ADHD Experiences Among Girls

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common mental disorders affecting children. ADHD also affects many adults. Common symptoms of ADHD include hyperactivity, limited sustained attention, impulsivity, and limited attention to details. Millions of children in the United States have been diagnosed with ADHD. Boys with ADHD outnumber girls approximately three to one, per Dr. Stephen Hinshaw, a leading ADHD expert.  He suggests some girls have been underdiagnosed, particularly those with inattentive ADHD, which seems more prevalent in girls.  According to Dr. Hinshaw, “The inattentive type of ADHD is marked less by disruptive, impulsive behavior and more by disorganized, unfocused performance.”  “The latter isn’t as likely to be recognized or cause as much concern to teachers.”

According to an interactive poll on girls and ADHD by Dr. Patricia Quinn and Dr. Sharon Wigal, ADHD often expresses itself in girls through poor self-esteem, excessive talking, perfectionism, worrying, nosiness, and risk-taking.  These are not the typical symptoms of lack of focus and hyperactivity that is often seen in boys. Dr. Quinn and Dr. Wigal’s poll also found that 4 out of 10 teachers reported more difficulty in recognizing ADHD symptoms in girls than in boys because generally, boys are more likely to exhibit behavioral problems.  As a result,  girls are more likely than boys to be asked to repeat a grade due to poor school performance rather than participating in an evaluation to determine if the student has ADHD or a learning disability.  Per Dr. Quinn, “A year later, the girl is no better off because she still hasn’t figured out the source of her problems.”

ADHD symptoms in girls can be challenging to decipher which is why the condition is often overlooked and underreported by teachers.  Many psychiatrists estimate that nearly half of all children with ADHD are female.  It is estimated that 50% fewer girls are referred for ADHD evaluations and treatment as compared to boys.  Girls with ADHD tend to have less visible symptoms.  Most girls with ADHD don’t tend to squirm, fidget, or get up to sharpen their pencil every two minutes. Instead, most girls with ADHD just sit at their desks and zone out. Those girls have the same ADHD problems of poor impulse control, inattention, and distractibility but few adults rarely suspect these girls have ADHD because they aren’t hyperactive. Furthermore, ADHD often expresses itself in girls through poor self-esteem, excessive talking, risk-taking, worrying, and perfectionism which are not the typical symptoms of hyperactivity and lack of focus for boys.

Much of the research also demonstrates that symptoms of ADHD in females often don’t emerge until puberty, a time when most kids experience emotional ups and downs. Due to cultural expectations and social pressures, girls seem to be more compelled than boys to get their schoolwork done. The research also reveals that generally speaking, girls want to please more than boys do, and they’re usually expected to do well in school. As a result, ADHD symptoms may not become very apparent until middle or high school, when a student’s work requirements increase dramatically.

In conclusion, ADHD is prevalent for boys and girls but the symptoms tend to look differently with girls.  By completing an ADHD evaluation, it can provide more clarity as to how to better assist a student.  ADHD is treatable and managed with proper interventions such as counseling, organizational strategies, behavior management, and medication. 

If you are needing help, please consider setting up a free phone consultation and we can discuss how an evaluation can be helpful.

ADHD and COVID-19: 5 Suggestions for Academic Success 

During the COVID-19 pandemic, most children are needing some extra guidance on how to navigate this academic school year virtually.  Students who have ADHD already struggle with sustained attention, distractibility, and forgetfulness in daily activities.   Students are missing the social aspect of school and the structure that the classroom provides.  Let’s discuss some helpful tips for our students with ADHD.

Five Suggestions for Academic Success:

1. Daily Routine.  Students with ADHD can really benefit from a visual schedule to help with time management.  Know your student’s virtual school schedule so that you can help your child manage their daily schedule. Find a convenient place to display their daily schedule.  Let your student be creative in designing the schedule with artwork and color.  Suggest color coordinating the schedule per class (for example blue is math, english is green…)   Encourage your student to wake up at the same time and go to bed at the same time.  Make sure to make time for eating breakfast and lunch. Remind them to take breaks in between classes to go to the kitchen for water and a snack and go to the bathroom.  Encourage your child to put in their best effort in completing assignments then reward him/herself with a fun and pleasurable activity.  

2. Distraction free area at home.  Help your child develop a space that is just for school.  Keep minimal items on the desk or table so that only the essentials are available.  Ask you student where they want to put their folders, pens, pencils and help them stay organized. Help your student understand the value in a clutter free space. If possible, have a visible calendar, either daily or weekly, in their study area as mentioned above. 

3. Clear expectations.  All students thrive when they know what to expect especially students with ADHD.  Help your child set realistic daily school goals.  Teach and encourage your student to add an extra 15 - 20 minutes to their schedule for the unknowns like wifi problems or printing problems.  Help your student understand what the teacher expects of him/her and have the same expectations at home. 

4. Movement.   Encourage your child to take movement breaks in between classes.  Research shows that physical activity and movement helps increase decision making, attention and learning. According to Dr. Stephanie Sarkis, with physical activity, executive function performance can improve in about 20 minutes, and ADHD symptoms can reduce in intensity after 30 minutes of exercise.  Remind your student that exercise is also a great stress reliever .

5. Rewards.  Students with ADHD can flourish with rewards.  Ideally use rewards first to improve behavior.  Compromise with your child on rewards for accomplishments. For example, if your student completes his/her homework before dinner time, make his/her favorite meal that day or allow your child to select the movie for family movie night.  Recognize your child often for being on task and getting work done like giving them a high five. Express how proud you are of your child when she/he demonstrates great effort.

If you want additional support, please contact me for a free 15 minute phone consultation.  Call me at 858-243-2684.

 10 Study Strategies for Students with ADHD

Common symptoms of ADHD include limited attention to detail, difficulties with sustained attention, easily distracted, and difficulties organizing tasks. A very helpful description of ADHD by Dr. William Benninger describes ADHD as a disorder of performance not skill; doing what you know, not knowing what to do; it is the when and where not the how or what. 

A very common ADHD impairment is working memory.  Dr. Benninger defines working memory as the ability to keep information online for a short period of time and also to be able to use the information in our thinking.  As you can imagine, these ADHD symptoms cause struggles at school and at home. 

Since every student has certain strengths and weaknesses, it is recommended to try different strategies to figure out what works best for each  student. Below are 10 helpful study strategies.

10 Study Strategies:

  1. Use a planner.  Find a planner that works best for you (paper planner, calendar on your phone…) so that you can write down all of your assignments, tests, and due dates. It is also recommended to add self care reminders in your planner like when you’ll eat, exercise and decompress.

  2. Take mini breaks.  It is recommended that you  take a 5-10 minute break every 30-45 minutes while studying.  An ideal break includes change of scenery (going to a different part of your home) and movement (shoulder rolls, jumping jacks or stretching).

  3. Use visual reminders.  Allow your creativity to help you decorate your binders and file folders with artwork and color.  Develop a system of colors to remind you what binder/file.

  4. Time management. Find a personal system to help you focus on better navigating your time.  Maybe add a visual reminder in your planner or add a reminder on your phone.  Also, try and get as much homework done at school so you can have some time to decompress at home.

  5. Note taking.  Take notes while in class to help you pay attention.  It is also recommended to take notes while reading a chapter in a book or reviewing for a quiz or test. Use a  highlighter or post-its while taking notes. 

  6. Realistic expectations.  Be sure to set realistic time frames for completing assignments and preparing for exams.  It is recommended to add 15-20 minutes to all tasks so as to make time for the unexpected (Wifi is not working, difficulties with printing/scanning…)

  7. Organization.  Have fun creating a visual system at school and at home to help you stay organized. Use visual cues to help you remember where to store your homework and then turn it in as soon as you walk into your class. Be organized at your table at school and at your desk at home.

  8. Ask for help.  Don’t forget that asking for help is a sign of strength.  If you’re not understanding something be sure to ask your teacher, friend or parent for help.  

  9. Study daily.  Be sure to study everyday in increments of time ideally 15-20 minutes.  Remind yourself that repetition is the key to learning. Cramming the night before is ineffective. 

  10. Self Care.  Always make time to take care of yourself including making time to exercise, decompress without a screen before you get into bed; going to be at a reasonable hour; eating all your meals and being kind to yourself.  

What Is ADHD? 3 Tips To Understanding an ADHD Evaluation

Attention Deficit Hyperactivity Disorder is known as ADHD.  The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) is a handbook used by healthcare professionals as a guide for mental health disorders.  According to the DSM-5, ADHD is a “persistent pattern of inattention and or hyperactivity-impulsivity that interferes with functioning or development.” A certain number of symptoms must be met in the areas of inattention and hyperactivity/impulsivity to be diagnosed with the disorder.  Some of the common symptoms include poor attention to detail, difficulty in daily tasks, fidgety, forgetful sustaining attention, easily distracted, restless and impulsive. A very helpful description of ADHD by Dr. William Benninger describes ADHD as a disorder of performance not skill; doing what you know, not knowing what to do; and it is the when and where not the how or what.  

Please note that completing an ADHD screener from a pediatrician is not sufficient to determine if your child meets the criteria for the complexities of the disorder.  In order to be properly diagnosed with ADHD, it is highly recommended that the child and parents participate in ADHD testing. The evaluation and testing is conducted by a psychologist. The testing can provide the parent with a much better understanding of your child’s academic strengths and weaknesses and how to provide the support that your child needs at school and at home.  

The first part of an ADHD evaluation will include a clinical interview with the parents and the child.  A comprehensive biopsychosocial assessment is suggested in order to understand various aspects of the child such as developmental history, sleep, medical conditions, family history of ADHD, social, behavioral and substance use.  

The second part of the ADHD evaluation is completing comprehensive questionnaires that are critical in measuring important factors to better understand the layers of symptoms of inattention, hyperactivity and impulsivity as well as other potential areas of concern.  One of those factors that are measured by these tests is named executive functioning. Important components of executive functioning include self control, self regulation, motivation and working memory. Another important factor to assess in the testing is called working memory also known as “mental workspace”.  Working memory helps facilitate the ability to control attention and resist distractions while completing a task that requires sustained effort. 

Furthermore, the questionnaires are administered to the child, parents and teachers.  It is very important to have multiple data points to determine if your child truly meets the criteria of ADHD.  The child is also provided with other questionnaires to rule out any other concerns such as anxiety and depression.  Once the questionnaires are completed, the psychologist will score the tests and provide the results in a written report.  The last appointment, a feedback session is when the psychologist provides the parents and the child with testing results and comprehensive recommendations.   

If you have any questions, please contact me to schedule a free initial consultation.


Want Help with ADHD? Try HeartMath

How Heartmath Can Help With ADHD

HeartMath can help people with ADHD identify ways to attain coherence. Coherence is an optimal state in which the mind, heart and emotions operate in sync and are balanced. This state of coherence has been proven to have numerous emotional, mental and physical benefits.

How Does Heartmath Work?

Heartmath is a research based system of scientifically validated tools, techniques and technology to increase mental and emotional self-regulation.  HeartMath includes heart rhythm coherence monitoring and feedback technology called emWave technology. The emWave desktop technology trains kids and adults to gain greater self control, reduce stress and increase resilience.  Using either a finger sensor or an ear sensor connected to a USB module running on emWave software, it monitors and displays an individual's heart rhythm patterns and coherence levels on a computer screen.  

By practicing self regulation techniques with the emWave Pro technology, people can change their coherence levels.  Each individual session is recorded and saved automatically in the program so users can track their progress over time.  

Learning the emWave technology is not done in isolation from real life.  The goal is to transfer what is learned in each session to specific life situations in which a child or adult is required to exercise self control.  Real life applications ensure a higher quality of learning.

HeartMath and ADHD

Behavior treatment for children with ADHD involves changing some aspects of the home and school environments to promote more successful social/emotional interactions and academic growth.  These adjustments typically include creating more structure, encouraging routines and implementing specific goals and daily positive reinforcement. The emWave technology ties in well with behavior management.  HeartMath can be a great addition to teaching kids with ADHD effective coping skills like self control and impulse control. 



Source:  Using emWave Technology for Children with ADHD, Institute of HeartMath