What is Adult ADHD?
DSM-5 Criteria:
Inattention
Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities
Often has trouble holding attention on tasks or play activities
Often does not seem to listen when spoken to directly
Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, side-tracked)
Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework)
Hyperactivity and Impulsivity
Often leaves seat in situations when remaining seated is expected
Often unable to play or take part in leisure activities quietly
Is often “on the go” acting as if “driven by a motor”
Combined Type
Demonstrates six or more symptoms of inattention, and six or more symptoms of hyperactivity and impulsivity
There was once the belief that people “grow out” of ADHD. However, over the last 2 decades there has been an increase in understanding about ADHD. ADHD is even misunderstood by the doctors responsible for diagnosing it. There is no one specific assessment to confirm the diagnosis, in fact its often not diagnosed due to co-morbid conditions. The inability for other assessments to rule out differential diagnoses can make this very frustrating for those who are suffering. History and observation is often the best predictor.
There are many other common held myths about what ADHD is not. Myth #1- You can’t do well in school or have an advanced degree. Myth #2- Good parenting prevents it. Myth #3- Girls can’t have it. Myth #4- If you weren’t diagnosed as a kid, you can’t have it. Myth #5- ADHD can’t cause anxiety/depression/PTSD. I could go on but chances are you are here because you already know what the struggle feels like.
ADHD can be subtle, especially among inattentive and even combined types. Women are more commonly diagnosed with the latter, however its not just exclusive to women. There doesn’t seem to be a good understanding of wether this is nature or nurture. Are women more likely to be inattentive because they’re taught to be quiet and not upset others? Or is it more biological? Regardless, these types often go undiagnosed and can cause as whole host of internalized problems.
On the other side of the spectrum, you have the hyperactive type. Boys are more likely to be diagnosed with hyperactive type. Historically, it seems like every little boy was thought to have ADHD at some point. There was tendency in the 90’s to over-diagnose and over-medicate these children who often were just being children. Unfortunately, this has led to the current trend of under-diagnosing and under-medicating.
If you suspect you have ADHD or you’re struggling with your ADHD, I highly recommend finding a provider who has education and experience working with ADHD. Even better yet, find a provider who also has ADHD. Often times, these individuals are good allies to help advocate for your treatment needs.
