Richard J Kuehn LPC-S,
Psychotherapist
PSYCHOTHERAPY. COUNSELING. COACHING

ADHD
Here’s a scene I see often. See if you recognize it:
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It’s late. The office is quiet. The document is open. The report, project bid, or title opinion needs careful, sustained attention.
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And then, almost without noticing, your phone is in your hand. Your feed. Sports clips. News. Investments. Videos. Nothing urgent. Nothing important. Just enough stimulation to interrupt the work. And before you know it, hours have passed. You are exhausted.
Maybe even a little ashamed.
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This isn’t ignorance. You know exactly what needs to be done.
It isn’t rebellion. You want to do good work.
It’s distraction.
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When the pressure lifts and no one is watching, attention slides toward whatever is easiest to entertain. Not because the work lacks value, but because the soil of your sense of agency was never deep enough to hold your attention steady.
It's not your fault, you never learned how to ground your intentions.
And you are reading this because you are ready to learn how.
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How ADHD Often Shows Up in Men
For many men with ADHD, especially high-functioning professionals, the problem isn’t chaos.
It’s a lack of a stable internal anchor for attention.
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They’ve spent years responding to deadlines, supervisors, exams, clients, and crises. Structure came from the outside, and it worked well enough to build a career. But when sustained effort must be generated internally, when the work depends on personal authorship rather than pressure, attention begins to fragment.
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The lack of a deep anchor increases stress.
Stress looks for relief.
And relief finds distraction.
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Why This Isn’t a Discipline Problem
Most men work hard. They’ve proven it repeatedly. But what they were never equipped with was the ability to articulate their own intentions. They were taught what game to play, and they played it well enough, but they were never asked why or how they wanted to play the game in the first place.
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Then, when no one is watching, they struggle to stay focused.
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Without that grounding, attention defaults to whatever offers the quickest relief from friction.
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ADHD, here, isn’t a lack of capacity.
It’s a lack of internal anchoring.
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How I Work with ADHD
My work focuses on rebuilding internal structure.
That means:
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clarifying what actually deserves your attention
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strengthening the ability to hold importance in mind under distraction
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reducing reliance on pressure, novelty, or crisis to function
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restoring follow-through rooted in purpose, not adrenaline
We’re not trying to eliminate distraction.
We’re building something heavier than it is.