Hidden in Plain Sight: Are We Overlooking ADHD in Women?

Updated on October 31, 2024

In my many years as a consultant psychiatrist specialising in adult ADHD, the gender-specific manifestations of this condition have always intrigued me. Traditional views have long painted ADHD, particularly hyperactivity, as a predominantly male characteristic. Recent research, such as the study titled “Absent or Hidden? Hyperactivity in Females With ADHD” published in Sage Journals contradicts these outdated perceptions. They are identifying that women are just as likely to experience hyperactivity as their male counterparts.

The study meticulously analysed motor activity across a large sample, revealing that women with ADHD display levels of hyperactivity comparable to men. This evidence aligns with what I have observed in my own clinic where many women, often diagnosed later in life, experience a kind of internal restlessness that is just as intense as the more visible symptoms observed in men. This type of hyperactivity might not always display outwardly. Instead, it often appears as an incessant mental turmoil that is difficult to calm.

These findings are compelling because they highlight the necessity for diagnostic criteria sensitive to how hyperactivity in women presents. Proper recognition is needed as it guides the deployment of targeted treatments that cater specifically to their needs.

For women who are beginning to navigate the symptoms of ADHD, understanding the nature of hyperactivity and its implications is a necessary step towards empowerment. It’s more than just managing symptoms. It’s about understanding that difficulties with time management, organisation, and mental restlessness are not just personal shortcomings.  It is also about aspects of a diagnosable and manageable condition.

As we move forward, it’s essential to continue advocating for improved diagnostic approaches that acknowledge and address the gender-specific expressions of ADHD. Both in public discourse and in clinical practice, recognising the full spectrum of ADHD manifestations across genders will lead to better support and more effective treatments, ensuring that all individuals receive the care they need.

This understanding also underscores the importance of ongoing research and education to challenge and update the medical community’s understanding of ADHD. By endorsing a deeper awareness and a more nuanced approach to diagnosis, we can ensure that every individual struggling with ADHD receives the support and treatment necessary for a fulfilling life.

Addressing long waiting times for ADHD assessment 

The implications of these insights for women are profound, particularly considering the current landscape of ADHD diagnosis in the UK. NHS waiting times for ADHD assessments have been on the rise, often extending several years. For instance, recent reports indicate that some patients may wait over two years for an initial assessment, driving many to seek solutions within private healthcare. In the private sector, assessments can often be scheduled within weeks, offering a swifter path to diagnosis and management.

This shift towards private healthcare is indicative of a larger trend – with a growing demand for timely medical attention which the NHS struggles to meet. The speed of accessing a diagnosis and subsequent treatment can significantly affect the quality of life for those with ADHD, making the efficiency of private healthcare an appealing alternative. 

By Dr. Shyamal Mashru, Consultant Psychiatrist
Dr. Shyamal Mashru is a Consultant Psychiatrist with extensive experience in diagnosing and managing adult ADHD. His work focuses on understanding the unique challenges faced by individuals with ADHD and developing tailored treatment plans to support their success.Dr Mashru is a specialist doctor registered with the General Medical Council (GMC number 6159417). He is a consultant psychiatrist at an adult ADHD service in the NHS and runs ADHD Health Clinic for private patients.

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