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High Functioning ADHD in Women Women with high functioning adhd are frustrated and misunderstood in their relationships The symptoms can be more severe in times of hormonal changes such as the premenstrual and menstrual cycles Many women and girls resort to compensatory strategies to mask their symptoms and impairments can delay referral This patient group has particular problems which must be considered when treating them 1 Selfesteem issues The social and emotional challenges that accompany ADHD can cause women to feel down Even when theyre doing well its easy to feel like a failure due to things they arent able to control This can lead to an unending cycle where they are constantly overwhelmed and never satisfied which can be detrimental to their mental health and selfesteem Girls who dont have treatment for ADHD are at greater risk of chronic low selfesteem as well as teen pregnancy anxiety depression and abuse of substances As adults they are at greater risk of being singleparents of a child with ADHD and experiencing financial crisis or underemployment Theyre also more likely to suffer with eating disorders and their bad habits can be passed on to their children Its important for girls to get an assessment as it will provide them with a better understanding of their challenges and enable them to manage their symptoms more effectively Many women report feeling confident after receiving an diagnosis They can stop being a victim of things they cant control It can also help them reframe their struggles and refocus on what is important Waite 2010 As women mature and approach menopause the hormone levels of their bodies change and ADHD symptoms may get worse This makes it more difficult for them to be diagnosed and treated as theyre often misdiagnosed as anxiety or mood disorder and their symptoms are dismissed as hormonal or that time of the month Untreated adult ADHD can have a devastating impact on a womans selfesteem and relationships with her family and friends The symptoms can affect daily routines making her frustrated and exhausted She might feel like she isnt able to refuse people which causes her to become overburdened and resentful towards people around her It can be difficult organizing her work and home life resulting in missing appointments and documents getting lost She may also be more easily angered when she is not liked which makes her more likely to lash out at people she loves 2 Rejection Sensitivity Rejection sensitivity makes you feel very hurt when rejected This can be real or perceived A disagreement with your partner or an unkind comment from a colleague at work can trigger your symptoms The brains natural defense mechanisms are triggered which can trigger thoughts or feelings and beliefs that can affect your selfesteem and relationships You can also experience depression anxiety and mood swings as a result of rejection sensitivity Rejection sensitivity although often linked to ADHD is actually an indication of emotional dysregulation This impacts how your brain processes emotions and how you react to them Other mental health disorders like borderline personality disorder could also be a cause for these symptoms RSD patients might perceive events through a filter making them appear darker or brighter than they are This causes them to perceive and interpret things as being related to rejection even though theyre not RSD can make you in a state of being unable to control your emotions This is why it is crucial to develop healthy coping mechanisms to manage RSD Read the articles below to find out more about rejection sensitivity Although there isnt a cure for RSD however you can manage your symptoms with the help of a mental health professional You can employ coping strategies like cognitive behavioral therapy which helps you change your negative thought patterns You can also build an emotional support network and practice mindfulness to lessen your chance of reacting negatively to rejection This will help you overcome your RSD so that you can live a more fulfilled and happier life It is also important to avoid relationships that are toxic as they can make your symptoms worse If you are in a abusive relationship seek counseling to learn how to safely get out This will reduce the risk of feeling depressed and anxious like depression and anxiety You can also boost your selfesteem by focusing on building healthy relationships This will allow you to feel more confident in your abilities and give you a more realistic perspective on the world around you 3 Sexuality ADHD symptoms can make maintaining a healthy relationship challenging This often leads to sexual dysfunctions and risky behaviours Women who have high functioning adhd might be more at risk of having sexual issues These behaviors can also trigger feelings of guilt and embarrassment and can negatively impact their relationships and overall wellbeing In one study those with ADHD were found to be more likely than those with ADHD to exhibit a sexual curiosity This was the case for males and females This was likely due to their higher levels of impulsivity which could make them more likely to act on their sexual desires and thoughts The study revealed that females who have adhd are more likely to indulge in sexual fantasies and actions This included bondage submissive roles and sex with strangers It was also common for them to attend sex clubs and parties Both females and males suffering from adhd had a greater rate of infidelity than people without the disorder This was due to lack of impulse control and alcoholrelated disinhibition as well as their desire for sensation This is likely due to their higher levels of insecurity and being misunderstood or criticized by their partners The survey asked participants to describe their experiences with extrapartner affairs and sexual relations that were not contraceptive Table 6 shows the results of this section The study also utilized the HypersexualitySymptom Inventory19 HBI19 which asked participants to discuss their problematic sexual behaviors The questionnaire consists of 19 items that are divided into three subscales Each item is rated on a 5point scale ranging from 1 never to 5 very often The more high the score the more symptomatology is present adhd symptoms in women adults 19 was used to compare the sexual behaviours of adults who have and those without ADHD These findings are significant because the psychosexual outcomes of people with ADHD have been scarcely studied They have been associated with sexual dysfunctions like STIs unwanted pregnancy relationship dissatisfaction adult and adolescent onset infidelity and risky sexual behavior 4 Relationships Many people with high functioning ADHD have trouble in their relationships with loved ones A lack of communication and misunderstandings due to symptoms like forgetfulness and inattention can result in frustration resentment and conflict in the relationship Maintaining healthy relationships can be made easier by a supportive network of family and friends who understand It is also important to keep in mind that people suffering from ADHD are often unable to listen They are easily distracted by their own thoughts or impulsive behaviors that could result in them missing out on the primary point of a discussion People with ADHD may also have issues multitasking which can lead them to mute conversations or perform other tasks while another person is talking These battles can create a vicious cycle in which the partner who is not ADHD is overwhelmed with stress and resentment and the ADHD person feels untrusted They may then become more introverted and the situation can get worse from there Women who have highfunctioning ADHD are often exhausted and overwhelmed by the demands of their lives They may feel low selfesteem and shame because of their unpredictable and unorganized behavior or feel that theyre unable to keep up with their chores and bills They might also be suffering from mood swings and rejection sensitivity as well as low sex drive It is important that those with ADHD seek treatment and seek assistance It is also essential for those close to them particularly spouses to understand the condition and how it affects their loved ones They can work together to establish the right expectations and boundaries and then devise a plan of how they will achieve their goals For example the nonADHD partner might assume more financial responsibilities while the person with ADHD may be more focused on completing chores and organizing the house Additionally both partners should work to communicate more effectively and clearly and establish a routine that incorporates regular sleep patterns meal times and time to relax and rest It is also essential to discover ways to make life easier for both parties for example sharing household chores or outsourcing some of the tasks that are challenging for a person with ADHD such as hiring a cleaning service or utilizing apps to manage costs