Women and ADHD
By Dawn M. Olsen
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Interestingly, while much attention to Attention Deficit Hyperactivity Disorder (ADHD) has been focused on boys and men, and for good reason, we now
see a growing number of women and ADHD. In fact, girls, and women with ADHD are
very, under diagnosed. Today, experts in the field estimate that the ratio of
boys with ADHD to girls is four to 1. However, for those that are in current
treatment for ADHD, the ratio climbs to nine to one. What we see is that girls,
and women, are being overlooked when it comes to this disorder, which is a real
shame because they are not being diagnosed but worse, not being treated.
You know the old saying, “The squeaky wheel gets the oil”, well because boys
tend to be more outgoing and more disruptive they typically are identified
easier and quicker than girls are. For example, boys with ADHD will often act
out in class more than girls will. Boys will interrupt, take a bet, and use any
opportunity to get attention whereas girls tend to be a bit more laid back. This
means that when a boy has ADHD, you know it. However, when a girl has ADHD, the
symptoms are not as obvious although they are just as real.
When it comes to women and ADHD, the manifestation is much different from what
you see in boys or men. For instance, if you have a daughter in school, she may
come off as being a tomboy or athletic. She may prefer to socialize with boys
more than with girls, she may be active, and sometimes, get involved with
impulsive situations. On the other hand, girls and women with ADHD could be at
risk for getting involved with situations considered on the edge. However, you
have another display of ADHD whereas the girl or woman simply chooses to become
a wallflower. In other words, while boys and men with ADHD are obvious, girls
and women with ADHD display symptoms in a variety of ways, making identification
and diagnosis difficult.
Now, when it comes to girls, and women and ADHD, you can imagine the frustration
level, them knowing that something is not quite right but having no idea what it
is. Because of this, you will often see girls and women being overly anxious and
very, self-critical. What happens in this case is that because diagnosis is not
made or made late in the game, these girls and women become depressed, often get
involved with drugs or alcohol, and experience unplanned pregnancy. Of course,
these problems now compound the original problem, making treatment even more
challenging. For this reason, when it comes to girls, and women and ADHD, early
diagnosis is essential.
One of the ways in which parents can get a handle is by looking at their
daughter’s childhood. Is she inattentive and introverted? Does she struggle with
depression and anxiety? Today, when you talk to women with ADHD, most will tell
you that as a child, they often got their feelings hurt and felt as if they were
constantly being picked on. The childhood years for these women often involved
being defensive, trying to fit in, struggling in school, getting stomach aches
just to stay home from school, and so on. Although this seemed like normal
childhood behaviors and situations, we now understand that these women probably
had ADHD.
The majority of women with ADHD had this disorder as a child, although it might
not have been seen as a serious problem. For example, the girl might have gone
through long periods of distractibility, which meant she also struggled with
getting along with the teacher who simply thought she was being difficult. The
girl might have felt socially unfit, finding it difficult to fit into any one
group. For this reason, girls would lean toward the “wrong crowd” because this
group did not care that she was different. Perhaps she would draw attention to
herself, trying desperately to get approval from friends, teachers, and family.
Being a young girl and feeling anger, being stubborn, behaving hyperactively,
and dealing with rebellion are all factors associated with ADHD. Sadly, those
things have now been carried along with her into adulthood where at work, she is
seen as disruptive, not a team player, and annoying. At home, she may not feel
like she belongs, that she has to compete with her own children for attention,
or she may have trouble in her marriage or dating relationship. Life as a child
was hard and now life as an adult is even harder!
The good news is that when diagnosed early, girls and women with ADHD actually
respond exceptionally well to appropriate treatment. For the girl or woman, just
knowing why they feel and act the way they do is therapy in itself. Then with
proper medication, psychotherapy, and other forms of treatment, the illness can
be treated with astounding results. Because this is such a problem, we now see
more and more writings and research being focused on women and ADHD.
In addition, women can help themselves by establishing a quiet zone in life.
This means not allowing herself to feel overwhelmed. If you are that woman with
ADHD, you can find a way to excel, finding the things you are good at and then
putting effort and focus on them. Many times, girls, and women with ADHD feel as
if they are failures at everything. Therefore, it is important to find the
things that you enjoy and things at which you excel. Remember, treatment options
have improved over the years so you now have a number of excellent resources
readily available.
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