The Autistic brain, neurodiversity-affirming support, and consistency

At Social Living Solutions we pride ourselves on being neurodiversity-affirming and providing consistency of therapeutic relationships, but what does that mean to an autistic brain? And why is it so important?

The Autistic brain

10-year-old Ashley* has autism. How is his brain different?

As humans, we rely heavily on a part of the brain known as the amygdala (emotional brain) to process emotions and to activate in the face of a potential threat. Unfortunately, the amygdala processes information faster than the rational brain and can activate a fight, fight or freeze response before reason has time to advise otherwise.

Studies now show autistic brains have larger amygdalas than their neurotypical counterparts, which can lead to increased anxiety levels and challenges regulating feelings. Effectively, with this more sensitive amygdala, the autistic brain sees threats in scenarios their rational brain (and many neurotypical brains) may not, such as a change in teacher or a disruption to weekly routine.

Commonly co-occurring neurodivergent conditions like alexithymia (difficulty identifying or describing emotions – their own and those of others) or interoceptive awareness struggles (difficulty noticing and processing internal signals that their body needs food, rest or warmth) can further increase the perception of threat where it does not exist.

Fight/flight/freeze and the importance of consistency

One Saturday, Ashley* arrives at the swimming lessons he usually loves. Upon discovering he has a substitute teacher he has a meltdown and refuses to participate. Why?

One of the things an autistic brain commonly perceives as a threat is change. New people, activities, or routines can trigger a meltdown or fight/flight/freeze response. You may even notice that changing furniture around the house or being asked to wear a new pair of pyjamas is met with strong emotional reactions.

Consistency, on the other, hand helps the amygdala connect to previous safe experiences and stay calm. This is why we suggest slowly introducing change, discussing and preparing for it where required, and recognising when it matters to push new things and when we might avoid change.

One area where consistency most matters is with support teams and therapists. These people we ask to assist our neurodivergent child through the neurotypical world need to build a relationship to act as a guide. They are the ones who can help you and your child manage life’s changes, so it makes sense that we should do everything we can to avoid unnecessary changes to coaches, counsellors, physiotherapists, etc, to get the best outcomes for your child.

Neurodiversity-affirming support

A few days after his meltdown, Ashley’s parents start looking for a psychologist to help him feel safer in new situations. What should they look for to get the best results?

Traditional therapy under the traditional medical model of mental health assumed that neurodivergence, including autism, was a problem to fix. However, now we understand that autism is not something that can, or should, be ‘fixed’ just to meet neurotypical expectations. Instead, we now understand that this can lead to highly stressful levels of masking and burnout over time.

Current models of therapy for autism and other neurodivergent individuals should be neurodiversity-affirming. A neurodiversity-affirming therapist, whether a psychologist, speech therapist or even a teacher, understands the unique experience of each individual’s autism. They hold space for every client as the expert of their own life, seeking to support change only to reach each client’s individual life goals rather than to change all neurodivergent traits to meet neurotypical expectations.

Look for statements regarding neurodiversity-affirming practices or specialist experience on providers’ websites or ask potential therapists what neurodiversity-affirming means to them or how they implement it in their sessions. When you find one who meets your requirements, watch them interact with your child, and ask your child how they feel after seeing them. Then trust your instincts.

Support unavoidable change with energy accounting

As parents we cannot control every aspect of our children’s lives, no matter how much we wish it for them. But it can be hard to watch our children experience distress or meltdown as a result of changes beyond our control. Often, the only thing we can do is focus on the things we can influence. Energy accounting is a great starting point. Everything in life gives or takes emotional and/or physical energy, and unavoidable change can take a lot from an autistic brain.

If your child is well-resourced with energy in advance, they may be more likely to move through the amygdala’s initial response to a rational brain response earlier. If your child is already distressed or depleted, resourcing them with some simple energy accounting practices can help them recover faster to move on.

Different children will find different activities restorative, but these basics can be a great place to start while you work out the nuance of your child:

  • Tasty snack
  • Drink
  • An hour of favourite alone time activity – reading, music, computer gaming
  • Changing immediately into comfortable clothing when they get home
  • Enjoying a bath or shower
  • Participating in a pleasurable physical activity to clear their head

These simple ideas can help kids and even teens who don’t recognise their own body cues for hunger and thirst. Sometimes, something as simple as a milkshake can make a big difference.

At Social Living Solutions, we can help you and your child find personalised coping mechanisms that work for you both to manage change and energy. Book your free introductory phone call today.

Fitting in at school: ADHD and friendships

High School friendships are hard for everyone

High school reunion. Is there another event in your adult life that induces such a polarising response? For some, High School was the peak of popularity and connection, the beginning of lifelong friendships. For others, especially those struggling with ADHD and friendships, it was a lonely place to be endured, where free time was more difficult than tests or homework.

I recently attended my own High School Reunion. It’s been many years, yet I was still incredibly anxious attending. I’m not even sure how I got myself to the door.

You see, I could never quite fit in at High School. Making and maintaining friendships was like a foreign language to me. I didn’t pick up on social cues, couldn’t play team sports because I had terrible balance issues, and I was more emotional. Worst of all, I felt that I was the problem.

If only I had a magic wand to go back and explain ADHD and neurodiversity to my younger self. At least now, even without a magic wand, our children (especially our previously missed young girls) are more likely to have a diagnosis and a teacher trained in working with neurodiverse children. Now we have some options.

The challenges of ADHD and friendship

Whilst everyone’s experience of being neurodivergent is different, there are a few common threads for those of us with ADHD that impact on friendships.

Overwhelm and boredom – two sides of the same ADHD coin

The ADHD brain can swing quickly between extremes, sometimes finding it difficult to commit attention and time to friendships, then simply finding them boring because their brain jumps around a million thoughts and their friend focuses on merely one. The inconsistency can make others feel that you only reach out when you have nothing better to do.

Looking like you don’t care – poor memory, distraction and disorganisation

Friends will naturally feel that the people who ask questions and remember what is going on in their lives are their true friends. Unfortunately for those of us with ADHD, it’s hard enough to remember our details, keep our diary organised, avoid getting distracted on the way to meet you, let alone remember the details of your life that ‘show’ we care.

Social anxiety and rejection sensitivity disorder

These two often coexisting diagnoses are commonly associated with ADHD. Making friends requires reading situations, body language and even emotional meaning. These can all be super challenging when you have ADHD. Add in years of being rejected for simple miscommunications or miscues, and putting yourself out there to make friends can feel more like walking with a tiger.

Social supports at school are available

Being neurodiverse in a neurotypical group at school can be like finding out you are a square peg in a round hole. Unfortunately, in Australia, there is currently no real funding for schools to support neurodiverse students unless they meet specific Autism criteria.

This often means the onus is on parents and carers to advocate for their children with ADHD, often educating teachers along the way. Luckily, most teachers want to see all their students succeed and are only too happy to help.

Individual Learning Plans (ILPs)

Parents of any child struggling to achieve their potential can request an Individual Learning Plan (ILP). Your school may also initiate the conversation. An ILP outlines your child’s learning goals, how neurodiversity impacts them, how the school will support them and what reasonable adjustments or strategies are agreed upon to help each child participate and learn and meet their individual needs.

ILPs can include social support. For example:

  • Ben finds it challenging to self-select into a group. It helps if teachers define groups for everyone so he can focus on the work itself.

Neurodiversity awareness workshops

It can also help to speak with your child’s classroom teacher or year-level coordinator about informal ways the school can assist, or ways they can broadly improve understanding. Some schools get great results from running educational workshops around neurodiversity for the student body, or relevant year groups. We recently presented at a Sydney school for just this reason. This is what teachers had to say when we were finished:

Some points of highlight for the students were their interest in the scientific explanation of neurodiversity and the brain, the ability to ask questions and feel part of the experience and the way in which you discussed neurodiversity as a collective experience, making those who are neurodivergent feel a greater sense of belonging and those who know neurodivergent people understand more about their behaviours, feelings and executive functioning. 

I am hopeful that we will have more opportunities to work together in the future on our shared mission for creating inclusive, safe, respectful, educated and understanding environments for us ‘neurospicy’ folk. 

Your child’s tribe might be outside of school

Just because your child is alone at school does not necessarily mean they are lonely. They may be more comfortable in their own company, taking a break from masking at recess and lunchtime.

However, we all need to be socially supported and connected in some part of our lives. Sometimes, the best way to find your tribe is to look for like-minded people who share your interests, such as groups for chess, taekwondo, or online gaming communities.

NOTE: Online gaming communities can be a fabulous source of community. One of my 12-year-old clients struggles at school with bullying but has their own YouTube Channel and has flown with Mum to meet friends he made through YouTube. The key is age-appropriate supervision and ground rules. The e-Safety Commissioner has great resources to keep kids safe online.

Other times it can help to find a group designed to help build social skills with peers. Here in Canberra, we are fortunate to have several organisations set up specifically to build neurodivergent communities.

  • Daydream Machine – Supporting young people with all forms of disability, including neurodiversity, from 9-21 years of age to explore and build their talents in music, arts, and technology. Parents think kids learn in a safe and inclusive space, while kids think they are ‘doing cool stuff’.
  • Ignition Gamers – With so many of our neurodivergent teens and young adults turning to video games for entertainment, Ignition Gamers builds on that passion bringing teens and young adults together to play in person and develop confidence with real-world relationships.
  • Dice 4 Diversity – Originally established to provide social education in a fun environment utilising role-player games like Dungeons and Dragons, Dice 4 Diversity is now a strong community of school-aged tweens and teens who enjoy attending weekly social ‘skills’ sessions and return over school holidays just for fun.

At Social Living Solutions we understand how hard it can be to ‘fit in’, especially around ADHD and friendships. We work with your child to achieve their unique social goals, whether that’s understanding how neurotypical friendships work, finding a tribe outside of school, or leaning into passions and being comfortable as they are. There is no agenda here. Book a free call today.

ADHD symptoms in girls. Does my daughter have ADHD?

ADHD symptoms are often different in girls. As medical knowledge evolves to understand more about these differences, so does our ability to identify and help our young girls at an earlier age.

For decades, ADHD diagnosis was limited by a myth that ADHD only affects young boys because they are more likely to exhibit the more outwardly apparent symptoms of hyperactivity and impulsivity. As recently as 2013, it was also classified as a disruptive disorder of childhood (before the age of 7) only, which caused problems for girls whose symptoms are often noticed at puberty.

Now we understand that ADHD can impact boys and girls of all ages, with varying presentations of symptoms. Save your daughter from the challenges of living with unsupported ADHD by being aware of the differences and seeking diagnosis and support if appropriate.

ADHD symptoms in girls and young women

Of the three ADHD presentations – hyperactive, inattentive, or both, boys will usually present as hyperactive, which is easy to notice. Girls often present as inattentive, which can be much easier to mask, hide, or go unnoticed. Instead, adults may label them spacey, lazy, or just overly talkative. This suggestion that their symptoms are instead personality flaws can lead to low self-esteem, depression, and a failure to seek proper diagnosis later in life.

Diagnosing ADHD as early as possible provides access to effective treatment, which can change her whole experience of the world. Symptoms to look out for in girls include:

  • Daydreaming, zoning out, or appearing not to listen. She may look zoned out because the hyperactivity is in her head. This can lead to rumination and being lost in many threads of thought simultaneously. Watch for school reports advising that, ‘She would do better if she just focused.’
  • A young girl sits at a table covered in coloured pom-poms with her hands to her face daydreaming into the distance.Disorganisation, mess, and difficulty managing time (executive malfunctions). She might make rushed and silly mistakes, forget daily activities, constantly lose things, or seem incapable of getting ready in time.
  • Difficulty concentrating. Difficulty staying focussed or becoming easily distracted may show up as a tendency to procrastinate long projects until the last minute or look bored when attempting to absorb new or complex information.
  • Emotional sensitivity, anxiety or sadness. Girls with ADHD may cry or become irritated more easily than their peers. They may be seen as ‘over emotional’ and struggle to process their feelings.
  • Challenges making friends. Impulsivity in girls can present as interrupting and talking out of turn. She may also have difficulty interpreting what is and is not socially acceptable. Combined with all of the above, these symptoms can make building and maintaining friendships difficult.
  • Poor self-esteem. Years of worrying, trying to fit in, being accused of laziness or ditziness, and working twice as hard to concentrate or do as well as expected can take a toll on your daughter’s opinion of herself.

Masking ADHD symptoms to fit in

Girls’ ADHD symptoms are not only different but also commonly emerge later, with puberty, exacerbated by hormones only to get mistaken for ‘normal’ puberty-related issues. Many girls are also unintentionally socialised to achieve, please others, and avoid making trouble.

In an attempt to fit in and meet these social expectations, your daughter may mask her symptoms, hiding them through learned behaviours so that no one knows she is different. Common masking among girls includes:

  • Mimicking and copying other people’s behaviour for acceptance.
  • Developing perfectionist tendencies.
  • Bottling up emotions until they feel sick without even knowing why.
  • Excessive note-taking to help memory later.
  • Reacting as expected rather than as felt.
  • Obsessively checking belongings to avoid forgetting or misplacing something.
  • Staying strangely quiet or being overly careful in every word.
  • Constant (often ineffective) attempts to establish systems to keep life organised.

While these masking techniques can make life easier for her on one level, always wearing a mask is very tiring, and she is still struggling. You may notice an emotional crash when you collect her from school, tears over her own imperfection, or constant mimicking of whichever friend she spends the most time around.

Ways to help your daughter with ADHD

The first step to helping your daughter is to get her an ADHD assessment and be sure what you are dealing with. Your GP can refer you to a paediatrician, child psychologist or child psychiatrist who can assess and (if applicable) treat her for ADHD.

However, to fully support an older daughter, you should start by speaking with her about her symptoms. Ask open questions and give her space to share what she wants. Maybe it’s stress, something you said, or a genuine change in who she is and how she feels about the world. Mention ADHD gently at first. No girl, especially at puberty, wants to hear that there is something wrong with her, and many may still think of ADHD as a boy’s problem.

Unfortunately, wait lists for an ADHD assessment can be long. While a diagnosis allows your specialist to prescribe medication, which can be life-changing, there are other things you can start to do right now that can make a big difference too.

Be patient

Give her only one or two instructions at a time. Ask her to repeat them to be sure she heard and understood them.

Be consistent

Children (and many adults) with ADHD, may think they want lots of variety to stimulate their brain but actually thrive with clear, simple rules and routines they can rely on.

Break it down

As your daughter gets older and teachers ask her to complete more complex projects, the task may cause more stress than expected. Help her break it down into steps and make a plan.

Seek support

You do not need a referral to see an ADHD coach, and it doesn’t matter to us whether you have an ADHD diagnosis or not. We work to help manage symptoms regardless of what causes them. There are also some fantastic support books and podcasts available. Encourage her to find one she relates to and take whatever she can from it.

Look for the good in your daughter

People with ADHD are often fantastic at a particular special interest or discovering novel solutions to problems. They may be highly creative or oddly intuitive. Her empathy might make her the most caring and supportive person you will meet, or she may be wonderful in ways that have nothing to do with her ADHD. Let her know that you see her strengths as well as the areas where she needs support.

Social Living Solutions provides coaching for high school students and adults of all ages. Our coaches have lived experience with ADHD and can help you manage your symptoms with or without a diagnosis. Contact us today to find out more.

Inclusive team building – be the leader who gets the best from the whole team.

Being a productive team requires each team member to be supported to contribute to the best of their ability. As we make leaps and bounds regarding working from home, sit/stand desks, and other great one size fits all approaches, let us remember that true equity comes from bringing everyone to the same level. True equity may require unique solutions for each neurodivergent team member. Similarly for team members with caring responsibilities or experiencing depression or anxiety. Inclusive team building helps everyone.

Basics of team building in terms of meeting individual needs

You’ve probably already attended more team-building afternoons than you would care to remember. Perhaps you have enjoyed icebreakers, bonded over shared activities, or worked towards establishing clear goals, responsibilities, and communication styles. But have you ever considered how to meet the base needs of your whole team? Meeting every team member’s basic needs through inclusive team building, encourages and improves communication, trust, and collaboration among your team.

In his paper ‘A Theory of Human Needs (1943)’, Maslow proposed a hierarchy of needs still used today. He proposed that before a human can achieve self-actualisation, or even self-esteem, they must first have their physiological, safety and social needs met. So if you want your team to be performing at their best, you need to make sure they have these needs met first.

 

Physiological needs

Most workplaces broadly address the need for air, food, water, and health with air conditioning, kitchens with fridges for people to bring their own food, filtered taps, and First Aid Officers. But what of staff who find the temperature too hot or cold to focus at work? Or the ones who find the smell from the kitchen unbearable? For some neurodivergent staff members, the very things that meet the needs of the many can undermine their foundational needs.

Safety

Hopefully your workspace is physically safe, provides shelter, and your employees are secure in their positions (if they are not, you may want to start there!). But is it psychologically safe?

  • Is it a place where staff can raise ideas, questions, concerns, or mistakes without fear of punishment or humiliation?
  • Could a staff member approach a manager to request a seat further from the smells in the kitchen?
  • Would they feel safe to explain their diagnosis and how you can help?

Social needs

Is it socially safe? Are all staff included, and do they share a sense of belonging? If not, what can you do about it? How can you ensure inclusion in a way that meets their reasonable requests?

  • Can you cc more people on that email?
  • Can you adjust communication styles to ensure quiet staff can provide input differently?
  • Can team members (dyslexic or otherwise) give a verbal report or use speech-to-text?

If staff needs are met in the lower parts of Maslow’s pyramid, they will perform better, and begin to seek power and recognition, before finally becoming more self-actualised and thus much better at their job and as part of your team.

Layering neurodiversity into team building

Neurodivergent is a term used to cover many previously disparate terms about what we might call different work preferences and needs. It covers people diagnosed with autism, ADHD, dyslexia, dyscalculia, and many more diverse ways of thinking, learning, or behaving. However, the supports offered to provide equity for neurodivergent team members will often also help neurotypicals (or undiagnosed neurodivergent), hence layering neurodiversity into team building, not just neurodivergent support.

The following are some of the work related challenges that can be faced by a neurodivergent staff member:

  • Smelly kitchen/ colleague meals
  • Room temperature uncomfortable
  • Worrying about the right time to smile
  • Getting up and organised for work
  • Click from an overhead light
  • Required clothes uncomfortable
  • Rejection sensitivity
  • Engaging in social chit chat
  • An overhead light is too bright/flickering
  • Focus required to read
  • Nerves or anxiety
  • Need to move instead of sitting still
  • Noise from others chatting distracts
  • Focus required to listen
  • Traffic or the commute
  • The smell of a colleague’s perfume

These challenges can add up quickly. Help your neurodivergent team members be their best by respecting their requests as far as practically possible.

Including neurodivergent support into your leadership style will also help staff members experiencing anxiety, home life stress, caring responsibilities, and even undiagnosed neurodivergence. By providing the support and flexibility outlined below your space will become safer, your staff will be more relaxed, and productivity will increase.

How do I build an inclusive team?

Cultural change towards inclusivity takes more than just words on a page. Inclusivity requires that every team member comes to value differences, reviews their patterns of thought and bias, and moves forward together with trust and psychological safety. To achieve this, you, as the leader, can set an example by:

Sharing your intent with the team

If you want to build and lead a team where everyone is welcome and feels safe to express their needs (and ideas!):

  1. Start by clarifying that to your team.
  2. Tell team members old and new that you want everyone to feel safe and welcome.
  3. Explain what you are doing (see below) to create such a space.
  4. Consider professional development training to help the team reflect on their biases and behaviours.

We are often limited to viewing the world as we have experienced it, but we can all expand our viewpoint, value the different lenses of others, and challenge ourselves to do better.

Holding curious and open conversations in safe spaces

Start conversations with all team members (because inclusivity is not limited to those who publicly identify as neurodivergent!), asking them what would help them bring their best every day. Get to know them as people. Build trust by not only hearing requests but acting on them. If a team member is brave enough to share with you that they would feel more productive if they could work from home, then trial it. Stop being caught in the status quo and start working with a new narrative about teamwork that meets your team’s needs.

Reducing and removing potential points of friction

Reducing friction might look like:

  1. Prioritising fixing a flickering light in the office or
  2. Setting an office rule limiting the length of meetings to one hour
  3. Having a difficult conversation with a team member who refuses to see beyond their bias.
  4. Offering all staff the option to work from home where practically possible.

Be led by your team and the points that arise in your curious and open conversations.

Creating a truly inclusive team takes commitment to ensuring all your team members’ physiological, social, and safety needs. Doing so you will create a space where you get increased productivity and job satisfaction from every member of your team, which is the goal of all good leaders. For more on how I can help you and your team with inclusive team building, please contact me, or review my workplace offerings.

Women with ADHD – Challenges and options

Image shows woman sitting at desk covered in books, swirls above her head, eyes down, glasses on.

Women, like myself, my clients, and more famously Em Rusciano and Hannah Gadsby, are reaching middle age, and finally discovering nothing is ‘wrong’; they are not a failure. There is a reason for the overwhelm they feel, that their friends do not. A reason that life can seem so hard. That reason is ADHD. Unfortunately, the path to diagnosis is rarely easy due to stereotypes of who has ADHD and how it presents itself.

Mention ADHD in most circles, and you will hear about young boys who can’t sit still, don’t focus, and struggle at school. We would now describe this as ‘hyperactive’ or ‘combination’ ADHD. However, women often present with slightly different ‘inattentive’ ADHD symptoms which can be much harder to see from the outside. As to how we define ADHD, I like the definition Solden and Frank use, describing ADHD as a genetic, chronic, brain-based condition that impacts the management functions of the brain, including:

  • Ability to activate yourself enough to begin a task,
  • Sustaining focus once you start a task, and
  • Sticking with it when your energy or interest wanes.[1]

Many of my clients can relate to this. However, many have learnt to show the outside world a different face in order to fit in. This ‘masking’ contributes to the difficulty in obtaining a diagnosis. Luckily, even while you await a diagnosis, or are unable to attain one, there are a few steps you can take to support yourself in managing your symptoms.

Why is it so hard for women with ADHD to get a diagnosis?

Women’s ADHD symptoms are different

Teachers and parents of a hyperactive young boy may remember a child who was constantly bouncing around, couldn’t sit still or would have been a high achiever if they only focussed. They may recall a loud child who was impulsive. Such traits often refuse to be ignored. This helps young boys get the correct diagnosis at an early age.

On the other hand, women and girls are often less hyperactive in their ADHD. Instead, they may experience challenges sustaining attention, following through on larger tasks, and organising themselves on tasks and activities. They might be easily distracted and avoid or dislike tasks that require sustained mental effort. Unless clearly ‘off with the fairies’, these traits can be much more complex for the outside world to see, especially if a girl or woman has learnt to mask them.

 

Masking

Masking is a coping skill that many of my clients have learned, either consciously or inadvertently, through life experiences, to ensure they appear normal. They may only be able to keep it on for limited periods, like work or school, or they may have adopted it so strongly that not even their immediate family know the difference anymore. Some of these learned behaviours can be helpful, but they can also come with an energy cost that takes a toll at the end of the day. Masking can include:

  • Mimicking or copying others
  • Consciously suppressing more obvious movements, but the desire will remain
  • Learning to react the way society expects rather than as you feel
  • Withdrawing inward and being overly careful about everything you say
  • Perfectionism or obsessively checking and organisation
  • Overcompensating to appear in control, even if struggling

These strategies may have kept us from being socially cast out, but they can often leave women with depression or anxiety because it is so difficult to hide or because it delays a diagnosis that may provide healthy support for moving forward.

 

The impacts of a delayed diagnosis

“We diagnose ADHD based on the DSM-5 diagnostic criteria, which requires evidence of ADHD prior to the age of 12 as it is a neurodevelopmental disorder. Without this evidence we are unable to provide a diagnosis of ADHD.”

– an all too common response from medical professionals and diagnostic clinics.

The DSM-5 (the rule book for mental health diagnosis) classifies ADHD as a ‘Child Mental Disorder’ and requires evidence of the ‘disorder’ prior to 12 years of age.

Often it is not until women have children of their own that the scaffolds that supported them, school routines, work routines, masking and checklists, cease to be enough. These women can end up diagnosed with depression or anxiety, when really, they are overwhelmed with executive functioning challenges. Sometimes, the diagnosis of a child prompts a woman to investigate her own symptoms. (Not that having children is the only reason midlife can prompt diagnosis.)

By this time parents and those who ‘knew us when we were younger’ may have passed on, left our lives, or simply not be able to recall the details necessary to see through younger masks and assist with diagnosis. For some of us, we won’t even remember ourselves.

 

What can you do if you think you have symptoms of ADHD?

Know your support network

Being diagnosed with ADHD as a woman can be challenging, long and expensive. I wish it were otherwise. It really helps if you have one or two people in your corner that you can talk to about what is happening so that you know you are not alone. Try and find that person in your network who has been there themselves, or the close friend or family member who always has your back no matter what, and don’t be afraid to be honest with them about your journey. Having support will make it so much easier for you.

Talk to your GP

In Australia, your GP will usually run through a few questions to determine whether you have enough symptoms to warrant a referral to a psychologist or a psychiatrist for a potential diagnosis.

Whilst GPs are getting better at understanding the nuances of women with ADHD and how we may present, some are still hesitant to make the referral. If you feel strongly that you may have ADHD seek a second opinion. Remember, at this point, all you are doing is asking for a referral to a specialist who can assist with your symptoms whether it’s ADHD or something else. Once you have a referral, your specialist will advise their diagnosis process as these may differ.

Help yourself

While you wait to see the specialist or find the GP who understands you, while you save the money or even if you receive a negative result after testing, you can take some matters into your own hands.

Many ADHD resources are available to support women with symptoms, including podcasts, books, YouTube videos and websites. You may also find a counsellor or coach (like myself), who cannot medically diagnose you, but has more immediate availability to work with you to put in place systems and plans to help manage your symptoms (regardless of their cause).

After all, the diagnosis is only part of the process. What we are all really after is an easier life, and a little understanding. Understanding yourself and supporting yourself just as you are can be done without diagnosis so don’t be afraid to start now.

[1] Solden, Sari & Frank, Michelle, A radical guide for women with ADHD, 2019, New Harbinger Publications.