ADHD’s Early Beginnings
ADHD, also known as attention deficit hyperactivity disorder, is a neurodevelopmental disorder diagnosed in children between the ages of 4 and 7; however, symptoms can occur before 7 years old. While outward disruptive behavior is a more obvious symptom, other symptoms, such as inattention, can be an indicator of ADHD. Examples of getting up, jumping around or making too much noise are all symptoms adults pick up on; however, if you have a really intelligent little boy or girl who gets by but struggles to focus or seems a little socially withdrawn, ADHD can be easily missed.
“I think boys get diagnosed at a much higher rate than girls because people notice behavior more than they notice inattention, for example, and so things that are disruptive are easily captured,” says Sabrina Thakur, clinical director of Pacific Clinics’ Neurodevelopmental Services.
Proper medication is often the route doctors take; however, determining the right dose is complex as children grow and develop.
As of late, women in their mid to late 30s are being diagnosed with ADHD.
“I would credit that to more awareness and a decrease in stigma. I don’t think ADHD is suddenly happening more. I think it’s always existed, but I think women have been socialized to mask more and to be able to display what’s socially appropriate.”
Women often wear multiple hats in their communities – wife, mom, friend, worker, chef, caregiver – and sometimes that can lead to tremendous burnout and overwhelm. By the time they’re in their 30s, they recognize something’s not right.
ADHD and PMDD are Linked
Studies show that women in their 30s are being diagnosed not only with ADHD, but also with a mood disorder called Premenstrual Dysphoric Disorder (PMDD). PMDD is a severe, chronic mood disorder that impacts women during the week before their period. The symptoms mimic premenstrual syndrome (PMS) but on a much more tremendous scale – extreme irritability, depression, anxiety and pain.
“PMDD is extremely debilitating, and people can get suicidal.”
Treatment is a team effort between therapists and OBGYNs. Medication can be exceptionally beneficial, as well as practicing coping mechanisms.
“One of the things we try to help clients with is noticing patterns. If we’re noticing mood instability only certain times of the month, we try to help them track their periods to see if there’s a pattern. If so, we’ll refer them to their OBGYN for an assessment.”
Treatment and Feeling Like Yourself is Possible
Medication can reduce symptoms significantly, which can be birth control and an antidepressant like Prozac.
While medication can help with symptoms, community is key to support and having a sense of belonging.
“I think for so many women who are diagnosed, they may have spent their childhood feeling like they don’t fit in or something’s wrong with them. And this is a time to find your people. It’s just a journey to get there.”
