdiagnosis debate — Dr. Alex's honest, nuanced takeWhy medication is just one piece of the puzzle and what else needs to happenDialectical Behaviour Therapy (DBT) techniques for emotional regulation and RSD — explained simply and actually usefullyThe journaling technique Dr. Alex uses with patients to rewire impulsive spending habitsHow to structure your life and career around your ADHD strengths rather than constantly fighting your weaknessesWhere to start if you're struggling and don't know what to do nextDr. Alex's take-home message: You don't have to stay stuck. Start with the simple stuff — sleep, exercise, cutting back on overstimulating tech. Try the strategies. And if you've tried a lot by yourself and you still need more support, reach out to a professional. But don't let your problems just simmer.We are not medical professionals — we are just two women with ADHD having the conversations we wish someone had with us sooner. Dr. Alex is the expert in the room and this one is genuinely worth listening to twice.Find Dr. Alex Curmi:🎙️ The Thinking Mind Podcast — available on Spotify, Apple Podcasts and YouTube📱 Alex Curmi TherapyNew episodes every week. If this one helped you feel less alone or gave you something useful, please leave us a review — it genuinely helps more people find the show.#ADHD #ADHDWomen #EvolutionaryPsychology #ADHDDiagnosis #ADHDPodcast #MentalHealth #DBT #RejectionSensitiveDysphoria #EmotionalDysregulation #ADHDTips #NeurodivergentWomen #ADHDInWomen #LateADHDDiagnosis #ADHDLife #Psychiatry #ADHDBrain
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Why Your ADHD Brain Might Have Been an Evolutionary Advantage ft. Dr. Alex Curmi
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