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High Functioning ADHD in Women Women with high functioning adhd experience frustration and miscommunication in their relationships. The symptoms can become more severe during times of hormonal change, such as the menstrual cycle and pregnancy. Many women and girls resort to compensatory strategies to mask their symptoms and impairments can delay referral. This group of patients faces a unique set of problems that must be considered when treating them. 1. Insecurities about self-esteem Women can feel depressed by the emotional and social challenges of ADHD. Even when they are successful, it is easy to feel like they're a failure because of things they can't change. This can lead to an endless feeling of being overwhelmed and unsatisfied. This can have a negative impact on their mental health. Girls who suffer from ADHD who aren't treated are at a greater chance of developing chronic low self-esteem as well as teen pregnancy. They also have a higher risk of depression, anxiety and substance abuse. As adults, they're more likely to be single-parents of a child with ADHD and experiencing financial crisis or unemployment. They're also more likely to suffer with eating disorders, and their unhealthy patterns can pass down to their children. It is essential that girls receive a diagnosis because it will allow them to better understand the challenges they face and manage their symptoms. Many women report feeling more confident after receiving a diagnosis. They can stop being a victim of things they aren't able to control. It can also help to reframe their issues and help them focus on what's important (Waite 2010). As women age and approach menopausal age, their hormone levels could change, and ADHD symptoms could worsen. This makes it more difficult for them to be identified and treated, as they're often misdiagnosed as anxiety or mood disorder, and their symptoms are viewed as “hormonal” or “that time of the month.” Untreated adult ADHD can have devastating impacts on a woman's self-esteem, and her relationships with family and friends. The symptoms can disrupt women's daily routines, leaving her irritable and exhausted. She might feel like she can't refuse people, causing her to become overburdened and resentful of those who are around her. She might find it difficult to manage the work and home lives of her children which can lead to unscheduled appointments and files being lost. She could be more easily angered when she is not liked, making her more likely to snap at those she likes. 2. Rejection Sensitivity Rejection sensitivity causes you to feel extremely hurt when you are rejected. This can be real or perceived. A disagreement with your partner or an insult from a coworker at work can trigger your symptoms. The brain's natural defense mechanisms are overstimulated and result in thoughts and feelings that could harm your self-esteem and relationships. Rejection sensitivity can also result in anxiety, depression and mood fluctuations. Although it's often linked to ADHD Rejection sensitivity is actually a sign of emotional dysregulation that affects the way your brain handles emotions and how you respond to them. Other mental health conditions like borderline personality disorder could also be a cause for these symptoms. RSD patients may perceive events through a filter, which makes them appear brighter or darker than they actually are. This can cause them to interpret and interpret events as if they are related to rejection, even if they're not. RSD can cause you to be in a state of being unable to control your emotions. This is why it is essential to develop healthy coping strategies to deal with RSD. Learn more about the sensitivity to rejection by reading the articles below: While there is no cure for RSD however, you can manage your symptoms with the help of a mental health professional. You can employ strategies for coping, such as cognitive behavior therapy, which helps you change your negative thought patterns. You can also create a support network and practice mindfulness to lower your risk of reacting negatively to rejection. This will help you overcome your RSD so that you can live a more fulfilling and happy life. Avoid relationships that are toxic, since they can worsen your symptoms. If you're in a abusive relationship, get counseling to learn how to get out. This will reduce the risk of feeling depressed and anxious like depression and anxiety. You can also boost your self-esteem by developing healthy relationships. This will help you feel more confident about your abilities and provide you with a more realistic perspective on the world around you. 3. Sexuality ADHD symptoms can make maintaining a healthy relationship difficult. This can cause sexual dysfunctions or risky behaviors. Research suggests that women suffering from high functioning adhd are at greater risk of experiencing these sexual problems than non-ADHD counterparts. adhd in women test iampsychiatry can lead to feelings of shame and guilt and can have a negative effect on the quality of their relationships and overall well-being. In one study, adults with ADHD were found to be more likely than those without ADHD to be sexually adventurous. interest. This was the case for both males and females. This is likely due to their higher levels of impulsivity which can make them more likely to act on sexual desires and ideas. Particularly, the study revealed that women with adhd were more likely to engage in paraphilic masturbation fantasies and actions. This included submissive role play, bondage and sex with strangers. It was also common for them to go out to party and sex clubs. Both females and males suffering from adhd had a higher rate of infidelity than those who did not have the disorder. This was due to their lack of impulse control and alcohol disinhibition. This is probably due to their higher levels of insecurity and a feeling of being misunderstood or misjudged by their partners. The survey also asked participants to report their experiences with extra-partner sexual relations and sexual interactions without the use of contraception. Table 6 outlines the results for this section. The study also utilized the Hypersexuality-Symptom Inventory-19 (HBI-19) which surveyed participants about their problematic sexual behavior. The questionnaire is comprised of 19 items that are divided into three subscales. Each item is scored on five-point scale, starting from 1 (never to 5) (very frequently)). The higher the score, the more symptomatology is present. The HBI-19 was used to compare the sexual behavior of adults who have and those without ADHD. These findings are significant, because the psychosexual outcomes for adults with ADHD were not studied as often. They have been linked with sexual dysfunctions, such as STIs and unwanted pregnancy, relationship dissatisfaction, adult onset infidelity, and dangerous sexual behavior. 4. Relationships Many people with high functioning ADHD have trouble in their romantic relationships. A lack of communication, and misunderstandings due to issues like inattention and forgetfulness can cause anger, resentment, and a conflict in the relationship. Maintaining healthy relationships can be assisted by a network of family and friends who understand. It is important to remember, too, that people who suffer from ADHD have a difficult time listening. They are easily distracted by their own thoughts or impulsive behavior which can cause them to lose focus on the main reason for a discussion. People with ADHD are more likely to have difficulty with multitasking, too which could cause them to lose track of conversations or do other things while others talk. These struggles can result in a vicious cycle in which the non-ADHD partner becomes overwrought with anger and stress, and the ADHD partner feels misunderstood and defensive. They may then become more withdrawn and the issue can escalate from there. Women with high-functioning ADHD are often overwhelmed and exhausted by the demands of their lives. They may experience low self-esteem or shame due to their impulsive, unorganized behavior. It is also possible that they feel like they cannot manage their chores and bills. They can also suffer from mood swings and sensitivity to rejection as well as low sexual drive. It is important that those who suffer from ADHD find a treatment and seek assistance. It is essential that the people closest to them, especially spouses, understand ADHD and how it affects the person they love. Together, they can establish clear expectations and establish boundaries. Then, they can develop a plan to meet their goals. The non-ADHD partner could take on more financial responsibility while the person with ADHD is focused on organizing and finishing the housework. In addition, both parties should be able to communicate efficiently and clearly, and establish a routine that incorporates regular sleep patterns, meal times and time for rest and relaxation. It is important to discover ways to make things easier for both spouses, such as splitting household chores or outsourcing certain tasks that are difficult for someone with ADHD.