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Inattentive ADHD in Women Many women struggle for years before being diagnosed with ADHD. It can be a real lightbulb moment when they are diagnosed. Symptoms can fluctuate due to hormonal changes. For example, women may notice their symptoms get worse during their menstrual cycle, or during pregnancy. Women can also accept their ADHD traits, which leads to depression. This can make it more difficult to recognize and treat ADHD. Causes Women who suffer from inattention ADHD tend to not be diagnosed until adulthood, when their problems begin to impact with work, school and personal relationships. This is due in part to gender bias in both clinical settings and the perceptions of parents and teachers who are less likely to recognize ADHD symptoms in girls than boys, even when the symptoms are evident (Ohan and Visser 2009). Attention-deficit ADHD causes women to forget appointments, forget deadlines and lose track of time, making it hard to plan ahead and organize their thoughts. It can also be difficult to prioritize tasks. They may be unable to focus on conversations and may become distracted by external stimuli, or internal thoughts and daydreaming. These issues can result in poor performance at work or in school, which can lead to a low self-esteem. Many women with inattentive ADHD are often misunderstood and mistreated by their family, friends and coworkers. Their anger over their symptoms can lead to more misunderstandings they encounter. This can result in strained relations. They are often viewed as irrational and moody, which can further aggravate their feeling of being misunderstood. Women who are not attentive ADHD may also be suffering from anxiety and depression. These problems can be exacerbated due to hormonal fluctuations, for instance during menstrual cycles and pregnancy, as well as perimenopausal. During this time estrogen levels decrease, and progesterone levels rise which can cause an increase in ADHD. Environmental factors can also cause inattentive ADHD for example, an unorganized home or at work that is not structured. Women who suffer from inattentive ADHD frequently have difficulty staying focused at work and may fall behind quickly, which can lead to feelings of inadequacy and low self-esteem. They may also be unable to accept criticism or negative feedback. This can further diminish confidence and cause people to avoid social interaction. Women with inattention ADHD are more likely to struggle in developing and maintaining romantic relationships. They are more likely to suffer from coexisting anxiety or depression and may be particularly sensitive to rejection, which can cause them to be more reluctant to commit to a relationship. This can lead to isolation, which can also contribute to feelings of anxiety and depression. Signs and symptoms Many women who are not diagnosed with ADHD suffer from low self-esteem while trying to cope with the condition. They might be discouraged by criticism from people that they are careless, forgetful, or aloof. They may develop unhealthy ways of coping, such as excessive drinking or drug use. They may also resort to non-suicidal methods of self-injury like cutting, burning, or scratching. ADHD symptoms can impact relationships, work and school. Women and girls with ADHD are often misdiagnosed more often as having anxiety or depressive disorders. This is because the symptoms of anxiety and depression are often similar to the symptoms of ADHD. Women who are not diagnosed with ADHD may also have mood swings that make them appear depressed or anxious. These symptoms can be triggered by major life changes like getting married, starting new jobs or having children. Undiagnosed inattentive ADHD in adults is prevalent, and could be mistaken for bipolar disorder or borderline personality disorder. These symptoms include trouble concentration as well as feelings of despair or sadness, and difficulties coping with criticism and stress. When combined with poor time management, these signs can cause problems at school or at work and can cause issues with family and friends. Inattentional ADHD can lead to problems with coping skills in women and girls, including procrastination or underestimating the time an activity will take (timeblindness). They may have difficulty keeping the track of their schedules and appointments and lose or misplace items easily, and jump from one task to the next. They may also struggle with impulse control, such as interrupting others or making impulsive choices. Women who are not diagnosed with ADHD must be aware of their symptoms and seek help. They can seek help through their primary care physician or a mental health specialist. They can also seek to improve their coping skills by employing organizational methods, such as making lists or planning in advance. Exercise releases neurotransmitters which improve concentration and attention. It is also recommended to divide the caregiving and household responsibilities with their spouse or another support networks, so that they are not stressed by chores or running errands. Treatment Treatments for ADHD symptoms typically include therapy and medication. Drugs that stimulate the brain, such as methylphenidate and amphetamines can reduce ADHD symptoms of inattention. Nonstimulant medications such as atomoxetine (Strattera) are also available. Behavioral therapy can help with the emotional and organizational aspects of ADHD. Some therapists offer cognitive behavioral therapy (CBT), in which they help people change negative thoughts or behaviors. Others provide one-on-one therapy which focuses on self-esteem and emotional regulation. Support groups can help people with ADHD connect with other people with the same condition and share tips for managing symptoms. For some women, a diagnosis of inattentive ADHD can be difficult to accept. Some women may think that their issues result from a lack of discipline or poor parenting. This could impact their self-esteem. They may also feel embarrassed and ashamed due to their inability to keep up with school or work. ADHD symptoms can be exacerbated by hormonal changes like those that happen during menstrual cycle, pregnancy or menopause. signs of adhd in women can make it difficult to deal with emotional manifestations, such as irritability or mood swings. These symptoms can also cause difficulties in relationships because of the way they are perceived by others. Women who are not attentive ADHD often struggle to maintain an orderly home life, and this can cause difficulties at school or at work. They may, for instance, forget important appointments or pay their bills late. They may have trouble organizing their school or work materials, and they may be unable to complete tasks. They may have difficulty understanding the social boundaries and interrupting people when they talk. These issues can create conflicts in relationships and can impact a woman's overall perception of self-worth. Many women who suffer from inattention ADHD have a difficult time deciding whether to seek assistance. They might think that their problems aren't sufficient to warrant attention or that they should be in a position to “pull themselves up by their bootstraps.” They may also be afraid of the stigma associated when they are diagnosed with ADHD which could make them less likely to seek treatment. Women with untreated ADHD may develop depression or suicidal. They can also resort to unhealthy coping behaviors, such as alcohol or substance abuse, which can lead to health issues and other issues, like self-injury that is non-suicidal (NSSI), which includes cutting or burning. Self-Esteem Women suffering from ADHD are often plagued by feelings of inadequacy and chronic stress. This can make it more difficult to recognize and articulate symptoms and seek treatment. It is also common for women to cover up their symptoms or devise strategies to conceal them from others, especially as they age. Masking can cause difficulties at school or work, and can cause relationships to suffer. In addition, research shows that women suffering from ADHD are more likely than males to experience symptoms relating to sensitivity to rejection, and also to be unable to find jobs. These experiences can lead to negative self-talk, which can lead to an insecurity and difficulty in social relationships. It is important that women suffering from ADHD receive a proper diagnosis and treatment. It's important that they are able to access the right therapist or clinician who is knowledgeable about the issues that girls and women face with ADHD. As girls and women become teenagers, they might encounter cultural and social norms that place the majority of the household and parenting responsibilities on them, and which differ from those imposed on fathers. These pressures can lead to anxiety and depression and lead to disorganized, chaotic home environments, unfinished projects and a lack of willingness to ask for help or admit they have a problem. It's also normal for females with ADHD to experience symptoms that are related to puberty and adolescence, and also to experience premenstrual dysphoria. These symptoms can be caused by the fluctuations in hormones and can be misinterpreted as anxiety or mood shifts. Women suffering from ADHD often experience insufficient awareness of their condition, and are less likely to receive treatment than males. They are more likely to suffer negative outcomes in adulthood which include problems with relationships, unemployment, and substance abuse. They are also more likely than men to be misdiagnosed and go undiagnosed for the remainder of their lives. This gap can be closed by increasing awareness and advocacy efforts to help health professionals as well as teachers and parents to recognize the signs of ADHD in women and girls.