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Challenges of ADHD in Women and Girls Girls and women often face a wide range of challenges when untreated ADHD symptoms interfere with their lives They may feel inadequate at work have difficulty with peer relationships and suffer from anxiety or depression They are also more adept in establishing coping mechanisms that conceal their ADHD symptoms making it difficult for them to be diagnosed and treated Symptoms While research confirms ADHD affects boys and men more frequently than girls and women but the gap between genders narrows as people get older This is the reason its crucial that people with ADHD symptoms not feel forgotten or ostracized as they grow older As adult add in women and women grow into adulthood they continue to struggle with ADHD symptoms They may have trouble managing finances keeping their homes clean or maintaining healthy relationships Years of untreated ADHD can also affect their selfesteem and mental health because they blame themselves for their troubles Contrary to other mental disorders ADHD is a condition that lasts for a lifetime Girls and women are more likely to cover up their symptoms using methods of coping but these often backfire In addition hormonal changes during menstrual periods or pregnancy as well as menopausal changes can make it more difficult to manage ADHD symptoms Attentiondeficit ADHD symptoms usually are characterized by being forgetful or numb losing the track of time having trouble paying attention in class or work and trouble with daily routines such as meal planning laundry or scheduling Hyperactiveimpulsive ADHD symptoms can include rushing through tasks jumping from one task to another or making rash decisions It is essential for healthcare providers to be aware of the different ways girls and women are diagnosed with ADHD and to think about whether the presence of anxiety or depression is the cause of their struggles It is crucial that those with ADHD are examined by a certified healthcare provider They can evaluate their symptoms as well as their medical history and rule out any other medical conditions Some people with ADHD also suffer from mental health issues such as depression or anxiety as well as low selfesteem and issues with relationships and social interaction Its also normal for people with ADHD to suffer from other health issues that are cooccurring such as chronic stress tics and fibromyalgia Many girls and women who have ADHD are not diagnosed because their parents teachers or friends dont consider them serious They might not believe that their symptoms are serious enough to require assistance Or they may think that their ADHD symptoms are a result of poor parenting or a lack of selfesteem Some girls and women are diagnosed with ADHD only when their children are treated for ADHD Others are not diagnosed until they are in their 40s or 50s and are experiencing problems with daily life Diagnosis Women are typically not diagnosed with ADHD until they reach adulthood They may also face challenges if it is detected For one thing girls may not have the same hyperactiveimpulsive symptoms as boys and this can make them less likely to be recognised by teachers and parents who are more accustomed to seeing those signs in male children Girls also have strategies to manage their symptoms resulting in them not being noticed as much It is possible that girls problems with organization concentration and impulsivity could be unnoticed for a period of years Women are more likely to suffer from highfunctioning ADHD This makes it harder to detect the symptoms Additionally they may suffer from cooccurring disorders that affect their ability to manage their life including depression and anxiety They may find it difficult to manage their emotions This may be worsened by hormonal changes that occur during menstrual cycle or pregnancy as well as menopausal Many of these conditions can contribute to a lack of selfesteem and difficulties in relationships In the end it can be difficult to talk about their issues and seek assistance This could delay diagnosis and treatment Its also common for people with ADHD to have trouble making friends and interacting with other people They may skip social events not show up for appointments and have trouble reading body language They may even wander off on tangents when talking which makes it difficult for others to follow their lead For these reasons its essential to obtain a correct diagnosis and get it as soon as you can For women this could be a lightbulb moment that gives them an external explanation for their difficulties and allow them to accept their own uniqueness It can also help to identify their strengths and make steps to improve their life management abilities This can positively impact their work family and personal lives Huma Sheikh MD has reviewed the article Treatment Untreated ADHD can affect the personal and professional life of girls and women as they grow into adulthood The symptoms can affect relationships and work performance and cause anxiety and a lack of confidence They may also make it harder to handle the demands of adulthood such as managing finances keeping your home clean and in good relationships Women and girls are less likely to receive a diagnosis of ADHD than boys and men partly because hyperactiveimpulsive symptoms tend to be more commonly associated with males This in turn can create genderbased stereotypes regarding the disorder This can result in women and girls suppressing or hiding their own symptoms to avoid getting stigmatized by society There are effective treatment options for ADHD for both genders A licensed healthcare professional is able to prescribe medications to regulate brain activity and control symptoms Stimulant drugs are the first choice but nonstimulants can also be effective for some people In addition a combination of treatments might be recommended by your doctor to treat related issues such as anxiety or depression In addition to medication lifestyle changes can also help manage ADHD symptoms Regular exercise can release neurotransmitters that increase concentration and focus and reduce stress anxiety and other mood disorders that are common in people with ADHD Physical activities that can be enjoyed in groups like group fitness classes or team sports are especially beneficial Therapy is also an essential component of treatment Cognitive behavioral therapy assists people identify and change negative thought patterns that contribute ADHD symptoms Couples counseling is also helpful in improving communication and resolving conflict in relationships We use the terms girls women and womens to refer to the gender assigned at birth and not to the persons gender identity To ensure that our content is clear and consistent and to avoid confusion among readers we employ this term This article is applicable to all people who were male at birth including transgender and nonbinary people We recognize that gender and sexuality are not mutually exclusive and we are happy to welcome all readers to our website Support Women and people assigned female at birth AFAB with ADHD are more likely to go undiagnosed or get a misdiagnosis than men Thats because girls and women tend to conceal their symptoms so theyre more difficult for doctors to recognize They might also exhibit symptoms that are not obvious to others For instance inattention and disorganization rather than the impulsivity or hyperactivity This masking is especially important for women who often develop coping strategies that allow them to feel normal and meet societal expectations These coping mechanisms can include healthy things like making phone reminders or keeping a daily calendar They could also be harmful like bingeeating or drug abuse Women with untreated ADHD might feel overwhelmed anxious and depressed and they could suffer from relationship problems and chronic stress The difficulties that women and girls who suffer from ADHD face can contribute to feelings of low selfesteem and depression anxiety or somatic complaints like headaches or abdominal pain These issues can cause the avoidance of school or work activities They may also become more dependent on their parents to help them with their daily chores This can lead to an unhealthy cycle of dependence and dependence on others thats hard to break In adolescence girls and women with ADHD may be at greater risk of having sexual relations with nonconsensual partners This can be due to the impulsiveness of their lives insufficient planning or a failure to make use of contraception They are more likely to be forced into sexually inappropriate activities and are at a greater risk of being victims of domestic violence and abuse As adults women who suffer from ADHD typically benefit from medication and coping strategies to manage their symptoms They can also seek therapy whether on their own or with partners They can learn to understand themselves and develop a positive internal dialogue It can help them improve their relationships Support services could also include coaching to teach parenting skills as well as specialized programs for women with ADHD who are pregnant or parenting These programs can help women with ADHD to work and household responsibilities and look after children