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Inattentive ADHD in Women Many women struggled for years before being diagnosed with ADHD. When they do, it could be like a lightbulb moment. The symptoms may change due to hormonal changes. For example, women may feel their symptoms worsen during their menstrual cycle, or during pregnancy. Women can also internalize ADHD characteristics that can lead to depression. This can make it harder to diagnose and treat ADHD. Causes Women with inattentional ADHD are often not diagnosed until they reach adulthood, at which point their problems start to affect work at school, as well as personal relationships. This is partly due to gender bias in both clinical settings and the perceptions of teachers and parents, who are less likely to recognize ADHD symptoms in girls than boys, even if the symptoms are obvious (Ohan and Visser 2009). Inattentional ADHD can cause women to forget important dates, miss deadlines and lose track of time. They also have difficulty prioritizing their tasks, organizing their thoughts or making plans for the future. They may also find it difficult to maintain focus on conversations and can easily get distracted by external stimuli, or internal thoughts and daydreaming. These issues can result in low performance at work or at school, which can lead to low self-esteem. Many women with inattentive ADHD are often misunderstood by their family, friends and coworkers. Their frustration with their symptoms can increase the misperceptions they encounter. This can lead to tensions between people. They are often dismissed by others as moody or uninformed. This can lead to a feeling of being misunderstood. Women who have inattention ADHD are also afflicted by a variety of emotional difficulties, including depression and anxiety. These issues can be made worse by hormonal fluctuations like during menstrual cycle or pregnancy, or during perimenopausal. During this time estrogen levels decrease, and progesterone levels rise, which can worsen ADHD. Another reason for inattention ADHD is the influence of environmental factors, like a chaotic house environment or a work schedule which lacks structure. Women with inattentive ADHD can have difficulty keeping on track and may fall behind at work, leading to a feeling of insecurity and a sense of failure. They may also be unable to accept negative feedback or criticism. This can further erode confidence and lead to people avoiding social interaction. Additionally, women who have inattention ADHD are more likely to experience difficulties creating and maintaining romantic relationships. They are more likely than other women to be suffering from depression or anxiety and they are more sensitive to rejection. This may make them reluctant to take on a romantic relationship. This can lead to isolation, which can also contribute to depression and anxiety. Signs and symptoms Women who are not diagnosed with ADHD often suffer from low self-esteem as a result of their struggles to cope. They may become discouraged by comments from others that they are careless, forgetful, or aloof. They might adopt unhealthy coping strategies that include excessive drinking or use of drugs. They may also resort to non-suicidal methods of self-injury like cutting, burning, or scratching. Symptoms of ADHD can affect relationships, work, and school. Women and girls with ADHD tend to be frequently misdiagnosed as having anxiety or depressive disorders. This is because the signs of anxiety and depression are often similar to the symptoms of ADHD. Additionally women with undiagnosed ADHD are prone to mood swings that cause them to appear depressed or anxious. These symptoms can be caused by major changes in life, such as marriage, starting new jobs, or becoming parents. Undiagnosed inattentive ADHD in adults is also prevalent, and could be mistaken as bipolar disorder or borderline personality disorder. These symptoms include difficulty concentrating and feelings of sadness or hopelessness and issues dealing with criticism and stress. These symptoms, when paired with poor time management, could lead to difficulties at work or in school and with family members and friends. Inattentional ADHD can cause problems with coping abilities in women and girls, including procrastination, or underestimating the time the task will take (timeblindness). They may have trouble keeping the track of their schedules and appointments, misplace or lose belongings easily, and flit from one task to the next. They may also have issues with controlling their impulses. This can include making impulsive decisions or interrupting others. It is essential for women who have not been diagnosed with ADHD to recognize their symptoms and get help. They can seek help through their primary care physician or mental health specialist. They can also attempt to improve their ability to cope by employing organizational methods like creating lists or planning in advance. Exercise releases neurotransmitters that improve concentration and attention. It's also recommended for them to share household and caregiving duties with their partner or another support group to ensure they do not feel overwhelmed. Treatment A combination of treatments is usually needed to manage ADHD symptoms, including medication and therapy. Stimulant medications such as methylphenidate (Ritalin) and amphetamines could help to reduce the symptoms of inattention of ADHD. Non-stimulant drugs like atomoxetine (Strattera) are also available. The behavioral therapy method is a great way to help with the emotional and organizational aspects of ADHD. Certain therapists employ cognitive behavior therapy (CBT), which teaches people to modify negative thoughts and behaviors as well as offer one-on-one therapy for self-esteem and emotional control. Support groups can help people with ADHD connect with others who have the condition and share strategies for managing symptoms. For some women, the diagnosis of inattention ADHD is difficult to accept. They might believe that their problems result from a lack of discipline or bad parenting, which can impact their self-esteem. They may also feel embarrassed and ashamed by their inability maintain their school schedule or work. The symptoms of ADHD can heighten during hormonal changes, such as those caused by pregnancy, menstrual cycle, or menopause. This can make it difficult to deal with emotional manifestations such as mood swings or irritability. These symptoms can also cause relationship problems because of how they are perceived by other people. Women with inattentive ADHD struggle to ensure a stable home life. This can lead to difficulties at school or at work. For instance, they may miss important appointments or pay bills late. They may have trouble organizing their work or school materials, and they might be unable to finish assignments. They might have trouble in recognizing social boundaries or interrupting others while they're talking. These issues can result in conflict in relationships and affect a woman’s sense of self-worth. Many women with inattentive ADHD have difficulty asking for help. They might think that their issues aren't enough serious to warrant attention, or that they should be able to “pull themselves up by their bootstraps.” They might also be afraid of the stigma associated when they are diagnosed with ADHD which could make them less likely to seek treatment. high functioning adhd in women who are not treated for ADHD can become depressed or suicidal. They might also adopt unhealthy coping strategies, like alcohol or substance abuse. This could lead to health problems and other issues like nonsuicidal harming themselves (NSSI) such as cutting or burning. Self-Esteem Women suffering from ADHD are often plagued by feelings of inadequacy and constant stress. This can make it more difficult to identify and articulate symptoms and seek treatment. Women often cover up symptoms or use compensatory strategies, particularly as they age, to hide their symptoms. Masking can cause issues at work or at school and can affect relationships. Additionally, research has shown that women suffering from ADHD are more likely than men to experience symptoms that are related to rejection sensitivity and to have trouble finding jobs. These experiences can lead to negative self-talk which leads to anxiety and difficulty in social relationships. It is important that women with ADHD receive a proper diagnosis and treatment. It's important that they can access a clinician or therapist that is knowledgeable about the issues that girls and women have to face when dealing with ADHD. As girls and women mature, they may face social and cultural expectations that place the majority of the household and parenting responsibilities on them. These expectations differ from those imposed on men. These pressures can lead to anxiety and depression and lead to chaotic, messy home environments, unfinished projects and a reluctance to ask for help or admit that they are struggling. Premenstrual dysphoria and symptoms of adolescence are also common in females who suffer from ADHD. The fluctuations in hormone levels can make these symptoms more severe, and they might be misinterpreted as a sign of other issues like anxiety or mood shifts. Women who suffer from ADHD are often unable to communicate their condition because of an absence of awareness of their condition, and are less likely to receive treatment than men. They are more likely to suffer negative outcomes in adulthood including problems with relationships, unemployment and addiction issues. They are also more likely than men to be misdiagnosed, and remain undiagnosed for the duration of their lives. This gap can be closed by increasing education and advocacy efforts to assist health professionals, teachers and parents recognize the symptoms of ADHD in girls and women.