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22 December 2023 | Story Michelle Nöthling | Photo Anja Aucamp
Dr Munita Dunn-Coetzee
According to Dr Munita Dunn-Coetzee, it is increasingly recognised that females with ADHD portray a different ‘picture’ in terms of behaviour, symptoms, and comorbidities when compared to males with ADHD.

I’m a failure as an adult. I’m a disappointment as a colleague. I’m a lousy friend. I’m a burden as a wife. I’m a bad mom and I’m constantly scrambling to try and hide it.

This is the secret interior reality of a group of neurodivergent adults who have been long overlooked by scientists and doctors alike. The Lost Generation. It is now recognised that there is an entire generation of women out there who have battled with ADHD (attention-deficit hyperactivity disorder) their entire lives – and don’t know it.

Women and girls living with ADHD

For decades, ADHD has been predominantly associated with hyperactive young boys bouncing off the walls. The reason for this widely-held misconception is due to the fact that studies originally focused on young European American boys – their symptoms becoming the benchmark for all. Women were not even included in ADHD studies until the late 1990s, and the first long-term study on girls was only conducted in 2002. The results? Girls’ ADHD symptoms bear little resemblance to those of boys. Dr Munita Dunn-Coetzee, Director of Student Counselling and Development at the UFS, agrees. “It is increasingly recognised that females with ADHD portray a different ‘picture’ in terms of behaviour, symptoms, and comorbidities when compared to males with ADHD. Females are less likely to be identified and referred for assessment, and their needs are less likely to be met.” Therefore, the majority of girls and women with ADHD remain un- or misdiagnosed.

But what does ADHD in women look like? First, let’s take a step back. There are three types of ADHD: the hyperactive type, the inattentive type, and the combined type – which includes both hyperactivity and inattention. Hyperactivity in females is much more likely to present internally, in the mind, and inattentiveness as daydreaming and disorganisation. This is much more than sitting still in class or having trouble with homework. Faced with behavioural and social pressures to perform, girls often learn to mask and overcompensate for their problems – making diagnosis even more difficult.

Carry the struggle to adulthood

When left untreated, girls with ADHD will most likely carry their struggle into adulthood. ADHD in adult women often results in chronic low self-esteem, self-loathing, feelings of inadequacy, sleeplessness, anxiety, depression, substance abuse, and eating disorders. Women with ADHD also typically present with tremendous time management challenges, chronic overwhelm, and exhaustion – exacerbated by societal pressures. The risk of self-harm and suicide attempts is also startlingly higher compared to their male counterparts.

There is tremendous hope, though. Drs Edward Hallowell and John Ratey – experts in the field who both have ADHD – describe ADHD as an array of traits specific to a unique kind of mind that can become a distinct advantage with appropriate treatment and support. ADHD is not a condemnation of character. Instead, it unveils a kaleidoscope of strengths and a unique constellation of traits deserving of celebration.

News Archive

Faculty of Health Sciences celebrates various successes
2015-01-12

The Faculty of Health Sciences at the University of the Free State achieved a number of successes in the course of 2014. This included awards, presentations and keynote addresses at conferences, as well as publications in various journals.

Some of the highlights are:

• Dr Madelein Koning from the Department of Internal Medicine received the Vice-Chancellor’s award for Excellence in Teaching and Learning during November. Prof Alan St Claire Gibson said the award is richly deserved, given Dr Koning’s many years of high-quality teaching and input to particularly the fifth-year MB ChB students.

• Prof Schalk Wentzel, Head of the Department of Urology, was elected President of the South African College of Urology, and Prof Alicia Sherriff from the Department of Oncology was elected President of the South African College of Oncology.  Prof William Rae was appointed to the College of Radiologists. These are the highest and most prestigious offices an academic clinician can hold or be elected to in the specialty of their choice. Prof Rae also published an article in the Journal of Infectious Diseases. 

• Prof Nats Mofolo, Head of the Department of Family Medicine, gave a keynote address at the Free State Health Indaba hosted by the Free State Department of Health.

• Dr Holtzhausen from the Department of Sports and Exercise Medicine chaired and delivered a presentation at the 6th Clinical Sport and Exercise Medicine Conference of SA held in Cape Town from 22 to 24 October 2014. He was also the convener of the conference. His presentation was titled ‘Safer exercise in apparently healthy individuals and those with possible risk factors for chronic disease and injury’.

 

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