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ADHD vs. Self-esteem

The ADHD question for the day: Is there a causal relationship between ADHD and poor self-esteem?
Treating ADHD Blog | Tuesday November 25th - 9:42am | More November 2008 Blogs
 
Bill Mehlman blogs about treating adult ADHD for ADDitudeMag.com

So, folks, it's quiz time again. Unfortunately, I don't have one of those widgets that you see on the sports blogs, which enable you to vote on critical issues ("Who was the greater athlete: Michael Jordan, Wayne Gretsky, The Great Lebowski, Tonya Harding, Willie Mosconi or Secretariat?") and see what your fellow Nobel laureates think, so you'll have to post comments. Or else.

The question for the day: Is there a causal relationship between ADHD and poor self-esteem?

Or, to put it on a more personal level, "Have you ever known—or been—a person afflicted with ADHD who has a good self-image?

My vote is, "No, are you kidding?"

The subterranean, amorphous, malignant information that we—We—carry around with us, the knowledge that we're almost certainly "different" from "them," certainly doesn't do much for our self-confidence. I think we can stipulate that some kind of link exists between the two conditions. What we need to figure out is whether the ADHD is the proximate cause of the feeble self-image, or if the lack of self-esteem contributes to the inability to function.

Intuitively, I'd have to believe that the ADHD is more of a hard-wired situation. Whatever environmental factors may enter into its etiology, my personal experience is that the problem is largely congenital. You got dealt a bad hand, Jack, and you just have to deal with it.

The lack of self-esteem seems, equally intuitively, to be something more readily attributable to external factors. It would be a remarkable child who, lacking parental support and affection, grows to be a self-confident, focused adult.

Somewhere, hand and hand with these two issues, of course, runs our old friend Depression. But for the purposes of accurate polling, we'll leave him on the bench for this discussion.

So, gentle readers, care to offer any thoughts on this chicken/egg quandry?

And, speaking of poultry, Happy Thanksgiving to all.

3 Comments:

  • Posted by Bill Mehlman - Dec 3 2008 @ 6:37 AM
    Depression, Self-Loathing, ADHD
    Nivlong, you've certainly found the slippery slope, haven't you? Or the chicken/egg thing? I posted some months ago about ADHD, autism and depression, and finding that there were lists of famous and accomplished people who supposedly suffered from each of these. It was remarkable how many people appeared on ALL of the lists. Leonardo, Einstein, Churchill, Hemingway, among others, to the best of my recall. Diagnosing mental and emotional conditions is, from my non-professional point of view, still more an art than an exact science. Who knows why we wake up one morning, having gone to sleep the night before in a good mood, with an almost unbearable sense of impending doom. And can it be doubted that our ability to concentrate for the rest of that day will be impaired? My guess is that all we can do is keep writing and reading and thinking about ADHD in general and about our own private situations in particular, and hope to add to the body of knowledge available to a future researcher who can make a quantum leap in diagnosis and treatment.
  • Posted by Nivlong - Dec 2 2008 @ 4:19 PM
    I Agree
    I'm on the yes side too. I imagine ADHD symptoms contribute to the life problems that result in low self esteem, so I'm more on the side that ADHD reduces self-esteem.

    I think there's a definite correlation, and feel it's likely that ADHD leads to low self-esteem which leads to worse ADHD behaviors, symptoms, scenarios, etc.

    I was diagnosed with ADHD in college but had good support from parents (high expectations, lots of extra curricular activities, tutoring, and encouragement from my mother's big ole family). I feel fairly confident on a day-to-day basis. Being focused, however, is different challenge!

    On the other hand, I have one undiagnosed friend who fits the profile of an ADHD. His current life situation (broke and hates current job) and "harder" upbringing remind me of where I'd be if dealt a different situation in life. He's hard on himself and I suspect his esteem is also down.

    Finally, I once described ADHD to someone else and though he felt he fit the description perfectly, he went and and lo and behold... was diagnosed with depression. Go figure. His "ADHD-ness" was really depression (unless, of course, he was misdiagnosed or something was missed).

  • Posted by Ruger-T - Nov 26 2008 @ 2:37 PM
    ADHD and Self-esteem
    I vote yes. I agree that ADHD is hard-wired, more or less. I've got it. Now that I know I've got it and how it affects me, I can make decisions to take actions that allow me to function effectively. You know the drill: set priorities, parse tasks into do-able chunks, make lists; review the lists, don't just make them and so on. This is not easy for me, often I lapse but eventually drag myself out of he endless loop of worrying, not-doing and worrying some more. Despite the dysfunctional synapses, I can get things done and feel confident about my ability. That does not mean that I don't have self-doubts--I do-- but even though I'm different from them, I can still be successful. Now as to the self-esteem thing, I'm not sure what that is or where to go get it. If I work hard, and sometimes smart, I can fool lots of people into thinking I've got it, and that's all right with me.
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