ADHD Dopamine Mechanism: Vigilance Calibration Through Arousal-Reward Circuit Modulation | Dr. Sydney Ceruto — MindLab Neuroscience

The prevailing narrative surrounding ADHD medication efficacy represents not a correction of attentional deficits, but rather a sophisticated modulation of vigilance and reward processing circuits. Recent neuroimaging research published in Cell suggests stimulant medications operate through arousal and reward systems rather than directly enhancing attentional control networks. This paradigm shift reframes our understanding of executive function support from cognitive enhancement to neural circuit calibration—a distinction with profound implications for high-performing professionals seeking to optimize their cognitive architecture through neuroscience-informed approaches rather than conventional behavioral interventions. ...

February 20, 2026 · 9 min · 1722 words · Dr. Sydney Ceruto