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ADHD for adults

Finally, a guide for grown-ups: attention-deficit hyperactivity disorder.

Updated:
2009-02-27 16:21
Published:
2009-02-24 16:04
By:
Zoë Kessler
adhd

ADHD for adults

“Can’t you sit still for five minutes?”

Apparently not. But at least now, years later, I have an explanation in answer to my mom’s question, if only she were alive to hear it. Turns out my excess energy is simply hyperactivity. 

Perhaps I should have been tipped off by the tempo of conversations with my friend Chris (who was diagnosed with ADD as a child). Our dialogues have always been like a pool game with both of us taking shots at the same time, bouncing rapid-fire thoughts between topics without skipping a beat. One evening, Chris suggested I take an online quiz for ADHD. I assumed he was kidding. He wasn’t.

The results? I did very well. So well, in fact, that Chris declared, “Zoë, we’re going to make you president of the club.”

Along with credulity, came clarity. Maybe this was why I’d spent the last eight months spinning in a circle in the middle of the living room, unable to decide what to do first. I’d repeat this procedure in my kitchen, bedroom and office, then go back to the living room and start over. By mid-afternoon, I’d accomplished nothing. By June, I couldn’t afford to pay my rent. I was in trouble.

Here I was, a 47-year-old woman who’d authored a book, run for MPP, earned two university degrees and three college diplomas, spinning like Maria von Trapp in The Sound of Music. How do you solve a problem like Maria?

Adult ADHD

The morning after my revelatory online quiz results, I found myself in my GP’s office, bawling my eyes out and describing my out-of-control life. I left with a prescription for a long-acting stimulant (one of several medications prescribed for ADHD), and began my quest for the holy grail: a way to make my crazy life work.

The medication calmed the frenetic energy I’d felt around the clock my entire life. Suddenly, after taking that first pill, all the cells in my body stopped jumping on the trampoline and lay down, already. The feeling of being overwhelmed, anxious and out of control also seemed to subside. Now I could begin my long road to discovery and, hopefully, recovery.  

When I told my sister Melissa about the test results and the symptoms of ADHD, her first remark was, “That explains everything.” Having grown up with me, Mel was in a position to provide insight and anecdotes from our childhood, both of which are integral to a diagnosis.

According to the current Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), the professional reference of mental health disorders, for a diagnosis of ADHD, some symptoms must have been present before age seven. Having spent most of my public school days out in the hall for talking too much, I fit the bill. The same combination of intuition and impulsivity that earns kids a walk to the principal’s office can earn adults their walking papers from jobs, friends, family and bewildered lovers who can’t take the perpetual lateness and off-the-wall remarks any longer.

Recognizing ADHD in adults

Kenny Handelman, a child psychiatrist and an adjunct professor of psychiatry at the University of Western Ontario in London, calls ADHDers’ observational abilities a paradox. While we’re inattentive to some social cues, droning on while the listener checks her watch, muttering, “Gotta go…,” we can also use our constant scanning to gather cues that others don’t get, coming up with intuitive responses. The problem is, sometimes we can’t stop ourselves from blurting out our insights. It’s kind of like having Tourette’s syndrome, except we speak in full sentences.

When I started public school, ADHD wasn’t even a glint in a child psychiatrist’s eye. Kids like me were simply out-of-control demon spawn creating mayhem in class, community, hearth and home. After professionals began to recognize ADHD about 25 years ago, it was mostly boys who were identified.

While impulsive blurting and hyperactivity have been hallmarks of my life, women typically are not blessed with the H-for-hyperactivity part. Instead of racing around classrooms with the boys (and me), they would stare dreamily out the window. And so it continues into adulthood — with 90 per cent of women diagnosed with ADHD falling into the inattentive rather than hyperactive type of ADHD (there are several flavours of the condition, but all are clinically known as ADHD).

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Pagination Documents

Page 1:
ADHD for adults
Page 2:
Living with adult ADHD
Page 3:
ADHD resources

Comments

  • GinaPera's avatar GinaPera wrote:

    2009-02-25 5:22 PM

    Great job by Ms. Kessler in covering an issue of particular importance to women over 40. (I especially love the dog food incident. :-) But examples of such ignorance about ADHD are unfunnily too common.) As the author points out, ADHD is often missed in women because it usually presents a little differently. Most adults of either gender do not have hyperactivity, but that seems particularly true for women. Also, many women with ADHD will cope pretty well until their 40s and 50s, when biological changes affect brain function. Unfortunately, this is also the time when women are caught in the "sandwich" of raising children and helping elderly parents. Add a full-time job, and it can strain anyone's brain function, but for women with unrecognized ADHD, it can provide the "straw that broke the camel's back." It's not easy finding physicians who understand ADHD and who use careful protocols in prescribing medications, and it's especially challenging for women. So, please learn all you can before even selecting a therapist or physician. A good place to start is the U.S. nonprofit National Center for Women and Girls with ADHD, at http://www.ncgiadd.org Thanks to More for running this potentially life-changing story! Gina Pera, author Is It You, Me, or Adult A.D.D. Stopping the Roller Coaster When Someone You Love Has Attention Deficit Disorder (2008, 1201 Alarm Press)
  • Winifred's avatar Winifred wrote:

    2009-02-25 9:06 PM

    Hyperactivity takes many forms. Years ago, a psychiatrist explained it this way: Some hyperactive-impulsive people are gross motor, others fine motor. It's the gross motor hyperactive-impulsive types that figure out how to scale furniture, counters, and appliances and how to unlatch doors, often by the age of two. Later on they may find themselves swaying, 30 feet high in a tree without thinking. These children and adults are on the move, and often are quite talkative. Some are physically active, others are animated and expressive talkers. Many are both. All are hyperactive and impulsive. Fine motor hyperactive-impulsive types can be and are often physically active, particularly during the pre-school and elementary school years, but they're different in that they aren't driven most of the time to move from one area to another while playing in the playroom or yard. In fact, the fine motor hyperactive-impulsive type can stay in one area for long periods of time if engaged in a stimulating activity such as reading, writing, drawing, puzzles, games, playing with stuffed animals or dolls, or building things. While not always "on the move", they always have something moving, typically a foot or their hands. They also can be quite animated and expressive when talking. Zoe, research or no research, I think more than ten percent of women with ADHD are hyperactive-impulsive types. I enjoyed your article. Thanks! Winnie
  • Winifred's avatar Winifred wrote:

    2009-02-25 9:21 PM

    I'm anxious and ADHD. More specifically, I'm a fine motor, combined type. The reason I know this is because my hyperactive-impulsive friends think I'm an inattentive type and my inattentive friends think I'm a hyperactive-impulsive type. And they're all right. I live in that in between world. When stimulated, I can be hyperactive and impulsive. (By impulsive I mean I will regularly say or do something BEFORE thinking). When calm, I am more of an inattentive type. I can sit and ponder a thought, problem, or idea for hours, days even. And while I don't particularly like paperwork, I can do it to a point. As a child, I alternated between high and low energy. I also alternated daily between states of intense shyness, talkativeness, and, I'm embarrassed to say, bossiness. I could be found reading a book for hours at a time or playing with my stuffed animals or dolls. Other times I played with the boys and considered myself their equal. We made roads and dug tunnels in the dirt, raced, climbed, engaged in physically challenging games, and I even got in a fist fight or two. I think researchers need to rethink how we define hyperactivity and impulsivity in girls and women. Winnie
  • Winifred's avatar Winifred wrote:

    2009-02-25 9:26 PM

    Okay, here’s my last comment – (this 1,500 character limit is frustrating). I just want to add my own recommendations. Of all the books that have been published, Women With Attention Deficit Disorder by Sari Solden is my absolute favorite because it focuses on how inattentiveness and distractibility impact every aspect of our lives. (It's also available in audio form.) This book is not just for women, though some sections are, and not just for inattentive types. This book is for all ADHD adults, hyperactive, impulsive and inattentive or inattentive only. For the hyperactive-impulsive types, the Hallowell and Ratey books are an excellent first choice and a good choice for inattentive types too. I really like these authors as well as Daniel Amen, M.D. His book, Healing ADD, overviews what has been learned from brain imaging and what medications, nutritional supplements, and diets work best for each subtype. But again, I encourage everyone to read Solden's first book. It too is a classic. Gina, I haven't read your book, but will check it out! Winnie
  • kayak's avatar kayak wrote:

    2009-05-24 6:20 PM

    the author has provided a well researched article dealing with ADHD in adult women, a topic just surfacing in these times. I appreciate the helpful hints. The many quotes from epxerts adds to the integrity of the writing.
  • kayak's avatar kayak wrote:

    2009-05-24 6:20 PM

    I mean "experts"!
  • AdhdInAdults's avatar AdhdInAdults wrote:

    2010-07-09 4:15 AM

    Hey Zoe. A very good article. An adult suffering from ADHD have trouble in concentrating and staying focused. Some weired things like zoning out without realizing it, even in the middle of a conversation are faced by the ADHD peoples. Extreme distractibility is one of the symptom which makes it hard to stay on track. Also, disorganization and forgetfulness - poor organizational skills at home, office, desk, or car is extremely messy and cluttered are some of the symptoms. http://www.thebrainhealth.com/symptoms-of-adhd-in-adults.html
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