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ADHD in Older Women Undiagnosed and untreated ADHD is a common issue among women* in their midlife. Hormonal changes can make the issue worse. Many women report feeling unappreciated and overwhelmed by their struggles. Hormonal fluctuations of perimenopause and menopause amplify the emotional dysregulation, and can cause greater executive functioning problems that are associated with adhd. Exercise, eating a healthy diet and working with an therapist who is familiar with adhd can help alleviate your symptoms. Symptoms For women, the diagnosis of ADHD could be later in life than it does for men. This is due to many factors, including the fact that women tend to present with more inattentive symptoms than hyperactivity (which is more easily observed by others) In addition, they tend to develop coping mechanisms to mask these symptoms and hormonal changes during pregnancy, perimenopausal and menopausal cycles can increase symptoms. Appearing aloof during conversations is a typical characteristic of women suffering from ADD/ADHD. This can make it difficult to make connections with others and can lead to problems with inattention and impulsivity. Unhealthy coping behaviors like shopping, TV watching (especially reality shows), and overeating, are also common in women suffering from ADHD or ADD. Another common sign of ADHD is difficulty remembering names. This can be caused by a variety of factors, including by health issues, aging, and menopausal. Women who suffer from ADD/ADHD also have an increased risk of developing depression than men. Furthermore, women who suffer from ADD/ADHD are more prone to various other medical conditions and mental health issues, like eating disorders, tics as well as fibromyalgia and PTSD. To lessen and manage the symptoms of ADD/ADHD it is crucial to treat any underlying conditions. Women with ADD/ADHD have a harder time getting enough sleep, especially compared to other adults. This can lead to exhaustion, which exacerbates symptoms of ADD/ADHD. Insufficient or poor quality sleep can make it harder to stay focused at work, in school, or with household chores. Verywell Health notes that many people confuse “gender” with “ADD/ADHD”. However adhd in adult women test of a person is a matter of biology and gender is a social construct that is based on a person’s internal sense of their self as female, male or non-binary. Gender is distinct from a person's sexual orientation or genital anatomy, as well as the chromosomal makeup. If you suffer from ADD/ADHD or not, there are many strategies that can help you improve your sleep and reduce stress. Engaging in regular exercise, doing meditation or deep breathing exercises and creating a healthy sleep routine can help you achieve better sleep and improve your ability to concentrate. Treatment Women with ADHD face unique challenges when seeking treatment. It can be challenging for those suffering from ADHD to recognize their symptoms and receive the assistance they require. They are more likely to mask ADHD symptoms. They are also more likely to receive a diagnosis later and receive less effective treatment than men. The challenges of ADHD can be made more difficult by hormonal changes that occur during menopausal and perimenopausal. Dips in estrogen and progesterone can increase the emotional dysregulation and executive functioning issues that are common to ADHD. In addition, changes in blood flow that occur with aging can trigger a cognitive declines that resemble ADHD symptoms. As a result, it's important for health care providers to recognize the differences between a normal part of aging and genuine ADHD symptoms. There are many treatment options for people with ADHD that include changes in lifestyle and medications. Good sleep hygiene includes establishing a routine before bed, avoiding screens and eating regularly can help you sleep better. Exercise is important. Many people with ADHD discover that yoga or meditation helps to relax. It's important to talk to your doctor about the treatments that are right for you. Some people who suffer from ADHD can benefit from joining a group for support. These groups offer an opportunity to talk about the challenges you face in your relationships at work, in your relationships, and other areas of your life when you have ADHD. Women with ADHD might also benefit from individual or group therapy that focuses on teaching them strategies for dealing with their ADHD. Therapy may also include cognitive behavior therapy, which can help you to accept your thoughts and feelings, while changing negative patterns of thinking for healthier ones. Receiving a diagnosis of ADHD can be a life-changing event for women. It can help you understand why you have struggled and provide a framework to improve your life. Some people choose to work with a professional coach who can help them learn behavioral strategies and develop goals for their lives. Self-help You can improve your condition by managing it. There are a myriad of professional treatments available for ADHD. These strategies include self-discipline methods as well as lifestyle changes, therapy or counseling. Many people suffering from ADHD also implement stress management strategies, work and home life accommodations, and nutritional changes into their daily routines. It is important to speak with a medical professional prior to beginning any of these strategies to ensure they are suitable for you and will meet your individual requirements. One of the main challenges for women suffering from undiagnosed or adult-onset ADHD is the negative impact it can have on their relationships and family members. The misinterpretation and criticism of spouses, partners and coworkers are common. ADHD symptoms such as forgetfulness missing appointments, and impulsive choices can also test the patience of even the most understanding family members. Couples therapy, classes that emphasize the ability to communicate and resolve conflicts, and other methods can help. Some people who have ADHD are also afflicted by depression and anxiety, which can exacerbate ADHD symptoms. In addition, some women suffer from non-suicidal self-injury (NSSI) which could be characterized as burning, scratching or cutting. NSSI can be extremely risky and is often a symptom of untreated ADHD and it is crucial to talk with your healthcare provider regarding any concerns you might have. It is also common for women suffering from ADHD to experience feelings of depression, shame or self-pity following being misunderstood or dismissed by others. This can cause low self-esteem, procrastination and a lack motivation. A support system that can understand these issues and helps you learn to manage them can make a huge impact on your life. ADHD symptoms are influenced by varying levels estrogen during pregnancy, menstrual cycle, and perimenopause. Certain women experience more severe symptoms during these periods and require more medication to manage their symptoms. Consult your physician about hormone replacement therapy. This can help reduce the symptoms of ADHD and regulate your body's production of estrogen. A ADHD coach can also help you develop tailored strategies to meet your goals and feel more in control of your day-to-day tasks. Genetics The genetic makeup of a person's chromosomes determines the risk for certain disorders, including ADHD. Numerous studies have proven that there are genetic connections between ADHD and medical conditions like lung cancer or coronary artery disease. parents who died at a certain age and demographics like the number of children, age of first born and gender at birth. These results suggest that ADHD is a genetic condition that has a connection with these diseases and that there are also common neurobiological mechanisms that link the two conditions. Women suffering from ADHD might develop coping mechanisms to hide their symptoms. This can make it difficult for doctors to identify and treat them. Masking could mean putting their entire energy into their work, avoiding their issues from their family members or altering their behavior to meet social expectations. Some of these strategies are healthy, while others are not and can lead to a sense of exhaustion and overwhelm. In addition, societal and family expectations often put the burden of caretaking on women and mothers. Expectations that are higher, low self esteem, and the challenges that come with ADHD can cause anxiety and depression. It is not uncommon for these emotions to trigger or even exacerbate ADHD symptoms, like mood shifts and feelings of unworthiness. Certain women experience more severe symptoms during menstruation, pregnancy or menopausal periods when estrogen levels decrease. This is likely to be due to the fact that the decrease in estrogen causes dopamine and serotonin levels to decrease, which can make the symptoms of ADHD worse. Many women have described their ADHD diagnosis as an “lightbulb” moment. They are happy to finally understand the reason for their issues, and can now seek help and therapy. In some instances, the diagnosis can allow the woman to forgive herself for the mistakes she has made in her life due to her ADHD symptoms. Verywell Health acknowledges that sex is more than just biology and it can be difficult to separate the biological gender differences between males and females from gender-based differences that are constructed by society. This article applies to women and people who were assigned female at birth regardless of their gender identity.