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Writer's pictureD.Bhatta

How ADHD Affects Men vs. Women


ADHD
ADHD

ADHD, or Attention Deficit Hyperactivity Disorder, is often associated with the image of a hyperactive young boy bouncing off the walls. But ADHD doesn't discriminate based on age or gender. In fact, many adults are diagnosed with ADHD later in life after years of struggling with its often-overlooked symptoms.

While the core characteristics of ADHD – inattention, hyperactivity, and impulsivity – are present in both men and women, they can manifest differently depending on gender. Understanding these differences is crucial for accurate diagnosis and effective treatment.

The ADHD Spectrum: More Than Meets the Eye

ADHD exists on a spectrum, with varying levels of severity and different presentations. While some individuals may experience all three core symptoms, others may predominantly struggle with inattention or hyperactivity/impulsivity.

The presentation of ADHD can also vary depending on gender:

ADHD in Men: The Externalized Struggle

In men, ADHD often presents with more externalized symptoms, such as:

  • Hyperactivity: Restlessness, fidgeting, excessive talking, difficulty relaxing.

  • Impulsivity: Acting without thinking, interrupting others, taking risks, making impulsive decisions.

  • Disruptive Behavior: Difficulty following rules, social inappropriateness, conflict with authority figures.

These behaviors are often easily recognizable and can lead to earlier diagnosis and intervention for men. However, men with ADHD may also experience internal struggles like low self-esteem, anxiety, and difficulty maintaining relationships.

ADHD in Women: The Internalized Struggle

In women, ADHD often manifests with more internalized symptoms, such as:

  • Inattention: Difficulty focusing, disorganization, forgetfulness, feeling overwhelmed, procrastination.

  • Internal Restlessness: Racing thoughts, anxiety, difficulty relaxing mentally.

  • Emotional Dysregulation: Mood swings, irritability, low self-esteem, difficulty coping with stress.

These symptoms can be more subtle and easily overlooked or misdiagnosed as other conditions like anxiety or depression. Women with ADHD often develop coping mechanisms to mask their symptoms, which can further delay diagnosis.

The Impact of Gender Bias and Stereotypes

Societal expectations and gender stereotypes can also play a role in how ADHD is perceived and diagnosed in men and women. Boys are often expected to be more active and impulsive, while girls are encouraged to be quiet and compliant. This can lead to boys with ADHD being labeled as "troublemakers" and girls with ADHD being overlooked or labeled as "daydreamers" or "spacey."

The underdiagnosis and misdiagnosis of ADHD in women can have significant consequences, as untreated ADHD can lead to a range of challenges in personal, academic, and professional life.

Breaking the Silence: Empowering Women with ADHD

Recognizing the unique challenges faced by women with ADHD is the first step towards empowerment and support. Here's what you can do:

  • Educate Yourself: Learn about the different presentations of ADHD in men and women.

  • Seek Professional Help: If you suspect you or a loved one may have ADHD, don't hesitate to consult with a healthcare professional.

  • Advocate for Yourself: Speak up about your experiences and advocate for accurate diagnosis and appropriate treatment.

  • Connect with Others: Join support groups or online communities for women with ADHD.

  • Challenge Stereotypes: Help break down the stigma and misconceptions surrounding ADHD in women.

ADHD Treatment in Nepal: Your Path to Well-being

If you're diagnosed with ADHD, there are effective treatment options available in Nepal:

  • Medication: Stimulant and non-stimulant medications can help improve focus, attention, and impulse control.

  • Psychotherapy: Cognitive Behavioral Therapy (CBT) can help you develop coping skills, manage emotions, and challenge negative thought patterns.

  • ADHD Coaching: Coaches can provide guidance and support in areas like time management, organization, and goal setting.

  • Lifestyle Changes:  Regular exercise, healthy sleep, mindfulness practices, and a balanced diet can all contribute to better ADHD management.

Bhatta Psychotherapy: Your Partner in Mental Wellness

If you're seeking professional support for ADHD in Nepal, consider Bhatta Psychotherapy. Our team of experienced psychologists specializes in ADHD assessment and treatment. We offer a compassionate and individualized approach to help you understand your unique challenges and develop strategies for success.

Your Journey Starts Now

Remember, you're not alone. Many adults in Nepal are living fulfilling lives with ADHD. By seeking help, embracing your strengths, and advocating for yourself, you can overcome the challenges and unlock your full potential. Don't let ADHD define you – take charge of your life and create a future that reflects your true capabilities.


References

Books:

  • Barkley, R. A. (2015). Taking charge of adult ADHD. Guilford Press.

  • Brown, T. E. (2017). Attention deficit disorder: The unfocused mind in children and adults. Yale University Press.

Journal Articles:

  • Quinn, P. O., & Madhoo, M. (2014). A review of attention-deficit/hyperactivity disorder in women and girls: Uncovering this hidden diagnosis. The primary care companion for CNS disorders16(3), PCC.13r01583.

  • Hinshaw, S. P., Owens, E. B., Sami, N., & Farone, S. V. (2006). Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: Continuing impairment includes elevated risk for suicide attempts and self-injury. Journal of Consulting and Clinical Psychology74(3), 481–491.

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About Author

D.R. Bhatta, MA, (Ph.D. Scholar), Psychologist (Nepal)

Since 2015, I've been working as a psychologist in Nepal, offering in-person and online services globally. My areas of expertise include trauma, personality disorders (particularly Borderline and Histrionic), and Adult ADHD. But my curiosity extends far beyond these! I'm a voracious reader, devouring books on everything from spirituality and science to ancient religions, metaphysics, and of course, psychology.

This blog is my way of fostering open and honest conversations about mental health, especially for young adults (aged 18-35) around the world. I believe knowledge is power, and I want to empower you to navigate mental health challenges.

Here's where you come in! By sharing this blog on social media, you can help me on this mission to create a more informed and supportive global community. Let's break down stigmas and empower each other!

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