“The tendency to mask ADHD behaviours, can have profound consequences and these individuals often endure a silent struggle.”
As a therapist, my journey through the realm of mental health has been an ever-evolving expedition into the intricacies of the human mind.
One area that has always intrigued me is Attention Deficit Hyperactivity Disorder (ADHD). Beyond the stereotypes of hyperactive children bouncing off the walls, there is a fascinating world of subtlety and complexity that lies beneath the surface. In particular, I find myself drawn to the question of how ADHD behaviours can often be masked, especially in females. I aim here, to delve into the enigma of ADHD, shedding light on what it is, its prevalence worldwide, and the unique challenges it poses, especially when it comes to masking.
ADHD is a neuro-developmental alternative to general population brain development, that affects both children and adults. It is characterised by a persistent pattern of inattention, hyperactivity, and impulsivity that interferes with daily functioning and quality of life. Contrary to popular belief, ADHD is not limited to childhood, and many individuals continue to experience its challenges throughout their adult lives.
The prevalence of ADHD varies across the world, with estimates suggesting that it affects around 5-10% of children globally. However, it's important to note that these numbers may not capture the full extent of the disorder, as many cases often go undiagnosed. When looking at adults, the prevalence rates can be even more elusive and this is where the masking phenomenon comes into play.
These behaviours can be overlooked or attributed to laziness or a lack of motivation
ADHD behaviours manifest differently in individuals, making it a complex and multifaceted condition. In the past, it was often stereotypically associated with hyperactivity, particularly in boys, however, research has shown that ADHD expresses itself on a spectrum, and this spectrum includes individuals who don't fit the traditional image of the disorder. In many cases, males with ADHD may not present with overt hyperactivity or impulsivity and instead may display internal restlessness, distractibility, and difficulty sustaining attention. These behaviours can be overlooked or attributed to laziness or a lack of motivation, leading to late or missed diagnoses. The masking phenomenon becomes even more intriguing when we consider females with ADHD. Research has suggested that females are more likely to internalise or mask their symptoms, attempting to compensate for their struggles by working harder and appearing well-organised. It may be what’s expected of them. Over time, they may become adept at concealing their difficulties, which can lead to delayed diagnosis or even the erroneous belief that they don't have ADHD. The tendency to mask ADHD behaviours in females, can have profound consequences and these individuals often endure a silent struggle, feeling overwhelmed by their internal chaos while presenting a calm exterior. This can lead to heightened stress, anxiety, depression, and a diminished sense of self-worth.
I will need to drift away with the pixies for a while
As a therapist, my interest in ADHD masking goes beyond academic curiosity. It stems from a desire to better understand the challenges my clients face, especially those who may be masking their symptoms. Recognising the diverse ways in which ADHD presents itself is essential for accurate diagnosis and effective treatment and I’m drawn to understanding how ADHD affects daily life. I am aware myself, that I display behaviours (or rather cope with) in line with this type of neurodiversity, although I have never been diagnosed and waiting lists in the UK anyway, are immensely long. An example of how it manifests for me is in the writing of this article. It has had me hyper-focused for a long time and after it’s finished (and only when it is) I will need to drift away with the pixies for a while, as I will not be able to focus. This is not the same for everyone and often it can be mistaken for introvertedness, and other conditions, such as anxiety, depression, learning disabilities, biploar disorder and even substance abuse, due to overlapping behaviours and the wide range of ways it can manifest.
ADHD is not a one-size-fits-all condition, and it can be far more subtle and complex than commonly believed and it certainly isn’t a disability. As a therapist, my passion for uncovering the truth behind ADHD masking continues to drive my commitment to helping individuals, both men and women, lead fulfilling lives. By raising awareness about the hidden struggles of those with ADHD, we can work towards more accurate diagnoses, greater understanding, and improved support for all who grapple with this enigmatic disorder.
