Tag: ADHD

  • Many children with ADHD miss a crucial step in treatment

    Many children with ADHD miss a crucial step in treatment

    When pediatricians diagnose preschoolers with attention deficit hyperactivity disorder, there are clear steps they are supposed to take.

    Families should first be referred to behavior therapy, which teaches caregivers how to better support their children and manage challenging behaviors that may be related to ADHD. If therapy isn’t making a significant difference, the American Academy of Pediatrics advises, pediatricians can then consider medication.

    Nationwide, this process — behavior therapy, then medication if needed — isn’t being followed as often as it should, according to a study recently released by Stanford Medicine and published in JAMA Network Open. Instead, more than 42 percent of 3- to 5-year-olds with ADHD were prescribed medication within a month of their diagnosis.

    Missing out on behavior therapy has worrisome implications for children and families, said Dr. Yair Bannett, assistant professor of pediatrics at Stanford Medicine and lead author of the study. Behavioral management training for parents over the course of several months has been found to reduce children’s ADHD symptoms and behavioral problems, and improve parent skills and their relationships with their children. 

    Without that support, families may be left facing additional challenges. Behavioral training “reduces the chaos in the house and can improve the quality of life for the parents and the child,” Bannett said. 

    There are several reasons families may be missing this intervention. Some pediatricians aren’t familiar with the purpose of behavior therapy, Bannett added, which is specifically aimed at the adults who support children with ADHD, not the children. “It’s really more of an advanced type of parenting course,” he said. Families also may have trouble finding affordable local therapists.

    Bannett said parents should use three key practices to support young children with ADHD. (These strategies also work well for teachers, he added.)

    Focus on building a strong, positive relationship: Having a strong attachment between the child and parent or teacher is an important first step to managing behavior, Bannett said. That means spending quality one-on-one time with the child. “That’s the child’s motivation, they want to please you,” he added. “Without that first piece, none of this will work.”

    Use positive reinforcement: Rather than punishing a child’s negative behavior, Bannett said, parents and teachers will see more success if they praise good behaviors and develop reward systems to encourage them.  

    Adjust the child’s environment: Children with ADHD may thrive with simple environmental changes, such as “visual schedules” — charts that use pictures to show a child daily activities or tasks — and a consistent, structured routine.

    Parents who can’t find in-person therapists can substitute online therapy, Bannett said. The training is also useful for families even after their children are prescribed medication. 

    To make sure more families have access to helpful strategies, Bannett would like to see more education for doctors and clinicians on these best practices. 

    “The pediatricians could also counsel families in the office about these techniques,” Bannett said. “Some written materials and resources could be enough” to at least introduce these practices, he added. “That’s what I’m hoping could make a change.”

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  • How to Create an ADHD Academic Community (opinion)

    How to Create an ADHD Academic Community (opinion)

    “Have you ever considered you might have ADHD?” My therapist asked me that during my second year of Ph.D. studies at Cornell University. I had just mentioned my 8-year-old nephew’s diagnosis, adding that both my brother and father had it too. She explained how attention deficit hyperactivity disorder manifests differently in women—less hyperactivity, more internal struggle—and why men and children with more recognizable symptoms are diagnosed earlier.

    The diagnosis, when it finally came, illuminated a lifetime of confusion: why simple tasks felt insurmountable, why my brilliance arrived in unpredictable bursts, why I could hyperfocus for 12 hours on coding but couldn’t remember to pay rent. Then the pandemic hit. Isolated in my apartment, stripped of external structure, I watched my symptoms spiral out of control. My dissertation research stalled. My carefully constructed coping mechanisms crumbled. I wasn’t just struggling with ADHD—I was drowning in it.

    I had been thinking about creating a space specifically for academics with ADHD. In a therapy group, I met another graduate student silently battling the same demons. When I shared my idea, she immediately understood its value. Together, we organized our first meeting, gathering a few friends via Zoom. Our numbers grew after I took a calculated risk during a department seminar—openly discussing my diagnosis and the unique challenges it created in academic life. Private messages trickled in from students across departments, each one a confession of silent, similar struggles.

    My courage to speak openly came from an unexpected source. Months earlier, a successful visiting professor had casually mentioned getting diagnosed with ADHD after their first year on the faculty. Seeing someone in a position I aspired to reach discuss their diagnosis so matter-of-factly gave me hope. This cascade effect—from the professor to me, from me to others—became how our community grew.

    Four years later, our weekly meetings continue, even as many of us have graduated and moved to new institutions. What began as a survival mechanism during isolation has evolved into a sustainable community that transcends institutional boundaries.

    The Challenges of Being an Academic With ADHD

    Academia presents unique challenges for individuals with ADHD that differ from those found in other professional environments. Research requires sustained focus over months or years with minimal external structure—a particularly difficult task for the ADHD brain that thrives on novelty and immediate feedback. Grant deadlines, publication timelines and research planning demand executive functioning skills that many of us struggle with, despite high intelligence and creativity.

    But ADHD’s effects on academic life extend far beyond issues of executive function. Rejection sensitive dysphoria—the intense emotional response to perceived criticism—can make grant rejections and peer review feedback devastating rather than constructive. What neurotypical colleagues might process as routine academic critique can trigger profound emotional responses that interrupt work for days or weeks.

    Time blindness affects how we manage projects and deadlines in significant ways. The inability to accurately perceive how much time has passed or how long tasks will take creates a pattern of either last-minute panic work or paralysis when deadlines feel abstractly distant. Poor working memory impacts our ability to hold multiple concepts in mind during writing and research, often leading to fragmented work processes that others misinterpret as lack of focus or commitment.

    Many of us also struggle with auditory processing issues that make departmental meetings, lectures and conferences particularly taxing. The cognitive effort required simply to process spoken information in these settings depletes mental energy.

    Traditional academic support resources rarely address these specific challenges. Time management workshops typically assume neurotypical brain functioning and don’t account for the variable attention and motivation that characterizes ADHD. Productivity advice often focuses on willpower and discipline rather than taking into account neurodivergent traits. Even when disability services are available on campus, they tend to focus on classroom accommodations rather than the holistic challenges of academic life with ADHD, particularly the unstructured aspects of research and writing that often cause the greatest difficulty.

    Building Our Community

    Our initial meetings were simply virtual gatherings to validate frustrations and share strategies. The pandemic actually provided an unexpected advantage—virtual meetings allowed us to participate from our most comfortable environments, pacing or fidgeting as needed.

    While we first attempted a highly structured approach with designated facilitators, we quickly discovered this created more pressure than relief. What worked better was a simple pattern: rounds of updates in which each person shares recent struggles and wins, plus spontaneous advice sharing and time spent setting intentions for what we’ll accomplish next.

    Creating psychological safety was paramount. We established clear confidentiality guidelines—what’s shared in the group stays in the group. Group norms evolved organically: no shame for forgetfulness, no competitiveness with one another, and a focus on solutions rather than just venting. We emphasized how ADHD traits such as hyperfocus and creative thinking can become significant strengths when properly channeled.

    Starting Your Own Group

    Based on our experience, here’s how to create an effective ADHD academic community:

    1. Start small with trusted connections. Begin with three to five people you already know to establish psychological safety before expanding.
    2. Consider independence from institutional structures. Our unofficial status meant less administrative hassle and allowed continuity as members graduated.
    3. Implement minimal structure. Our simple meeting format provided enough structure to be productive while allowing flexibility. A rotating notetaker helped members with memory challenges revisit past discussions.
    4. Embrace accessible, virtual options. We created a shared calendar and Slack channel for regular meetings, but also allowed members to add impromptu co-working sessions.
    5. Share resources collaboratively. Regularly exchange tools and strategies—from productivity apps to therapist recommendations to successful accommodation requests.
    6. Prioritize confidentiality. Some members may not have disclosed their diagnosis in their departments, making the group their only space for open discussion.

    Impact Beyond Expectations

    Members of our group have reported significant improvements in completing dissertations, meeting deadlines and navigating the job market with ADHD. The psychological benefits have been equally profound. Academia’s competitive nature breeds imposter syndrome, amplified for those with ADHD. When peers appear to effortlessly juggle multiple responsibilities while you struggle with basic tasks, the comparison can be crushing.

    In our group, however, we found role models who shared our challenges. Watching fellow ADHD academics successfully defend dissertations or secure positions created a powerful ripple effect of inspiration. These visible successes provided concrete evidence that academic milestones were achievable with ADHD, motivating others to persevere through their own struggles.

    While consistent attendance can be challenging (unsurprisingly, given our shared attention difficulties), we’ve found that maintaining a no-pressure atmosphere works better than strict accountability—members drift in and out as needed, returning without shame.

    Finding Connection Through Shared Neurodiversity

    What I’ve learned through this journey is that sometimes the most powerful communities form around shared neurological experiences rather than departmental affiliations. The regular connection with others who understand your specific challenges can be transformative for wellbeing, productivity and career development.

    By creating these supportive micro-communities, we not only help ourselves navigate existing structures but gradually transform academic culture to better accommodate diverse cognitive styles—ultimately enriching scholarship for everyone.

    If you’re an academic with ADHD, consider initiating a similar group. The effort to create connection amid the isolation of both academia and neurodivergence yields returns far beyond what we initially imagined.

    Maria Akopyan is a National Science Foundation postdoctoral research fellow in the Department of Evolution, Ecology and Organismal Biology at the University of California, Riverside. She uses genomic tools to study how species diverge, adapt and persist across environments through time.

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  • Neurodiversity at Work: Focus on ADHD in Women – CUPA-HR

    Neurodiversity at Work: Focus on ADHD in Women – CUPA-HR

    by Julie Burrell | August 5, 2024

    A full picture of neurodiversity in the workplace includes understanding how gender shapes employees’ experiences of neurodevelopmental disorders. Although they’re diagnosed at roughly the same rates as men, women with ADHD may be overlooked in conversations about attention-deficit/hyperactivity disorder. Until fairly recently, ADHD was seen as primarily affecting children, with the typical view of someone with the disorder as a restless or hyperactive boy.

    Awareness about how ADHD can manifest differently in women — and how gender stereotypes play a significant role in diagnosis and treatment — can help foster a culture that uplifts neurodiversity and the skills that neurodiverse employees can offer an organization. Employees with ADHD bring unique strengths and perspective to their work, such as creativity, courage and hyperfocus.

    Here’s what HR needs to know about ADHD and how it can be different for women.

    Misconceptions About ADHD

    Rather than a set of behaviors, ADHD is a neurodevelopmental condition affecting about 2% to 5% of adults, and falls under the same broad umbrella as autism spectrum disorder and dyslexia. A stereotypical picture of someone with ADHD is “a boy who can’t sit still and is disruptive in class,” according to Dr. Deepti Anbarasan, a clinical associate professor of psychiatry at New York University.

    Women who receive ADHD diagnoses in adulthood may have struggled with inattention and executive functioning for much of their lives. Because girls and women with ADHD often present as inattentive rather than hyperactive, and because women often develop coping skills that mask ADHD, women often receive late-in-life diagnoses. By the time women reach adulthood, however, the rates of diagnosis are close to those seen in men.

    ADHD in women often presents as challenges with executive functioning, which can include difficulties with attention and focus, as well as emotional dysregulation, trouble with finishing tasks or juggling multiple tasks, and absentmindedness. Women with ADHD might also suffer from anxiety and depression, and even suicide attempts and self-harm. Some people with ADHD compensate by working extra hours during their personal time to keep up with their day-to-day work, causing added stress.

    A Strengths-Based Approach

    Though ADHD can pose real challenges at work, a strengths-based approach highlights the advantages that employees with ADHD bring to their jobs. In a recent study, for example, 50 adults with ADHD identified the positive aspects of living with the condition, including energy and drive, a high degree of creativity, an ability to hyperfocus, and traits such as resilience, curiosity, and empathy. The same study emphasizes that experiencing ADHD as challenging or beneficial depends on the context and sociocultural environment that a person is in.

    HR as a Leader in Neurodiversity

    Given how much context and sociocultural environment matters, creating a campus climate that supports neurodiversity is critical. HR can champion neurodiversity through awareness and well-being programs. Because ADHD often occurs alongside depression and anxiety, a holistic approach to well-being is recommended. (Learn how the University of Texas Health Science Center at San Antonio gained traction with their mental health awareness campaign.)

    HR can also advocate for accommodations to support neurodivergent employees. For example, task separation is a common management strategy to help employees set their work priorities. In emails and written communication this might look like establishing clear parameters, breaking requests down into bulleted lists, and clearly spelling out instructions like “two-minute ask” or “response requested.” (For many more suggestions on how to uplift neurodiversity on campus, including practical tips for accommodations, read Neurodiversity in the Higher Ed Workplace.)

    There’s a business case to be made for a robust attention to neurodiversity: increased retention and productivity, reduced absenteeism, and developing employees’ strengths. Supporting neurodiversity also builds an appealing workplace culture, one that signals to employees that their whole person is valued.

    More Resources on Women With ADHD

    ADHD Is Different for Women, a podcast by the Harvard Business Review

    Duke Center for Girls and Women with ADHD 

    Women and Girls with ADHD from the organization Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD)



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