Six Important Facts About ADHD You Need To Know...

At Mental Health and Wellness Associates, our top psychiatrists specialize in diagnosing and treating attention deficit hyperactivity disorder (ADHD). Our team often comes across misconceptions and misunderstandings surrounding ADHD. In this article, we will shed light on some commonly misunderstood and misdiagnosed aspects of ADHD.

1) ADHD is not just a childhood condition: 
One common misconception is that ADHD is a condition that only affects children. While it often presents during childhood, ADHD can often persist into adolescence and adulthood. It is thought that around 50% of childhood cases of ADHD persist into adulthood. Many individuals with ADHD may go undiagnosed until later in life, leading to challenges in academic or professional settings. Recognizing that ADHD can often persist into adulthood, and may have been missed and not diagnosed in childhood, is crucial for proper diagnosis and treatment.

2) ADHD is not just about hyperactivity: 
ADHD is commonly associated with hyperactivity and impulsivity, but it also involves symptoms of inattention. Inattentive symptoms may include difficulty sustaining attention, being easily distracted, and struggling with organization and time management. Some individuals with ADHD may not exhibit noticeable hyperactive or impulsive behaviors, leading to a misconception that they do not have the condition. This form of ADHD is often referred to as "predominantly inattentive type." It may be harder to diagnosis because it is not as disruptive in childhood, and in the classroom, as the hyperactive symptoms. 

3) ADHD is not just a lack of willpower or laziness: 
ADHD is a neurobiological and behavioral condition resulting from differences in brain structure and function. It is not simply a matter of willpower, laziness, or a lack of motivation. Individuals with ADHD often face challenges in regulating attention, impulses, and executive functions, such as planning and organizing. Understanding ADHD as a genuine neurodevelopmental condition helps reduce stigma and encourages a compassionate and evidence-based treatment approach.

4) Misdiagnosis and coexisting conditions: 
ADHD can sometimes be misdiagnosed or overlooked. Its symptoms may overlap with other conditions such as anxiety, depression, or learning disabilities, leading to a misinterpretation of the underlying cause. Accurate diagnosis requires a comprehensive evaluation by a trained professional, taking into account medical history, symptom patterns, and behavioral observations.

4) The impact of ADHD on daily life: 
ADHD can have a significant and negative impact on various aspects of an individual's life. Difficulties with concentration, organization, impulsivity, and emotional regulation can affect academic or occupational performance, relationships, and overall well-being. It is not simply a matter of being easily distracted; it can significantly impair an individual's daily functioning and quality of life. An ADHD coach can help to develop new behaviors, patterns and tools and strategies to overcome the symptoms of ADHD. 

6) Gender differences: 
ADHD is often perceived as more prevalent in boys, leading to underdiagnosis or misdiagnosis in girls and women. One aspect of this pattern may be that boys with hyperactivity are often diagnosed due to their behavior disrupting the classroom. Girls may exhibit more internalizing and inattentive symptoms, such as daydreaming or difficulty with organization, which can be less disruptive and thus overlooked. Understanding gender differences in how ADHD presents is crucial for identifying and providing appropriate support.

ADHD is a complex neurodevelopmental and behavioral condition that extends beyond childhood and encompasses more than hyperactivity. It is important to dispel misconceptions and increase awareness about the various presentations, coexisting conditions, and impacts of ADHD on daily life. Accurate diagnosis and understanding can help individuals with ADHD receive the support and treatment they need to manage their symptoms effectively and thrive in all aspects of life.

A well trained and experienced psychiatrist can provide a comprehensive evaluation and develop an appropriate treatment plan if you suspect you or a loved one may have ADHD. 

If you live in the state of California and are looking for help, we would be happy to speak with you. If you are interested in becoming a new patient, please schedule a time to speak with our practice manager (using the "book online" button above) or call our office today.

References:

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: Author.

Faraone, S. V., et al. (2015). Attention-deficit/hyperactivity disorder. Nature Reviews Disease Primers, 1, 15020.

National Institute of Mental Health. (2021). Attention-Deficit/Hyperactivity Disorder (ADHD). Retrieved from https://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml