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ADHD in Older Women Many womenin their middle age suffer from undiagnosed and untreated ADHD complicated by hormonal changes. They often feel misunderstood by their struggles and feel overwhelmed. The hormonal fluctuations that accompany perimenopausal or menopausal change can increase emotional dysregulation as well as executive dysfunction that is caused by adhd. Exercise, eating a balanced diet and finding an therapist who is familiar with adhd can improve your symptoms. Signs and symptoms For women, a diagnosis of ADHD could be later in life than for males. This is due to a variety of factors, including the fact that women are more likely to exhibit more inattention symptoms than hyperactivity (which can be more easily observed by others) In addition, they tend to develop coping mechanisms that mask these symptoms, and hormonal changes during pregnancy, perimenopausal changes and menopausal changes can intensify symptoms. Appearing aloof during conversations is a common symptom for women with ADD/ADHD. This can make it difficult to connect with other people and can increase their impulsivity or inattention. Women with ADHD are also prone to unhealthy coping behaviors like shopping and watching TV (especially reality shows) or overeating. Having trouble remembering names is a common indication of ADHD in women. It can be made worse by a variety of situations, especially those related to age, health, and menopause. Women with ADD/ADHD also have a higher risk of depression than men. Additionally, women with ADD/ADHD are more prone to a myriad of other mental health disorders, like eating disorders, tics, fibromyalgia, and PTSD. To reduce and manage the symptoms of ADD/ADHD, it is essential to treat any underlying condition. It can also be more difficult for women with ADD/ADHD get enough sleep than other adults. This can cause exhaustion, which can worsen the symptoms of ADD/ADHD. Sleep deficient or of poor quality can make it harder to concentrate at work, at school, or on household chores. Verywell Health notes that many people confuse “gender” with “ADD/ADHD”. However sexuality is a biological phenomenon and gender is a social construct that is based on the person's own internal view of their gender as male, female or non-binary. Gender is distinct from a person’s sexual orientation as well as genital anatomies and the chromosomal makeup. If you have ADD/ADHD or not, there are plenty of strategies that can help you improve your sleep and reduce stress. Getting regular exercise, practicing meditation or deep breathing exercises, and establishing a healthy sleeping routine can help you get better sleep and improve your ability to concentrate. Treatment Women suffering from ADHD face particular issues when seeking treatment. It can be difficult for those suffering from ADHD to identify their symptoms and to get the assistance they require. They are also more likely to conceal their ADHD symptoms. They are more likely to receive a late diagnosis and receive less effective treatment than men. The difficulties of ADHD can be made more difficult by hormonal changes that occur during perimenopause and menopause. The fluctuations in estrogen and progesterone can cause an increase in the executive dysfunction and emotional issues that are common to ADHD. The changes in blood circulation that come with aging can also trigger cognitive decline, which can mimic ADHD symptoms. It's crucial that health care providers distinguish between a normal aspect of aging and ADHD symptoms. There are many treatments available to people with ADHD. These include lifestyle changes as well as medication. A good sleep hygiene routine like establishing a routine before the bedtime, not using screens during the night, and eating regular meals can improve sleep. Exercise is also essential and many people who suffer from ADHD discover that meditation or yoga helps them relax. It is essential to speak to your doctor about which treatments are right for you. Some people with ADHD may benefit from joining a group for support. These groups can offer the opportunity to talk in a safe environment about the issues that arise in work, relationships and other areas of life when you have ADHD. Women who suffer from ADHD may also benefit by taking part in individual or group therapy which is focused on teaching strategies to deal with their ADHD. Cognitive behavioral therapy can be used to help you accept your thoughts and emotions while replacing negative thought patterns with more positive ones. A diagnosis of ADHD is a life-changing event for women. It will help you understand the reason you've struggled, and it can give you a framework for improving your life. Some people choose to work with an expert coach who can assist them to develop strategies for coping with stress and set goals for their lives. Self-help There is a wide selection of professional treatment options for ADHD, you can also improve your condition by taking steps to manage it. These strategies could include self-discipline and lifestyle changes or therapy. Many people with ADHD also implement stress management strategies, work and home life modifications to their diet, and accommodations into their daily routines. It is important to speak with a doctor prior to beginning any of these strategies to ensure they are safe for you and address your individual requirements. One of the major issues for women with undiagnosed or adult-onset ADHD is the negative impact it has on their relationships and family members. high functioning adhd in women and criticism from spouses or coworkers are not uncommon. ADHD symptoms such as forgetfulness missing appointments, and impulsive decisions can also strain the patience of even the most understanding loved ones. Couples therapy, classes that emphasize communication and conflict resolution and other techniques can help. Some people with ADHD have anxiety and depression which can worsen ADHD symptoms. Furthermore, some women might develop non-suicidal self-injury (NSSI), which can take the form of scratching, burning, or cutting. NSSI is extremely dangerous and is usually an indication of untreated ADHD and it is crucial to talk with your healthcare professional regarding any concerns you may have. Women who suffer from ADHD might also experience feelings of shame or self-pity when they are misunderstood by others. This can lead to a lack of motivation, procrastination and low self-esteem. A support system that is aware of the struggles you face and helps you learn to manage them can make a significant impact on your life. The different levels of estrogen that occur during menstrual cycles, pregnancy, and perimenopausal periods can affect your ADHD symptoms. Women who suffer from worsening symptoms during these periods and need more medication to manage their symptoms. Talk to your doctor about the possibility of a hormone replacement therapy to help regulate your body's natural production of estrogen and decrease the symptoms of ADHD. An ADHD coach can help you develop tailored strategies to meet your goals and feel in control of your day-to-day tasks. Genetics The chromosomal makeup of a person determines the risk of having certain disorders including ADHD. Several different studies have reported that genetic connections exist between ADHD and medical conditions such as lung cancer, coronary heart disease, parents' age at death, and demographics, such as the number of children in a household, the age of the first child born and sex at birth. These results suggest that ADHD has a genetic connection with these diseases and that there are also common neurobiological processes that connect the two conditions. Women suffering from ADHD might develop coping strategies to disguise their symptoms. This can make it difficult to identify and treat them. This can involve putting all their energy into their jobs, avoiding their problems from loved ones or altering their behavior to meet societal expectations. Some of these strategies are healthy, but others are not and can cause a feeling of exhaustion and overwhelm. Additionally mothers and women are typically expected to care for their children because of societal and familial expectations. The combination of high expectations, low self-esteem, and the challenges of living with ADHD can be a recipe for depression and anxiety. These feelings can trigger or intensify ADHD-related symptoms like mood swings, feelings of inadequacy and anxiety. Women may experience more severe symptoms during pregnancy, menstruation or menopausal symptoms when estrogen levels drop. This is likely due to the the diminution in estrogen can cause dopamine and seletonin levels to decrease, which can make ADHD symptoms worse. Many women describe their ADHD diagnoses as an “lightbulb” moment. They are happy to finally have a reason for their problems, and can now seek support and treatment. In some cases, the diagnosis allows the woman to forgive herself for the mistakes she has made in her life because of her ADHD symptoms. Verywell Health acknowledges that sex is more than just biology and it is often difficult to distinguish the biological gender differences between males and females from socially constructed gender differences. This article is applicable to all women and those assigned female at birth regardless of their declared gender identity.