Girls With ADHD - Predominantly Inattentive and Often Undiagnosed and Untreated

You can only fully understand how it is possiblemonths ago. In one of these studies the
that girls and people with Predominantlyresearchers gave teachers written vignettes with
Inattentive ADHD, ADHD-PI get ignored by thea case study of a girl with symptoms of ADHD-PI
medical research community if you have livedand a case study of a girl with the symptoms of
with or have, in some other manner, thoroughlyADHD-C. Different teachers received different
experienced the other subtypes of ADHD. Thevignettes and were then asked questions
reality is that the other subtypes are louder, moreregarding the girl's diagnosis and the need for a
immediately in need of attention, and in general, atmedical referral. Ninety-eight percent of the
least at first blush, much more difficult to dealteachers recognized that there was a problem
with.but they classified the girls as having emotional
I do not say this to propose that those of usproblems rather than ADHD symptom problems.
with ADHD-PI are better off than the otherThe combined type case study girl was identified
subtypes. We are not, we have other problems. Ias having ADHD by only 43% of teachers.
say this to give everyone an understanding ofEighty-six percent of teachers failed to identify
what we are up against. Girls are at athe girls with ADHD-PI. Eighty-five percent of
disadvantage when it comes to being diagnosedteachers reported that medication would not be
with ADHD because they are more likely to havehelpful for either case study girl.
ADHD-PI but they are also at a disadvantage justIn the second study 140 teachers and 96 parents
because they are girls. All Girls, regardless of thewere given a vignette with a case study of a
subtype, are viewed differently than boys withchild with ADHD symptoms. Half the parents and
ADHD and they are less likely to be identified,teachers read the case vignettes with a boys
diagnosed, or referred for treatment.names on them and the other half read the
I believe that there is a hierarchy of need that isvignettes with a girls names on them. The
taken into account when medical dollars areparticipants then rated their likeliness to seek or
allocated for research. It is appropriate that thererecommend further evaluation or treatment for
are more research dollars allocated to Cancer andthe child in each vignette. Parents and teachers
heart disease research than there are for saywere less likely to recommend services for girls
onychomycosis (nail fungus).than boys with ADHD symptoms.
My contention is that girls get less attentionThe researcher of this second study had
because the problems of ADHD-PI are 'quieter'hypothesized that parents and teachers were not
than the problems of the other subtypes. Girls areseeking evaluation and treatment for girls because
also thought to be less at risk for becoming athe girls were less disruptive but this turned out
societal nuisance, than boys. Girls with ADHD areto not be the case. The differences in referral
perceived by teachers and parents differentlyrates turned out to be related to the perception
than boys with the same symptoms and theyby parents and teachers that "learning assistance
get less attention and care for their ADHDis less effective for girls than boys with ADHD."
problems because of this.The findings from this second study should
Girls suffer tremendously as a result of theirinfuriate any woman reading this. The bias by
symptoms of ADHD but their symptoms oftenparents and teachers is so glaringly biased and
go completely ignored. Because, the majority ofunfortunate for girls with ADHD. Girls with ADHD
children with the hyperactive/Impulsive type ofare likely to go without attention for years and
ADHD (ADHD-HI) and the combined type ofwill fall further and further behind in school. Most
ADHD (ADHD-C) are boys, the studies done ongirls will carry these symptoms into adulthood and
the trends, interventions, and outcomes for theseare likely to have coexisting problems such as
types of ADHD has tended to include asubstance abuse and depression which will only be
predominance of boys. To make matters evenworsened by ignoring the symptoms of ADHD.
worse, girls with the combined or hyperactiveWe have got to do better by our girls.
impulsive type of ADHD are often mislabeled asResearchers are finally starting to research and
having some other condition other than ADHD andunderstand the barrier to treating girls with ADHD.
so are in turn, not treated appropriately.There is much more work to be done but these
Two interesting studies were performed a fewstudies are at least, a start.