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“If You’re Smart and Still Struggling, This Might Be Why” Many high-achieving professionals assume that if things feel hard, they must be doing something wrong. They’re not. Brains under pressure can look like: “I know what to do, I just can’t start” “I’m exhausted but can’t shut my mind off” “Why does everyone else seem to manage this better?” Often the issue isn’t motivation—it’s unrecognized ADHD, anxiety, mood disorders, burnout, or some unhelpful combination of the above

Introduction In 2011, We ( Rif El-Mallakh MD, Jeannie Roberts MD and myself, Anton Surja, MD ) introduced the concept of tardive...