Excerpt from: The Atlantic Wire (click for full article)
The idea that young adults, particularly women, actually have ADHD
routinely evokes skepticism. As a fairly driven adult female who had
found the strength to sit through biology lectures and avoid major
academic or social failures, I, too, was initially perplexed by my
diagnosis. My peers were also confused, and rather certain my
psychiatrist was misguided. “Of course you don’t have ADHD. You’re
smart,” a friend told me, definitively, before switching to the far more
compelling topic: medication. “So are you going to take Adderall and
become super skinny?” “Are you going to sell it?” “Are you going to
snort it?”
The answer to all of those questions was no. I would be taking Concerta, a relative of Ritalin. Dr. Ellen Littman, author of Understanding Girls with ADHD,
has studied high IQ adults and adolescents with the disorder for more
than 25 years. She attributes the under-diagnosis of girls and
women—estimated to be around 4 million who are not diagnosed, or half to
three-quarters of all women with ADHD—and the misunderstandings that
have ensued about the disorder as it manifests in females, to the early
clinical studies of ADHD in the 1970s. “These studies were based on
really hyperactive young white boys who were taken to clinics,” Littman
says. “The diagnostic criteria were developed based on those studies. As
a result, those criteria over-represent the symptoms you see in young
boys, making it difficult for girls to be diagnosed unless they behave
like hyperactive boys.”
ADHD does not look the same in boys and girls. Women with the disorder
tend to be less hyperactive and impulsive, more disorganized, scattered,
forgetful, and introverted. “They’ve alternately been anxious or
depressed for years,” Littman says. “It’s this sense of not being able
to hold everything together.”
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