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High Functioning ADHD in Women Women who suffer from high functioning adhd may experience discontent and confusion in their relationships The symptoms can be more severe during periods of hormonal changes such as the premenstrual and pregnancy cycles Many girls and women resort to compensatory strategies hiding their impairments and symptoms which can delay time to referral This group of patients faces distinct challenges that need to be taken into account when treating them 1 Lack of SelfEsteem The social and emotional challenges that come with ADHD can leave women feeling low Even when they are successful it is easy to feel like failing because of the things they cannot change This can lead to an unending cycle where they feel constantly overwhelmed and never good enough and can affect their selfesteem and mental health Girls who arent treated for ADHD are at greater risk of developing chronic low selfesteem as well as teen pregnancy anxiety depression and abuse of substances As adults theyre more likely to be singleparents of a child with ADHD and facing financial hardship or unemployment Theyre also more likely to struggle with eating disorders and their negative patterns could be passed on to their children Its essential that women receive a diagnosis since it will help them better understand their struggles and manage their symptoms Many women report feeling more confident after receiving an diagnosis They can stop getting angry about things they arent able to manage It can also help them reframe their issues and help them focus on the things that matter Waite 2010 As women age and move towards menopause their hormone levels change and ADHD symptoms may get worse It can be difficult to diagnose and treat people suffering from ADHD because their symptoms may be incorrectly identified and dismissed as hormonal that time of the month or an anxiety disorder Untreated adult ADHD can have devastating effects on womens selfesteem and her relationships with family and friends The symptoms can affect daily routines leaving her frustrated and exhausted She might feel like she cant refuse people which causes her to feel overwhelmed and resentful towards those who are around her It can be difficult organizing her home and work life which leads to missing appointments and documents getting lost She may also be more susceptible to being triggered by rejection so she may be more likely to react defensively and lash out at people she is in love with 2 Rejection Sensitivity Rejection sensitivity is a condition that makes you feel extremely when you are rejected either real or perceived A disagreement with a partner or an insult from a coworker at work could trigger you The brains natural defense mechanisms are overstimulated and result in thoughts feelings and beliefs that can harm your relationships and self esteem Rejection sensitivity can also result in anxiety depression and mood shifts Although its often linked to ADHD rejection sensitivity is actually a sign of emotional dysregulation which affects the way your brain manages emotions and how you respond to them Other mental health conditions like borderline personality disorder may also be a cause for these symptoms People suffering from RSD may see events through an eye that makes them appear darker or dimmer than they really are This can lead people to interpret things as rejection related even though theyre not RSD can make you incapable of controlling your emotions This is why it is crucial to develop healthy coping strategies to deal with RSD Learn more about the issue of rejection sensitivity by reading the articles below While there is no cure for RSD it is possible to manage the symptoms with the assistance of a mental healthcare professional You can use strategies to cope such as cognitive behavioral therapy which helps change your negative thought patterns You can also practice mindfulness and build a network of support to reduce your risk of negative reactions to rejection This will aid you in overcoming your RSD to live a more fulfilling and happy life Avoid toxic relationships because they can cause more symptoms If you are in a abusive relationship seek counseling to find out how you can quit This will help lower the risk of experiencing rejectionrelated feelings such as depression and anxiety You can also increase your selfesteem by creating healthy relationships This will help you feel more confident about your abilities and provide you with an objective view of the world around you 3 Sexuality ADHD symptoms can make maintaining a healthy relationship challenging This can lead to sexual dysfunctions and risky sexual behaviors Women who have high functioning adhd might be more at risk of developing sexual problems These behaviors can also cause feelings of guilt and embarrassment which may affect their relationships and wellbeing In one study people with ADHD were found to be more likely than people without ADHD to have adventurous sexual interest Both genders were affected This could be due to their higher levels of impulsivity which could make them more likely to act upon their sexual desires and ideas Specifically the study found that women with adhd were more likely to engage in paraphilic masturbation fantasies and behaviours This included bondage submissive roles and sex with strangers They also went to sex parties and more clubs Both males and females with adhd had a higher rate of infidelity than those who did not have the disorder This was due their poor impulse control and alcohol disinhibition This could be due to their higher levels of insecurity and a feeling of being misunderstood or misjudged by their partners The survey also asked participants to share their experiences with extrapartner sexual relations and sexual interactions without use of contraception Table 6 presents the results from this section The study also utilized the HypersexualitySymptom Inventory19 HBI19 which asked participants to describe their problematic sexual behavior The questionnaire comprises 19 items that are divided into three subscales Each item is evaluated on a 5point scale ranging from 1 never to 5 very often The higher the score the more symptomatology is present The HBI19 was developed in order to evaluate sexual behaviors between people with ADHD and those who do not These findings are significant due to the fact that the psychosexual effects of people with ADHD are not wellstudied They have been linked with sexual dysfunctions such as STIs and unwanted pregnancy relationships dissatisfaction with relationships and adult onset infidelity and risky sexual behaviors 4 Relationships Many people with high functioning ADHD have difficulties in their romantic relationships A lack of communication and miscommunication caused by symptoms such as inattention and forgetfulness can cause anger resentment and conflict in the relationship A strong network of friends and family members who understand can be beneficial in maintaining healthy relationships It is crucial to keep in mind that people with ADHD have trouble listening They are often interrupted by their impulsive behavior or their own thoughts which may cause them to miss the main point of the conversation People with ADHD are more likely to struggle in multitasking which can cause them to lose track of conversations or engage in other activities while someone else talks adhd in women can lead to a cycle where the nonADHD partner becomes overwrought with stress and resentment and the ADHD partner is misunderstood and defensive The issue can get worse from there as they become more distant Women who have high functioning ADHD often feel overwhelmed and exhausted by the demands of their daily life They might experience feelings of shame and low selfesteem because of their impulsive and disorganized behavior or feel as if theyre unable to keep up with their household chores and bills They might also be suffering from mood swings and sensitivity to rejection as well as low sex drive It is essential that those with ADHD find a treatment and seek out help It is important that those closest to them including spouses are aware of ADHD and how it affects the person they love They can collaborate to establish clear expectations and boundaries and then devise a plan for how they will achieve their goals The nonADHD spouse could take on more financial responsibilities while the person with ADHD is focused on organizing and completing the chores at home Both partners should also be working to improve communication and establish a routine that includes regular sleeping patterns meal times and time to relax and rest It is essential to find ways to make things easier for both spouses such as dividing household tasks or outsourcing certain tasks that are difficult for a person with ADHD