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Adult presentations of attention-deficit/hyperactivity disorder (ADHD) increasingly arrive in psychotherapy with an established diagnosis, yet some attentional disturbances encountered in psychodynamic work appear more closely linked to schizoid dynamics and difficulties in sustaining symbolization. Drawing on a composite clinical vignette, this article explores how inattention, fragmentation, and episodic collapse of attention and reflective capacity may, in certain adults with ADHD, serve to regulate relational proximity defensively rather than reflecting difficulties that are exclusively neurocognitive. Integrating Bion's account of alpha function, the transformation of raw emotional experience into thinkable form, with Fairbairn's, Guntrip's, and McWilliams's descriptions of schizoid organization and withdrawal, I suggest that in certain cases attentional disturbance reflects a relational and symbolic organization of mind that can be obscured beneath the ADHD label. These questions have gained salience within a hypermodern diagnostic culture in which autism and autism and attention-deficit/hyperactivity disorder have become common self-descriptions in many online and clinical contexts; differentiating these presentations from schizoid phenomenology requires attention to transference and the symbolic field. Despite a rich object relations literature, schizoid organization remains underrecognized as a differential consideration in Diagnostic and Statistical Manual of Mental Disorders–shaped clinical contexts. By situating attentional collapse within a relational, symbolic, and hypermodern cultural frame, this article offers an expanded understanding of adult ADHD and autism and attention-deficit/hyper-activity disorder presentations and highlights the value of psychoanalytic treatment in restoring the conditions under which attention can begin to think.