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Thread : Why Being Diagnosed with ADHD as an Adult is *NORMAL*  
24 Nov 2008 @ 4:18 PM
drlevrini Join Date: Fri 14th Nov 2008
Threads: 3 Posts: 2
Why Being Diagnosed with ADHD as an Adult is *NORMAL*

Last week, I went to dinner with a group of old high school friends I hadn't seen in awhile. There I learned that my friend--we'll call her Lulu--had just come from being assessed for ADHD and learning disabilities. Lulu is 27, and has always been an excellent student. About a month ago, after completing an intense medical program at Columbia University, she had taken the MCATs in hopes of getting in to medical school and had, in her words, "bombed" the test.

Most of our friends who have known Lulu were shocked and surprised when they heard about the possibility of her being diagnosed with a learning disability or ADHD. They were even more shocked when Lulu explained that the psychologist had already determined that at the very least she definitely has ADHD. How could someone who has always done so well in school and come across as incredibly intelligent, have a learning disability?

Being a specialist in this area, I wasn't quite as surprised. Like a lot of older students and working adults I have come across throughout my career, even with very caring and observational parents, learning disabilities and ADHD often get overlooked throughout childhood and even throughout adulthood. Just last year I worked with a woman I diagnosed as ADHD at the age of 58, and she had never before been told that it was even a possibility.

Here's the thing. People with learning disabilities and/or ADHD aren't stupid! In fact, the reason the diagnosis can get overlooked for so long is a testament to how smart a lot of them are. They find ways of coping with their weaknesses, often working harder than the rest of us to keep up, but fooling everyone in the process---parents, teachers, and friends.

In Lulu's case, she had coped so well and is so intelligent that she made almost perfect grades throughout high school, SAT's, college, AND her med program, and only discovered that she might have an attention problem or other learning disability when her standard coping skills stopped working when she attempted the MCAT.

It is wonderful how much people focus on childhood interventions. My 5-year-old nephew has been going to PT and OT and every other T since he was two, and it has been tremendous for him. Still, the need for older adolescent and adult interventions is never going to change. And to parents who may be feeling guilty for not "seeing" the problem earlier, I hope this helps to explain that it's no ones' fault. The reason you didn't see your child's disability is because your child is so adaptable. Learning disabilities and ADHD don't form later in life or come out of thin air, it's simply that a person's environment changes to the point that they are no longer able to creatively adapt and cope on their own.

People like my friend Lulu are one of the main reasons I feel so passionately about coaching. Coaching allows individuals to work with professionals and come up with creative ways of reinventing coping skills so that they will work as challenges become more and more difficult. It is fitting the system to the person and not the other way around. People like Lulu CAN reach their dreams, they may just need a little help along the way.

To see more, please visit my blog: www.redefininghelp.blogspot.com Or my website: www.psychedcoaches.com

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7 Dec 2008 @ 6:51 PM Reply # 1
Elaine20 Join Date: Sat 10th Nov 2007
Threads: 5 Posts: 265
Adults and Women with ADHD

Thanks for your input. I wish there were more doctors and professionals who truly understand ADHD, including the inattentive type, and how it manifests in women. In spite of frequent visits to doctors and psychiatrists/psychologists and therapists, many adults still don't get diagnosed. I've seen many cases where it was the patient's research or a comment from a friend or family member that starts the investigation of looking into an ADHD diagnosis.

I can totally relate to this as I was only diagnosed this year at the age of 48. I had a 3.9 avg. when I graduated from high school and went on to get a degree in accounting. I had a high IQ but I wasn't as successful at my job as I could have been.

When I began to consider the possibliity that I might have the inattentive ADD, my younger sister and I (she's 39) were discussing the different symptoms and how we didn't always "get" what everybody else seemed to be able to do in spite of being intelligent. My sister graduated valedictorian of her high school class and she works as a pharmacist. She has been treated for depression for 20 years now and has had several severe episodes and varius trials of medication. She sees a therapist on a regular basis, along with her psychiatrist.

My doctor had me read "Driven to Distraction" and write up examples from my life of the specific ADHD symptoms, where they applied. My sister did the same thing even though she hadn't mentioned anything to a doctor yet. We both realized that my sister had it as well (she lives in a different state) and she had to tell her psychiatrist, who told her he wasn't that familiar with ADHD. If she hadn't have brought it up herself, she might never have been diagnosed. And yet I had recently read about a study that showed that 55% of individuals with treatment resistant depression (my sister definitely qualified for this) had undiagnosed ADHD as well, and the recommendation was to evaluate for ADHD whenever you had a case of treatment resistant depression. It seems that a great number of psychiatrists/therapists are not well informed about ADHD in adults, particularly when you are dealing with women who have inattentive ADHD, and those who are intelligent and have been able to compensate fairly well in life.

My husband had also seen several different psychiatrists over the years for depression and none of them had picked up on his ADHD either, and his was classic ADHD with the hyperactivity, impulsiveness, impatience and it was very apparent if you knew just a little about ADHD.

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11 Dec 2008 @ 5:50 PM Reply # 2
FrostinGal@yahoo.com Join Date: Tue 16th Sep 2008
Threads: 1 Posts: 9
That makes so much sense!

Diagnosis didn't come for me until the age of 40. I had managed to do really well in school and graduate from nursing school, and manage a family and home. At a great expense, however, it was all so hard keeping it all together!! It wasn't until my son was diagnosed, long after my daughter's diagnosis, that my son's therapist brought up the possibility that I may be affected. (Think it might have been getting to appts late that clued him in? LOL) I have been treated for anxiety and depression since age of thirty, and I believe that my anxiety and OCD kept me going all of these years. My daughter just resumed meds after several years, and at first, they were hesitant, because she is an honor roll senior. But she suffers from anxiety and OCD, as well. But social skills are where her ADHD hurts her most. The medication is showing some promise at this time, but it is still early.

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