Doctors' Notes: Focus
What's Up Docs?
BBC
4.4 • 659 Ratings
🗓️ 3 February 2026
⏱️ 24 minutes
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Summary
Drs Chris and Xand continue their conversation about focus with Duncan Astle, Professor of Neuroinformatics at the Department of Psychiatry at Cambridge University.
Chris and Xand want to know what the impact of having ADHD is, whether a diagnosis can help and if it can predict anything, the neurology and evolutionary explanations for ADHD, and which interventions are currently available. They also explore some controversial ways of improving focus and hear Dr Astle’s personal and clinical perspective on focus and ADHD.
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Presenters: Drs Chris and Xand van Tulleken Guest: Dr Duncan Astle Producer: Maia Miller-Lewis Executive Producer: Rami Tzabar Editor: Jo Rowntree Assistant Producer: Maia Miller-Lewis Researcher: Mili Ostojic Tech Lead: Reuben Huxtable Social Media: Leon Gower Digital Lead: Richard Berry Composer: Phoebe McFarlane Sound Design: Ruth Rainey
At the BBC: Assistant Commissioner: Greg Smith Commissioning Editor: Rhian Roberts
A Loftus Media production for BBC Radio 4.
Transcript
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| 0:00.0 | BBC Sounds, Music, Radio, Podcasts. |
| 0:07.1 | Hello and welcome to Doctor's Notes. I'm Dr. Zandt. I'm Dr. Chris. |
| 0:11.4 | We've just finished recording an episode about attention and focus with a very brilliant neuroscientist |
| 0:17.3 | at Cambridge University, Professor Duncan Astell, he's a professor of neuroinformatics |
| 0:22.3 | in the Department of Psychiatry. I think this is an episode that will involve every single one |
| 0:28.0 | of our listeners, Sart. Well, it's an important topic because it affects everyone's life. |
| 0:34.1 | Everyone would love to be able to pay attention to the things they're meant to be |
| 0:37.6 | paying attention to easily and effectively. But it's also very sort of pathologised. Like we |
| 0:45.1 | increasingly think of not being able to pay attention as a kind of disease state or a bad thing. |
| 0:51.0 | Disorder. Yeah. And I think digging into that is one of the things that we tried to do on this |
| 0:57.2 | episode of Doctor's Notes. |
| 0:59.3 | Zahn, for me, in the main episode, the big thing was Duncan getting me to consider, |
| 1:04.5 | rather than my struggles with attention, what my brain is trying to do, what the purpose |
| 1:09.2 | of the brain is when it comes to attending to |
| 1:12.0 | and assimilating all of the inputs and sensory information and why it might be a struggle. |
| 1:17.3 | And I think he gave some great tips, didn't he, about how to manage those sensory inputs |
| 1:22.0 | in order to increase your ability to do a single thing. |
| 1:26.4 | In Doctors and Oates, we go into a bit more detail about diagnoses around attention and focus. |
| 1:32.9 | Important to say it's not the deepest dive we could do, |
| 1:36.8 | and this I think is a subject, along with other aspects of neurodiversity |
| 1:40.3 | that we're going to be returning to again and again. |
| 1:43.0 | Zandi, should we open the notes? |
... |
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