A Feminist's Guide to ADHD

August 12, 2024
Psychologist Maschke debunks perceptions of ADHD as a “male-centric disorder” in this valuable debut. Sketching out a brief history of the disorder—which was first conceptualized in 1952 but long went unstudied in women—she points to a profound gender gap in ADHD diagnoses stemming from lack of research, gendered stereotypes (that women “have it all together”), and differences in symptom presentations. As a corrective she breaks down how ADHD subtypes (hyperactive-impulsive, inattentive, and combined) manifest in women in often internalized ways; how ADHD intersects with depression, anxiety, and eating disorders, to which women are especially vulnerable; and how women with ADHD can manage their symptoms by creating routines, spending time in nature, and improving sleep hygiene. Though some of that information feels stale, Maschke provides specific, useful background on how hormonal fluctuations impact symptoms—increased levels of progesterone during the premenstrual phase, for example, can reduce stimulant medication efficacy and worsen emotional volatility—and her lucid blend of scientific know-how and anecdotes of her own experiences with ADHD make her a credible and relatable guide. Women grappling with new ADHD diagnoses will find this an especially solid starting point. (Oct.)This review has been updated for clarity.