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Undiagnosed ADHD in Women Women who have not been diagnosed with ADHD often experience low self-esteem. They struggle to live up to the expectations of society and repress their anger. They can also suffer emotional distress, including rejection sensitivity. They are more likely to engage in risky behaviours. ADHD symptoms can also vary with hormonal changes like the menstrual cycle, pregnancy, and menopausal changes. This makes it more difficult to diagnose. Signs and symptoms Women may be unable to recognize their ADHD symptoms because they often mask them. This can lead an incorrect diagnosis and the wrong treatment could cause more issues. Women often report difficulties getting diagnosed, especially when they are adults. This could be because the criteria for diagnosing were developed based on research conducted with males. Some experts are working to improve these criteria. Symptoms of undiagnosed ADHD in women can be similar to those in men. Many people with ADHD have difficulty concentrating and listening. They might forget important tasks or misplace things. They may spend long hours organizing their home or work space, but they fail to keep up with it. They often get distracted easily by the noise or activities that are happening around them. People with ADHD might have trouble relaxing and may worry a lot about themselves or other people. Undiagnosed ADHD can affect girls and women in every aspect of their lives. They may be struggling at work or school as well as having issues with their romantic relationships and friendships. They might be afflicted with low self-esteem and anxiety, so they may use unhealthy strategies to cope such as alcohol or drugs. Undiagnosed ADHD can increase frustration and misunderstandings in relationships with friends, family and colleagues. Teachers and coaches could criticize them or they may feel unfairly treated at work. Being diagnosed with ADHD can make it harder to concentrate on tasks and meet deadlines. Over the years many people who have not been diagnosed with ADHD have developed strategies to cope. They might work late into the night to stay ahead of their tasks or conceal their problems from family members. When they realize that their struggles are the result of ADHD, it is like a lightbulb moment. They can then understand how to overcome their obstacles and utilize their strengths (like creativity and high levels of energy) to their advantage. Undiagnosed ADHD may cause negative effects on the person's career, relationships, and life. It can cause financial instability, social isolation, and even depression. Some people with undiagnosed ADHD develop a dependency to stimulants like amphetamines and cocaine. This can cause serious health issues like heart disease and stroke. Diagnosis Many women suffering from ADHD are not diagnosed because the symptoms are more difficult to detect in women than they are in males. This could be due the fact that women are more hesitant talking to health professionals about their struggles, and are more likely to resort to strategies to manage their ADHD symptoms. These coping strategies may include changing their behavior, for example, working longer hours at school or at work to make up for their inability to focus or employing productivity tools to stay organized and on track with their projects. These strategies might be effective in the short run but they can be exhausting and not sustainable. Many people are unaware of the fact that women they know might be suffering from ADHD due to gender stereotypes. Some symptoms may be more severe due to hormonal changes like menstrual or pregnancy. This can lead to women being misunderstood or dismissed as moody and emotionally tense. This can further increase the anger of these women. The most frequently undiagnosed symptoms of ADHD for women include forgetfulness, difficulty concentrating, impulsivity, a tendency to jump from one task to the next, and difficulties maintaining relationships. Undiagnosed ADHD is more common in women. They are also more likely than other people to have coexisting conditions such as anxiety or depression. These conditions can have symptoms similar to ADHD and could result in the wrong diagnosis and treatment. It can be difficult to determine the cause of anxiety and ADHD because they share many symptoms. The signs of anxiety include agitation, difficulties in concentrating and a constant feeling that something is wrong. The impulsivity and lack of attention of ADHD are not present in the anxiety disorders. A diagnosis from a professional of undiagnosed ADHD can be life-changing for women. In several studies, patients reported that their symptoms diminished when they received an expert diagnosis. They stopped blaming themselves for their own struggles and began to see their challenges as something that they could manage. Finding a diagnosis of ADHD is a long process but the rewards are great. Treatment of ADHD through psychotherapy and medication can improve relationships, assist women succeed at school and work and provide them with a better understanding of themselves. Treatment Women and girls have different ADHD symptoms than males. This makes it difficult to identify and treat. It is also possible that girls are better in hiding their symptoms, making it more difficult to get help or support. This could be due to having trouble remembering appointments, failing to complete tasks at school or at work, and experiencing difficulties in relationships. They could also be at higher risk of being pressured to engage in sexually inappropriate activities or being victims of violence from their intimate partners because they have trouble recognizing and responding to their own emotions. Early diagnosis and effective treatment can make a huge difference for these women. A study from 2020 showed that an undiagnosed or late diagnosis could have long-lasting negative impact on the emotional and social health of a woman as well as her ability to build and keep healthy relationships. It can also affect her self-esteem and feeling of control. A majority of women who participated in these studies felt a sense of relief and a sense of self-confidence that increased after receiving a diagnosis and treatment for their ADHD. inattentive add in women is particularly important due to the fact that research has shown women who are not diagnosed with ADHD have lower self-esteem and are less likely to seek treatment than their male peers. They are more likely to blame their impulsivity, attention and problems with organization on personal or social factors rather than their ADHD. In addition to medication, there are a variety of treatment options available for adults with ADHD. The most popular include cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT). CBT helps people identify and overcome negative attitudes and behaviors, whereas DBT helps people develop skills to increase mindfulness and self-acceptance. Neurocognitive Psychotherapy that combines elements of these therapies and training in strategies for increasing focus and concentration is another option. This treatment is available in group or individual sessions and is designed for adults with ADHD. *Note: In this article, the word "women" is used to refer to those who were assigned a female at birth regardless of their gender identity. It also refers people assigned male at the time of birth as "men", to include all gender identities. Support Many people suffering from ADHD are afflicted with a sense of anxiety or a lack of understanding about their symptoms. Women are often misdiagnosed or not properly diagnosed because of the manner in which ADHD manifests in women. This is due to social pressures as well as hormonal changes and other factors. This can lead both to a lack of effectiveness or improper treatment, as well as an increased likelihood of mood disorders like anxiety and depression. Unlike men, who may experience hyperactive and impulsive symptoms more often, women are often better at masking their symptoms at work or school. They may become adept at working late into the night and rely on productivity apps to mask their lack of attention. These strategies for coping can have a negative impact on self-esteem and ultimately the quality of your life. Even when women suffering from ADHD seek help, the diagnostic process can be confusing and frustrating. The traditional ADHD criteria were developed for men, so they may not always capture the full spectrum of symptoms that women experience. Many women who suffer from undiagnosed ADHD have been misdiagnosed with other conditions such as depression or anxiety. Clara was not an exception. She was a smart, hardworking, and dedicated to her profession. But, she struggled to meet deadlines and was overwhelmed by the demands of her job. She felt that her failures were her fault, and that she was not good enough. Her confidence shattered was a knock-on effect of undetected ADHD. It was a moment of revelation when she was diagnosed having adult ADHD. Clara realized that her struggles were not due to her personal shortcomings. She could stop looking at them as a sign of laziness and begin to see her ADHD thread as a thread which can be tied into a meaningful personal and professional life. As signs of add in adult women of the various differences in the ways ADHD manifests in women as well, the need to ensure inclusion in treatments and research will become more important. This is especially relevant in the field of specific treatment for sex, as new research is focused on determining how gender influences the disorder and developing medication that works well for women. We hope that this leads to better treatment and diagnosis for women with undiagnosed ADHD.
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