Are you always running late? Frequently losing your keys? Not
sleeping well? You may think you're just disorganized, but there's a good
chance you're suffering from attention deficit hyperactivity disorder (ADHD),
also called attention deficit disorder (ADD).
The condition is a behavior disorder that usually begins in
early childhood, but it can continue into adulthood. Until recently it was
thought to affect boys more than girls, but current research shows that boys
and girls, men and women, suffer from the problem in equal numbers, says
Kathleen Nadeau, PhD, director of Chesapeake Psychological Services of
Maryland, in Silver Spring. Nadeau is co-editor of ADDvance Magazine and
co-author with Patricia Quinn, MD, of Understanding Women with ADHD and
Gender Issues and ADHD: Research, Diagnosis, and Treatment.
Attention deficit hyperactivity disorder (ADHD) is a childhood condition that can last into adulthood in about one-third of cases.
If you've been diagnosed with ADHD as an adult, chances are good that your doctor has prescribed a medication -- typically a stimulant -- and suggested cognitive behavioral therapy or even a life coach. She might also have suggested a good pocket planner.
Treating ADHD in adults requires a multi-pronged approach. Symptoms are generally treated with medicine.
According to Robert Resnick, PhD, professor of psychology at
Randolph-Macon College in Ashland, Va., and author of The Hidden Disorder: A
Clinician's Guide to Attention Hyperactivity Disorder in Adults, more girls
are now being diagnosed with the condition because new computer models allow it
to be measured on performance tests for both genders.
Researchers also now realize that the behavior of little girls
who have the disorder differs from that of little boys. Parents and teachers
who know what to look for can better recognize the warning signs, Nadeau
Girls with attention deficit hyperactivity disorder are often
less rebellious, less defiant, and generally less "difficult" than boys
who have the disorder, says Nadeau. Because they're less likely to be
disruptive, the symptoms they do show frequently get overlooked at home and at
Hyperactive girls are often tomboys, daydreamers, or
"chatty Kathys," but not necessarily troublemakers, says Nadeau. If
they're not diagnosed with an attention disorder, they're often seen instead as
ditzy, spacey, and not academically inclined. Because they're disorganized and
easily distracted, Nadeau adds, they may drop many of their hobbies or
interests, fall behind in school, and come to see themselves as quitters.
"When they grow up, these behaviors continue, often leaving
them in a constant state of 'overwhelm,'" says Nadeau.
Recent research is looking further into how the disorder may be
different depending upon gender, as well as into the possible effects of
catching it late.
In the January 2002 issue of the Journal of Attention
Disorders, researcher Jonathan Gershon of Emory University confirmed what
Nadeau has found -- that compared with afflicted boys, girls with the disorder
don't show the same degree of hyperactivity, inattention, and impulsive
behavior. An earlier study in the October 1997 issue of the same journal found
that women with the condition who were not diagnosed as children have more
symptoms of depression, are more anxious and stressed, have low self-esteem,
and have fewer coping strategies.
Because women with attention deficits show more signs of
depression, they also may be diagnosed -- correctly or incorrectly -- as
depressed, while their attention deficit hyperactivity problem may be missed,
says Linda Katz, PhD, president of Landmark College in Putney, Vt. Her school
offers educational programs for students with attention deficit disorders,
dyslexia, and other learning disabilities.