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High Functioning ADHD in Women Women with adhd that are high functioning are unhappy and are often misunderstood in their relationships. The symptoms can be more severe in periods of hormonal changes, like premenstrual and pregnancy periods. Many women and girls resort to compensatory strategies to mask their impairments and symptoms can delay the time for referral. This patient group has distinct challenges that need to be considered when treating them. 1. Lack of Self-Esteem The emotional and social challenges that come with ADHD can cause women to feel down. Even when they're successful and have a good time, it's easy for them to feel like a failure due to things they aren't able to control. This can lead to an unending cycle of feeling overwhelmed and unsatisfied. This can have a negative effect on their mental health. Girls with untreated ADHD are at higher risk of chronic low self-esteem, anxiety, teen pregnancy, depression and substance abuse. As adults, they are at a higher risk of becoming parents on their own to a child suffering from ADHD and facing financial hardship or underemployment. They're also more likely to be struggling with eating disorders, and their unhealthy patterns could be passed on to their children. It's important for girls to receive an accurate diagnosis because it will give them an understanding of their issues and help them manage their symptoms more effectively. Many women report feeling more confident after receiving an diagnosis. They can now stop being a victim of things they cannot control. It can also help them reframe their issues and help them focus on what is important (Waite 2010). As women age and move towards menopausal, their hormone levels can change, and ADHD symptoms can become more severe. This makes it more difficult to diagnose and treated because they're often misdiagnosed as having anxiety or mood disorder, and their symptoms are viewed as “hormonal” or “that time of the month.” Being diagnosed with untreated adult ADHD can have devastating consequences on a woman's self-esteem, and her relationships with family and friends. adult adhd in women www.iampsychiatry.uk can affect women's daily routines, leaving her irritable and exhausted. It is possible that she cannot say no to people which causes her to burden herself and become resentful of the people closest to her. It could be difficult to manage her home and work life and this can lead to missing appointments and lost files. She may also be more easily triggered by rejection which means she is more likely to react defensively and lash out at people she likes. 2. Rejection Sensitivity Rejection sensitivity makes you feel extremely hurt when you are rejected. This could be real or perceived. You might be triggered by an argument with your partner or a negative feedback from a colleague at work. Your brain's natural defense mechanisms become over-stimulated and the thoughts, feelings, and beliefs that result can harm your relationships and self-esteem. Rejection sensitivity can also cause anxiety, depression and mood swings. Although it's often linked to ADHD The issue of rejection sensitivity is actually a sign of emotional dysregulation, which affects the way your brain handles emotions and the way you react to them. The symptoms can also be found in other mental health disorders, including borderline personality disorder (BPD). RSD patients can see events through a filter, which makes them appear darker or brighter than they actually are. This makes them more likely to interpret things as being related to rejection, even though they are not. RSD can also cause you to have a difficult time regulating your emotions, which is why it's crucial to develop healthy strategies for coping to deal with this. Check out the following articles to find out more about rejection sensitivity. Although there is no cure for RSD it is possible to manage the symptoms with the help of a mental health professional. You can utilize strategies for coping, such as cognitive behavior therapy, which helps you change your negative thought patterns. You can also establish an emotional support network and practice mindfulness to reduce your risk of reacting negatively to rejection. This will aid you in overcoming your RSD to live a more satisfying and happy life. It is also crucial to avoid relationships that are toxic as they can cause symptoms to become worse. If you are in a abusive relationship, seek counseling to learn how to safely quit. This can lower the risk of experiencing feelings of rejection, such as depression and anxiety. By focusing on relationships that are healthy and relationships, you can boost your self-esteem. This will allow you to feel more confident about your abilities and give you an unbiased view of the world around you. 3. Sexuality ADHD symptoms can make maintaining a healthy relationship difficult. This can lead to sexual dysfunctions and risky behaviors. Women who have high functioning adhd may be at greater risk of having sexual issues. These behaviors can also trigger feelings of guilt and embarrassment which may affect their relationships and wellbeing. One study surveyed adults suffering from ADHD and discovered that they were more likely to be interested in sexual activities than those without the disorder. This was the case for both males and females. This was likely due to their higher levels of impulsivity, which makes them more likely to act on their sexual desires and thoughts. In particular, the study showed that women with adhd were more likely to engage in paraphilic masturbation fantasies and behaviours. This included submissive role play and bondage as well as sex with strangers. It was also more typical for them to attend party and sex clubs. Both women and men with adhd were more likely to be infidelity than those who did not suffer from the disorder. This was due to inability to control their impulses and alcohol withdrawal, as well as the desire to feel. This could also be a result of their higher levels of insecurity and feeling misunderstood by partners. The survey also asked participants to report their experiences with sexual relations and sexual interactions without the use of contraception. Table 6 provides the results of this section. Lastly, the study used the Hypersexuality Symptom Inventory-19 (HBI-19) to ask participants about their sexual problems. The questionnaire comprises 19 items that are divided into three subscales. Each item is scored using five-point scale, starting from 1 (never to 5 (very often)). The higher the score, the more symptomatology there is. The HBI-19 was developed in order to evaluate sexual behaviors between adults with ADHD and those without. These findings are important because the psychosexual experiences of people with ADHD have been scarcely studied. They have been associated with sexual dysfunctions, such as STI's and unwanted pregnancy, relationship dissatisfaction adolescent and adult onset infidelity and risky sexual behaviors. 4. Relationships Many people with high functioning ADHD experience difficulties in their relationships with loved ones. Lack of clear communication and misunderstandings triggered by symptoms like inattention and forgetfulness may cause anger, frustration and conflict within relationships. Maintaining healthy relationships can be made easier by a supportive network of friends and family members who understand. It is also important to remember that those with ADHD frequently have trouble listening. They are often interrupted by impulsive behavior or their own thoughts, which could cause them to miss the point of a conversation. People with ADHD may also have issues multitasking, which can lead them to mute conversations or to do something else while another person is talking. These battles can create a vicious cycle in which the person who isn't ADHD becomes overwhelmed with anger and stress, while the ADHD person feels untrusted. The issue can get worse in the meantime as they become more withdrawn. Women with high functioning ADHD often feel overwhelmed and exhausted by the demands of their everyday life. They may experience feelings of shame and low self-esteem because of their chaotic and impulsive behavior, or feel as if they're unable to keep up with their bills and chores. They might also feel mood swings, rejection sensitivity and low sexual desire. This is why it is vital for those suffering from ADHD to find an effective treatment plan and seek help. It is also crucial for those close to them particularly spouses to be aware of the condition and how it affects their loved ones. Together, they can establish clear expectations and establish boundaries. Then, they will come up with an action plan to meet their goals. The non-ADHD spouse could take on more financial responsibilities while the person with ADHD would focus on organizing and completing chores at home. Both partners should be working to improve communication and establish a routine that includes regular eating patterns, sleeping times and time for relaxation and rest. It is essential to discover ways to make things easier for both spouses, such as dividing household tasks or outsourcing some of those that are difficult for a person with ADHD.