Hinshaw says girls are harmed by earlier, and more effective, socialization. They are trained from an early age not to make trouble, and to disguise mistakes and miscues. They turn their frustration on themselves, rather than others.
, revealed that girls with ADHD were more likely than others to engage in antisocial behavior, and to suffer from substance use disorders or anxiety.
Meanwhile, girls with the hyperactive type of ADHD are stigmatized more than boys with the same diagnosis. Kids on the playground regard impulsivity and distraction as boyish. Boys are more likely to get a pass from other kids and teachers, especially if their symptoms aren’t severe. Girls get ostracized.
For many years, her domestic duties overwhelmed her. She’d start out on a chore, from a list her husband prepared, then get sidetracked, ending up with tasks half-done. “I’d throw a load of laundry in and forget about it for days,” says Carr. “By then, it would smell musty, so I’d wash it again. And then I’d forget about it again.”
Hinshaw says he’s not convinced that girls need extra meds to tolerate stimulants, compared to boys. He notes that, to the extent that girls are likely to develop mood disorders and anxiety, evidence-based cognitive behavioral therapies may be helpful. Nadeau also recommends group therapy, as a gender-specific strategy, to encourage girls and women to use their verbal skills to give one another support, develop coping strategies, and not feel isolated.
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