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Certainty (lemmy.dbzer0.com)
submitted 3 months ago by db0@lemmy.dbzer0.com to c/adhd@lemmy.dbzer0.com
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[-] LazaroFilm@lemmy.world 95 points 3 months ago

ADHD manifests differently in girls and they’re usually able to mask it more.

[-] ImWaitingForRetcons@lemm.ee 42 points 3 months ago

I’m not sure to what extent it’s actually manifesting differently or being masked better than institutional bias against the idea of women having ADHD - diagnoses are about 3x more rare for women…

[-] watson387@sopuli.xyz 22 points 3 months ago

If I've understood what I've read over the years correctly, a large percentage of girls with it get diagnosed bipolar, completely missing the underlying ADHD cause of the depression/anxiety. This can turn into an absolute horrid experience as they get prescribed strong drugs that can really mess you up if you don't need them, and they most likely don't.

[-] AnarchistArtificer@slrpnk.net 6 points 3 months ago

I think it is at least in part due to it manifesting differently. This is slightly different because it pertains to autism, but a while back I read about how one of the theories of why autism seems to be lower prevalence is girls is because the social norms of girls/boys are different. For example, young boys tend to socialise with team sports, which can be highly reliant on non-verbal communication. In contrast, because neurotypical girls are (implicitly and explicitly) taught to take on caring roles, an autistic girl is more likely to be "taken under the wing" of a neurotypical girl, providing more opportunities to develop social skills via social mimicry.

I'm just one autistic woman, but this certainly scanned with my lived experience. As a result of this, I wasn't diagnosed until my teens, after a full on mental breakdown led to a psych eval.

I agree with you that institutional bias plays a huge role: I had a partner who had ADHD and was diagnosed quite young. When we discussed our experiences of the early years of school, I was struck by how similar our experiences were in terms of our behaviour, but how he was read as being a naughty boy (which is what led to his much earlier diagnosis) whereas my distractibility and fidgeting was seen as either me being unstimulated in class, or anxious. I think I'd have probably been diagnosed way sooner if I were a boy acting as I did.

But what's really interesting to speculate on is the way that my behaviour and understanding of my self changed over the years, as a result of that institutional bias. I think that there's a self reinforcing cycle at play, where an institutional bias leads to women and girls with ADHD (and/or autism) developing a particular set of masking skills that makes them further illegible to the systems that dispense diagnoses (which then reinforces said institutional bias).

That being said, I've noticed a lot of progress in recent years on this front, especially in the community. My friend is a high school teacher who almost certainly has ADHD but is on the very long waitlist for an actual diagnosis. Despite not having a diagnosis, understanding herself better has helped her to cope better in her life, and through community and solidarity, feels that she is better equipped to understand and support neurodivergent students in her classroom. People like my friend are one of the ways that the reinforcing cycle of institutional bias, even if progress on that front is slow.

[-] TDCN@feddit.dk 28 points 3 months ago

It can manifest itself in the same way for men but it is usually then never discovered untill maybe much late in life when you have someone with depression and anxiety coming to the doctor's who may also miss the fact that it could be ADHD

[-] Gormadt@lemmy.blahaj.zone 20 points 3 months ago

Literally me

Tried a bunch of anxiety meds that didn't work, tried some antidepressants that didn't work, got a different doctor and they were like "I think you might have ADHD".

8 months later got an appointment and talked to the doc for an hour and got a new prescription for ADHD meds, and my life has massively improved since.

NGL I think getting that diagnosis may have been one of the best things to have happened in my life. I just wish I didn't have to wait I til I was 29 to get it.

[-] TDCN@feddit.dk 4 points 3 months ago* (last edited 3 months ago)

You just described my situation almost exactly. Huge life changer for me to get medication. My mood is so much better and my confidence in myself at work is better than ever. I can finally trust myself and my skills and push complex projects like never before because the depressive anxiety and constant stream og garbage noisy adhd thoughts isn't holding me back anymore. I track my mood on an app every single day from 0-6 and you can se on the graph exact what day i started the medication because it went from the average hovering around 3 to now hovering around 5 which is just such a good feeling. Best of luck to you and I'm happy to hear you found help as well.

Edit, the app i use to track my mood is called daylio and works pretty good. Giving me good insight on my own mental health.

[-] AnarchistArtificer@slrpnk.net 3 points 3 months ago

I'm really happy for you. Big props to the doc who suggested it as a possibility, and for you for persevering long enough to get the diagnosis — it is unfair that you had to struggle for so long, but I am glad that you are now afforded the opportunity to learn how to work with your brain, rather than against it.

What domain of your life did ADHD meds most help with?

[-] Gormadt@lemmy.blahaj.zone 3 points 3 months ago

Yeah it was a struggle for sure, especially when I found out from my parents that they didn't think it was real and that my teachers had told them for years to get me evaluated.

The biggest impact is honestly hard to put my finger on because of the massive impact it's had on my life overall.

I suddenly found myself with time. I no longer had to get up for work at 8am to make it to work by 1pm and was still barely making it some days.

I'm more consistent about things in almost every aspect of my life. I still have my rotating rogues gallery of hobbies but that keeps them fresh for me.

My PTSD is so much easier to deal with that it's mind blowing. Though my brain will still serve me up a heaping pile of memories sometimes it's easier to focus on the task at hand rather than just spiral into a pit.

My relationships have improved. My friends have been able to make plans with me and I've been making plans as well and it's not even that stressful. It was at first because I was so afraid of ruining it but as my confidence grew it quickly paid off.

Shit I even got a promotion at work lol

Honestly it's gone so well overall that it blows my mind.

[-] watson387@sopuli.xyz 8 points 3 months ago

Raises hand

[-] Soup@lemmy.world 12 points 3 months ago

Able to, forced to, I mean what’s the difference amirite? This coming from a dude who has often felt like people treat me worse for it but has seen just how nasty people can get with women for the same thing.

[-] LazaroFilm@lemmy.world 9 points 3 months ago* (last edited 3 months ago)

IMO everyone is forced to, but some are able to do it while others can’t, no matter how hard they try. I’m definitely in the second category.

[-] AnarchistArtificer@slrpnk.net 2 points 3 months ago

My analogy that I like to use for this is being able to fit in a box that society has produced for you. Most people can fit in the box and I spent years attempting to fit myself into it. I contorted myself into painful shapes in a desperate attempt to please the world and even when I thought I was doing it right, it was never enough. Properly acknowledging that I will never fit in that box was immensely liberating in the long run.

Sometimes I see people who can fit in the box, but not comfortably, and I experience a mix of pity, and relief. I reflect on how grim my life would've been if I had been successful in carving myself into a shape that would fit what had been demanded of me — just because someone can fit in doesn't mean that that's good for them. Certainly, it denies one the ability to grow if you've already had to cut off parts of yourself to be palatable to the world.

In this light, I feel an odd sense of privilege for having found myself in the people who can't blend in, despite trying. "Privilege" is definitely the wrong word for this, but I struggle to articulate it otherwise. I think mostly, I'm just glad to finally be free of wasting what little energy I have trying. Even if it changes little in how the world regards me, I'm just glad to no longer think of myself as a broken neurotypical. I don't know what it means to be a functioning neurodivergent person, but I'm sort of excited to be a part of building that, alongside people like you and many others on this thread and this site.

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[-] whoisearth@lemmy.ca 9 points 3 months ago

Same with autism. Learned when my son was diagnosed.

[-] LazaroFilm@lemmy.world 7 points 3 months ago

Same here my son got diagnosed with adhd and all the symptoms matched me too… hmm… weird huh.

[-] whoisearth@lemmy.ca 10 points 3 months ago

Lol same. Son got diagnosed with ADHD so I go "I swear a lot of this he gets from me".

"But it's becoming more common!"

No it's not. It's being diagnosed better and earlier.

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[-] watersnipje@lemmy.blahaj.zone 75 points 3 months ago

I hate it when people say “[person] is ADHD”. A person is not a disease. If someone has cancer, do you say “my aunt is cancer”? Weird and insulting.

[-] Catoblepas@lemmy.blahaj.zone 55 points 3 months ago

From the autistic side of things, a lot of us dislike “has autism” or “person with autism” because it implies there’s a hidden, non-autistic person underneath the autism. Not everyone feels this way of course, but for people that do they may transfer that way of speaking onto other things like ADHD as well.

[-] Ohmmy@lemmy.dbzer0.com 36 points 3 months ago

I completely agree. I don't have autism, it's not a disease, it's part of who I am like my ethnicity. I am so fucking tired of having to conform to what neurotypicals think I should be.

[-] MindTraveller@lemmy.ca 18 points 3 months ago

"Mrs Jones, I'm afraid your son has Black. Luckily, we caught it early, so with speech therapy, skin-bleaching treatments, and facial reconstruction surgery, he can lead a normal life."

[-] Azzu@lemm.ee 6 points 3 months ago
[-] MindTraveller@lemmy.ca 7 points 3 months ago* (last edited 3 months ago)

"Yes. If any of your son's friends are using slang words or phrases like Rizz, No Cap, Slay, Woke, Hip, Hipster, Ate, Based, Basic, Bet, Extra, Gyatt, or Tea, they could have caught Black."

/uj American culture is literally 80% stolen from black people. If white supremacists want to talk "replacement theory", culturally it already happened. And that's a good thing, because the manufactured "white" racial identity that came out of pretending all Europeans were the same ethnicity sucked. European Americans forgot who they were, deliberately replacing it with bland oppression. And bland oppression could not stick around in the face of black innovations like jazz, hip-hop, and rock. It had no substance. White Americans need to stop suppressing black artists and stop taking credit for their inventions. The future is diverse and it cannot be stopped. The only thing white supremacists can do is hurt people in the here and now.

[-] Vendemus@lemmy.world 5 points 3 months ago

Thank you! I've always struggled with when to use person first language and when not to. This is the first time I've seen it explained in a way that makes sense to me.

[-] Buddahriffic@lemmy.world 12 points 3 months ago

The whole "person with autism is better because it puts the person first" sounds exactly like the kind of BS that autism can lower patience for, anyways.

[-] callyral@pawb.social 4 points 3 months ago* (last edited 3 months ago)

it's just a linguistic quirk, english just so happens to put adjectives first (i.e. "autistic person" instead of "person autistic")

[-] Sadbutdru@sopuli.xyz 2 points 3 months ago

The choice is more between 'Sally has autism' (some people think this makes it sound more like a disease, more distancing and separate from the person), and 'Sally is autistic' (sounds more like a character/personality trait, a way of being).

[-] AnarchistArtificer@slrpnk.net 3 points 3 months ago

I think that there are some groups of people who prefer person-first language. For example, "person with epilepsy" is generally preferred to "epilectic person" (n.b. I do not have epilepsy). I also just looked into the history of person-first language and apparently it first arose in the context of people with AIDS, who were sick of being referred to as "AIDS victims" or similar.

In that light, I can understand why some people prefer person-first language. Myself, I am in accord with the general autistic community in calling myself autistic (as an adjective). Occasionally, amongst friends and kin, I may even call myself "an autistic".

There are others on this wider thread that capture some of my reasons why: I remember, shortly after I was diagnosed, I pondered whether I would take a cure for autism, if one existed. I concluded that I wouldn't — not because being autistic was a strictly positive thing for me (it certainly made my life harder in many respects), but because I didn't think that it would be possible to extricate the autism from what is intrinsically me — in short, any "cure" might as well be death.

[-] Omniraptor@lemm.ee 2 points 3 months ago

although this hits kinda different when you're also depressed enough you wouldn't mind disappearing

[-] Sesudesu@lemmy.world 10 points 3 months ago

Since ADHD is also a neurodevelopmental condition, it’s less ‘transfer’ and more just the same notion for a different condition.

Otherwise, yeah, this. I’m ADHD because it is a part of me. I can take medicines to help it, but it is the way I am.

[-] watersnipje@lemmy.blahaj.zone 7 points 3 months ago

Interesting, thanks for sharing a different view on this. I can understand that. For ADHD it’s the same of course, you can’t separate your personality from it. A question like “Would you like to have not had ADHD/autism?” makes no sense, because then we would have been entirely different people.

I’ve never heard someone say “I am autism” or “[person] is autism” though, like people seem to do with ADHD. In the case of autism, what would you use instead of people-first language?

[-] Catoblepas@lemmy.blahaj.zone 9 points 3 months ago

For autism you'd just say someone is autistic/I'm autistic, I think people just say he's ADHD/I'm ADHD because I'm not sure there's a comparable way to adjective-ify ADHD like there is with autism/autistic.

[-] watersnipje@lemmy.blahaj.zone 8 points 3 months ago

In Dutch, we do: we call someone an ADHDer. I’m not opposed to that, I call myself that occasionally. It’s just the “watersnipje is ADHD” phrasing that really rubs me the wrong way, it’s like sand in my teeth every time I read that.

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[-] Chuymatt@beehaw.org 16 points 3 months ago

I mean, depends on how advanced the cancer is, I suppose…

[-] M137@lemmy.world 10 points 3 months ago

ADHD isn't a disease...

You made an even worse error with that, IMO. I agree with what you're trying to say, but you failed horribly at doing so.

[-] acockworkorange@mander.xyz 6 points 3 months ago

Kill her kid, all ADHD gone.

[-] RadicallyBland@lemmy.world 3 points 3 months ago

"I'm so OCD". You ARE obsessive compulsive disorder?

Yeah, you don't say "I am diabetes/cancer/leprosy".

[-] watersnipje@lemmy.blahaj.zone 7 points 3 months ago

I’ve personally only seen that used by dumbasses who just liked to keep their stuff organized and who had no idea what a devastating condition real OCD can be.

[-] DillyDaily@lemmy.world 2 points 3 months ago

No but you do say "I'm diabetic" which uses diabetes as sort of identity within the sentence structure.

Similarly "I'm a cancer survivor" and "I'm a cancer patient" are ways someone with cancer could structure a sentence to give weight to the way cancer and the experiences of cancer fundamentally change this person's personality and identity.

While "I am ADHD" isn't perfect, it's a very new use of language to try and create an identity form, and it will continue to evolve and sound more natural.

Personally I still find myself saying "I'm autistic and I have ADHD" in most situations, but if I know I won't have to explain the term too much, I do prefer "I'm AuDHD", because it's an identity first phrase, and it feels as natural as "I'm autistic" or "I'm diabetic".

But the difference grammatically between "I'm autistic" and "I'm ADHD" is minimal, yet I agree one sounds fine and the other just sounds stupid. And other than exposure, I can't place my finger on why.

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[-] greatwhitebuffalo41@slrpnk.net 16 points 3 months ago* (last edited 3 months ago)

Funny how this works but yet I got diagnosed as an adult THEN my brother got diagnosed haha. We do everything backwards.

[-] callyral@pawb.social 5 points 3 months ago

how can someone be an adhd

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this post was submitted on 08 Aug 2024
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