07/10/2025
How ADHD and TBI Mimic Each Other â And Why Rewiring the Brain Can Heal Both
When we think about ADHD (Attention Deficit Hyperactivity Disorder) and TBI (Traumatic Brain Injury), we often picture two completely different pathsâone youâre born with, and one you acquire through trauma. But hereâs the surprising truth: ADHD and TBI share many of the same symptoms, and both reflect underlying neurological dysfunction that can be addressed through brain-based healing.
This isnât just a matter of semanticsâitâs a shift in perspective. And it can change the way we treat, support, and even understand the brain.
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Shared Symptoms, Shared Roots
Both ADHD and TBI affect the brainâs ability to regulate, focus, and stay in sync. Here are some of the overlapping symptoms:
⢠Inattention and distractibility
⢠Poor working memory
⢠Impulsivity and disinhibition
⢠Emotional dysregulation (e.g., mood swings, frustration)
⢠Executive dysfunction (difficulty with planning, organization, follow-through)
⢠Sensory overload or hypersensitivity
⢠Sleep disruptions
These challenges are often traced to dysfunction in the prefrontal cortex, disrupted dopamine signaling, and issues in brain network connectivityâparticularly the default mode network, which governs our internal focus and self-awareness.
Whether itâs a brain injury or developmental neurodivergence like ADHD, the bottom line is the same: the brainâs âwiringâ isnât working efficiently.
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ADHD as Neurological Injury
What if we stopped thinking about ADHD purely as a behavioral or attention problemâand started seeing it as a kind of neurological injury? Not in the traumatic sense, like a concussion, but as a brain wired in a way that struggles to regulate, connect, and prioritize.
When we reframe ADHD this way, we move from a place of judgment (âWhy canât they just focus?â) to a place of compassion and curiosity (âWhatâs happening in the brain, and how can we support it?â).
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The Brain Can Heal: Neuroplasticity in Action
Hereâs the most hopeful part: The brain can change.
Thanks to neuroplasticity, the brain has the ability to reorganize itselfâto grow new pathways, strengthen existing ones, and adapt to new ways of functioning. This is true whether youâre healing from a concussion or navigating a lifetime of ADHD.
Neuro-rewiring is not a quick fixâbut it is possible. And itâs powerful.
Ways to Rewire the Brain:
⢠Brainspotting: A therapy that accesses and processes stored trauma or stress through visual and neurological pathways.
⢠Neurofeedback: Trains the brain to self-regulate by giving real-time feedback on brainwave activity.
⢠Mindfulness and meditation: Helps regulate attention and calm the nervous system.
⢠Cognitive-behavioral therapy (CBT): Strengthens executive functioning through structured thinking and behavior patterns.
⢠Somatic therapies and movement: Ground the body and mind, helping integrate emotional and sensory experiences.
⢠Nutrition, sleep, and lifestyle: Foundational to any neurological healing process.
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One Nervous System, Many Paths to Healing
ADHD and TBI might have different origins, but they often affect the same brain systems. When we understand both as expressions of a dysregulated nervous system, we can focus on what helps the brain heal, not just how it was hurt.
This integrative approach opens up new possibilities for healingânot just managing symptoms, but restoring balance, improving function, and reclaiming self-trust.
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Final Thoughts
If you or someone you love is living with ADHD, recovering from a TBI, or both, know this:
You are not broken. Your brain may be dysregulatedâbut it is capable of healing.
With the right tools, therapies, and support, we can begin the process of rewiring the brain, calming the nervous system, and building the resilience needed to thrive.