ADHD in Men: Symptoms, Diagnosis and Treatment

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Dr. Vishnu Pradeep

Consultant Psychiatrist

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A neurological and mental health condition known as Attention Deficit Hyperactivity Disorder (ADHD) affects both children and adults. Even though ADHD is often discussed in terms of children, adult men with ADHD are often overlooked. This guide provides insights and practical advice for men with ADHD, as well as their partners.

Understanding Attention Deficit Hyperactivity Disorder (ADHD)

Attention Deficit Hyperactivity Disorder (ADHD) is a neurological condition that affects both children and adults. Characterised by symptoms such as inattention, hyperactivity, and impulsivity, ADHD can significantly impact various aspects of life, including personal relationships, academic performance, and professional success. While ADHD is often associated with children, it is crucial to recognise that adult ADHD is also prevalent and can be equally challenging.

Understanding ADHD is the first step towards effective management and support. By gaining insights into the condition, individuals with ADHD and their loved ones can better navigate the complexities it brings. This knowledge can also help in reducing the stigma associated with ADHD, fostering a more supportive environment for those affected.

Identifying Adult ADHD Symptoms in Men

ADHD shows different signs in adults than it does in children. In men, it can be identified through a range of symptoms, such as:

These adult symptoms often begin in childhood but may not be recognised until adulthood.

Inattention: struggles with maintaining focus on tasks, is prone to daydreaming, and tends to make careless errors.

Hyperactivity: restlessness, difficulty remaining seated, and constant fidgeting.

Impulsivity: acting impulsively, interrupting others, and being unable to wait for one’s turn.

As a result, ADHD also affects men’s ability to organise tasks, manage time, and maintain employment. These symptoms can have a significant impact on their personal and professional lives, making it crucial to identify the condition, treat it effectively, and prevent it from becoming worse.

How does ADHD Diagnosis differ in Men vs Women

Men and women experience ADHD differently. Men usually exhibit more hyperactivity and impulsivity, while women tend to show more inattentive symptoms. Since men’s symptoms are more visible and disruptive, they are more likely to be diagnosed earlier. It is possible, however, that some symptoms of ADHD may be dismissed as mere personality traits rather than ADHD symptoms due to society’s expectation that men should be more active and less emotionally expressive.

What’s normal behaviour and what’s ADHD? 

Most people experience ADHD-like symptoms occasionally. Recent or rare symptoms likely do not indicate ADHD. ADHD is diagnosed when symptoms significantly impact multiple areas of life. These symptoms typically start in early childhood. Diagnosing ADHD in adults can be challenging due to similar symptoms in other conditions. Many adults with ADHD also have other mental health conditions like depression or anxiety. 

Diagnosing Adult ADHD

Diagnosing ADHD in adults can be particularly challenging due to the overlap of symptoms with other mental health conditions, such as anxiety and depression. Unlike children, adults may have developed coping mechanisms that mask their symptoms, making it harder to identify the condition. However, a proper diagnosis is essential for effective treatment and management.

The diagnostic process for adult ADHD typically involves a comprehensive evaluation by a mental health professional. This includes self-reports of symptoms, a detailed medical history, and information from family members or close friends. The goal is to assess the impact of ADHD symptoms on various aspects of life, such as work, relationships, and daily functioning. If you suspect you have ADHD, seeking a professional diagnosis is a crucial step towards better mental health and well-being.

Causes and Risk Factors of ADHD

The exact causes of ADHD are not fully understood, but research suggests a combination of genetic, environmental, and neurological factors. Family history plays a significant role, as ADHD tends to run in families. If a parent or sibling has ADHD, the likelihood of developing the condition increases.

Environmental factors, such as prenatal exposure to tobacco smoke, alcohol, or drugs, can also contribute to the development of ADHD. Additionally, premature birth and low birth weight have been linked to a higher risk of ADHD. Ongoing research continues to explore these factors to better understand the underlying mechanisms of ADHD and develop more effective treatments.

How ADHD Impacts Men’s Mental Health

ADHD symptoms in men are often misunderstood or stigmatised by society. Undiagnosed men may feel like there is something wrong with them, while those diagnosed may feel frustrated with their perceived limitations. Men with ADHD tend to experience intense emotions and potential relationship challenges, which can lead to misunderstandings in partnerships. Ultimately, untreated or unmanaged ADHD can result in problems in relationships, work, and personal life that affect overall satisfaction.

Some negative impacts of having ADHD as a man include:

Complications and Coexisting Conditions

ADHD often comes with a range of complications that can affect various aspects of life. Men with ADHD may experience difficulties in maintaining relationships, managing work responsibilities, and handling daily tasks. These challenges can lead to feelings of frustration, low self-esteem, and overall dissatisfaction with life.

In addition to these complications, ADHD frequently coexists with other mental health conditions. Anxiety, depression, and substance abuse are common among individuals with ADHD. These coexisting conditions can exacerbate ADHD symptoms and make treatment more complex. It is essential to address all aspects of a person’s mental health to develop a comprehensive and effective treatment plan. Seeking help from a mental health professional can provide the necessary support and guidance to manage both ADHD and any coexisting conditions effectively.

Issues with Relationships 

Men with ADHD may have relationship issues due to low impulse control and emotional dysregulation. They may experience mood swings and anger, leading to conflicts with loved ones. Additionally, they may be easily distracted and forget important events or promises. These challenges can be frustrating for their partners or friends.

Poor Work or School Performance

Men with ADHD may experience challenges when it comes to focusing on work or school due to reduced impulse control, inattentiveness, and distractibility. These symptoms can result in quick decision-making, interrupting others, and difficulty concentrating on tasks, particularly in bustling settings such as an office or classroom.

Some men excel when hyper-focused on enjoyable tasks, while others struggle to pay attention. Many men face procrastination and avoidance behaviours, avoiding difficult tasks. This can lead them to missed deadlines, incomplete work, and feelings of shame.

Increased Emotional Reactivity

Men with ADHD often experience increased emotional sensitivity, which can manifest as a decreased ability to handle frustrations and difficulties managing feelings. Additionally, they may show stubbornness in their beliefs, which can make adapting to changes difficult. These emotional challenges can impact overall well-being and worsen issues in relationships, physical health, and mental health conditions like anxiety or depression.

Low Self-Esteem

Adult men with ADHD often experience low self-esteem as a key symptom. They may struggle with feelings of diminished self-worth and harbour negative thoughts about themselves. Many internalise their challenges, blaming themselves for perceived shortcomings and feeling frustrated by their inability to meet expectations. This self-blame can lead to guilt, especially regarding the impact of their symptoms on relationships and the well-being of others.

Issues With Conflict & Criticism

ADHD can lead to impulsive and emotional reactions in stressful situations. Mistakes and misunderstandings due to attention and organisation issues can attract criticism. Men with ADHD may become defensive if they sense someone is upset with them. This can lead to lashing out, passive-aggressiveness, verbal arguments, or lying to hide ADHD symptoms.

Shame About Their Diagnosis

Men often feel pressure to be focused and self-reliant, which can be challenging when they have ADHD. Misconceptions about ADHD, like being lazy, can lead to feelings of inadequacy. Men may internalise negative stereotypes and fear being judged, which worsens feelings of shame. This shame can lead them to hide their struggles and downplay their symptoms. Some may avoid seeking mental health care because they feel unworthy of support.

Impulsive Behaviours

Men with ADHD may engage in impulsive behaviours like reckless driving, risky sex, overspending, and substance abuse to cope with self-control challenges and seek immediate pleasure. This behaviour can lead to addiction concerns.

Neglect of Physical Health

Men with ADHD might forget to take care of themselves, leading to missed medical appointments or difficulty in sticking to a healthy routine. This can cause problems like unmanaged health conditions or late diagnosis, affecting their quality of life.

Hypersexuality

ADHD can lead men to be hypersexual due to impulsiveness, seeking dopamine, and emotional regulation issues. This can show up as a high sex drive or risky behaviour. Men with ADHD may also struggle with intimacy, timing, or maintaining relationships.

Advice for Men with ADHD

If you suspect you have ADHD, here are some steps to take:

  • Seek Professional Help: See an ADHD specialist to get a proper diagnosis and treatment.
  • Educate Yourself: Learning about ADHD and its effects can help with managing symptoms.
  • Develop Coping Strategies: Use organisational tools such as planners or apps for effective task and time management.
  • Exercise Regularly: Physical activity can help reduce symptoms and improve focus and mood.
  • Consider Medication: Medication may help many men with ADHD. Consult your healthcare provider to explore options for ADHD medications, but be cautious of acquiring them without a prescription.

Advice for Partners of Men with ADHD

If your partner or loved one has ADHD, there are different ways you can offer support to them. Here are some examples:

  • Communicate openly: Talk to them about your feelings when the time is right. Discuss ways to handle their actions together.
  • Encourage them to speak to a professional: Tell them that ADHD therapy and treatment have shown to be effective for many adults with ADHD. You can also suggest being there for support during their initial appointments with the doctor or therapist if they desire.
  • Divide the housework: Divvy up the chores based on strengths, make a weekly chart and set reminders for tasks.
  • Praise their strengths: Low self-esteem and lack of confidence are commonly linked to ADHD in men, so giving some encouragement can make a big impact.

ADHD Diagnosis

ADHD in men can be screened by trained professionals. Evaluations for ADHD are comprehensive since there is no specific test. Assessment involves self-reports, medical history, and family information. Immediate treatment is crucial for healthy living if ADHD is diagnosed late in a man.

Treatment

Standard treatments for ADHD in men include medication, education, skills training, and psychological counselling. Combining these treatments is often the most effective approach. While these treatments can help manage ADHD symptoms, they do not provide a cure. Finding the most effective treatment for you may require some time so it’s important to be patient with yourself as you explore different options.

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