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High Functioning ADHD in Women Women with adhd that are high functioning are frustrated and misunderstood in their relationships. The symptoms can become more severe during times of hormonal change such as menstrual cycles and pregnancy. Many girls and women are forced to resort to compensatory strategies, concealing their impairments and symptoms, which can delay time to referral. This group of patients faces particular problems that must be taken into account when treating them. 1. Lack of self-esteem Women can be depressed by the emotional and social issues of ADHD. Even if they're successful, it is easy to feel like they're an failure due to things they aren't able to change. This can result in an endless cycle of feeling overwhelmed and not good enough. This can have a negative impact on their mental well-being. Girls who aren't treated for ADHD are at higher risk of developing chronic low self-esteem and anxiety, teen pregnancy, depression and substance abuse. As adults, they're at greater risk of being single-parents to a child with ADHD and experiencing financial crisis or unemployment. They're also more likely to be struggling with eating disorders, and their bad habits can be passed on to their children. It's crucial that women receive a diagnosis since it will help them understand the challenges they face and manage their symptoms. Many women say that they feel much more at ease after receiving their diagnosis, which allows them to stop blaming themselves for the small things they cannot control. It can also help to reframe their struggles and refocus on what's important (Waite 2010). As women age and move towards menopause, their hormone levels change, and ADHD symptoms can get worse. It isn't easy to diagnose and treat women with ADHD as their symptoms could be misdiagnosed and dismissed as “hormonal”, “that time of month” or “an anxiety disorder”. Untreated adult ADHD can have devastating consequences on self-esteem and relationships with her family and friends. The symptoms can affect everyday routines, leaving them frustrated and exhausted. She might feel like she cannot turn down people, causing her to be overwhelmed and resentful towards people who are around her. She may find it difficult organizing her home and work life, resulting in missing appointments and documents getting lost. Additionally, she could be more easily triggered by rejection, which means she is more likely to react defensively and snap at those she is in love with. 2. Rejection Sensitivity The sensitivity to rejection causes you to feel deeply hurt when rejected. This could be real or perceived. It could be caused by a disagreement with your partner or a negative comment from a colleague at work. The brain's natural defence mechanisms are overstimulated and result in thoughts and feelings that could harm your relationships and self esteem. There are also depression, anxiety, and mood swings as a result of sensitive to rejection. Rejection sensitivity, while often associated with ADHD is actually a sign of emotional dysregulation. This affects how your brain handles emotions and how you react to them. The symptoms can also be seen in other mental health conditions, 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 perceive and interpret things as rejection-related, even when they're not. RSD can cause you to be unable to control your emotions. This is why it is essential to develop healthy coping mechanisms to deal with RSD. You can find out more about rejection sensitivity by reading these articles: Although there isn't a cure for RSD however, you can manage your symptoms with the help of a mental health professional. You can employ coping strategies such as cognitive behavioral therapy to change your negative thinking patterns. You can also practice mindfulness and build a community of support to decrease your chance of experiencing negative reactions to rejection. This can help you find ways to overcome your RSD and allow you to lead a more pleasant and fulfilled life. It is also important to avoid toxic relationships as they can cause symptoms to become worse. If you're in an abusive relationship, get counseling to discover the best method to leave. This can lessen the risk of having feelings of rejection, like depression and anxiety. By focusing on relationships that are healthy and relationships, you can boost your self-esteem. This will help you feel more confident about your abilities and give you an unbiased view of the world around you. 3. Sexuality ADHD symptoms can make the maintenance of a healthy relationship a challenge. This can lead to sexual dysfunctions and risky behaviours. Women who have high functioning adhd might be more at risk of developing sexual problems. These behaviors can cause feelings of shame and guilt and can have a negative impact on their relationships and overall well-being. One study looked at adults suffering from ADHD and discovered that they were more likely to be interested in sexual activities than those who did not suffer from the disorder. This was true for both males and females. This could be due to the increased levels of impulsivity which can cause them to be more likely be influenced by sexual ideas and desires. The study found that women who suffer from adhd are more likely to indulge in sexual fantasies and actions. adhd in adult women treatment included submissive roles play, bondage and sexual relations with strangers. They also went to sex events and nightclubs more often. Both women and men who suffer from adhd were more likely to be infidelity than those who did not suffer from the disorder. This was due to poor impulse control, alcohol disinhibition and sensation-seeking. It could also be because of their higher rates of anxiety and feeling misunderstood by their partners. The survey also asked participants to report their experiences with extra-partner sexual affairs and sexual intercourse without contraception. Table 6 shows the results of this section. The study also used the Hypersexuality-Symptom Inventory-19 (HBI-19) which surveyed participants to describe their problematic sexual behavior. This questionnaire is composed of 19 items, and is divided into three subscales. Each item is scored on a 5-point scale ranging between 1 (never) to 5 (very often). The higher the score, the more symptomatology it has. The HBI-19 was used to evaluate the sexual behavior of adults who have and those without ADHD. These results are important, since the psychosexual outcomes of adults with ADHD have not been studied extensively. They have been linked to sexual dysfunctions, like STI's, unwanted pregnancies, relationship dissatisfaction, adult and adolescent onset infidelity and risky sexual behaviors. 4. Relationships Many people who have high functioning ADHD have difficulties in their romantic relationships. A lack of communication, and miscommunication caused by symptoms such as forgetfulness and inattention can cause anger, resentment, and a conflict in the relationship. Maintaining healthy relationships can be helped by a supportive network of friends and family members who understand. It is crucial to keep in mind that those with ADHD have trouble listening. They are often interrupted by their impulsive behavior or own thoughts, which can cause them to miss the main point of a conversation. People with ADHD might also have difficulty multitasking, which can lead them to tune out conversations or do something else while another person is talking. These battles can create a vicious cycle in which the non-ADHD partner becomes overwrought with anger and stress and the ADHD partner feels misunderstood, and defensive. They then tend to become more withdrawn, and the problem escalates from there. Women who have high functioning ADHD often feel overwhelmed and exhausted by the demands of daily life. They may feel guilt and low self-esteem as a result of their chaotic and impulsive behavior, or feel that they're unable to keep up with their household chores and bills. They may also experience mood swings and sensitivity to rejection as well as low sexual drive. It is crucial that people who suffer from ADHD seek treatment and seek assistance. It is also important for those close to them particularly spouses, to be aware of the condition and how it affects their loved one. Together, they can establish clear expectations and establish boundaries. They can then come up with an action plan to achieve their goals. The non-ADHD spouse could take on more financial responsibilities while the person with ADHD will be focused on organising and completing chores at home. In addition, both parties should work to communicate more effectively and clearly and establish a regular routine that includes regular sleep patterns, meal times, and time for relaxation and rest. It's important to discover ways to make things easier for both partners, such sharing household chores or outsource certain tasks which are challenging for people with ADHD.