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by smj-edison 52 days ago
Hmm, I do this this is a point worth considering, but it needs nuance. ADHD is overdiagnosed in young boys, by about 3% iirc. But the thing is overdiagnosis doesn't mean that it doesn't exist at all. It's certainly underdiagnosed in middle-aged women for example, and tends to be underdiagnosed in women in general. There's also a point to be made that some ADHD meds are not without side effects, and kids aren't always listened to when they complain about them (I have a friend who was on Concerta as a kid and had a lot of side effects that really bothered her). But also, ADHD meds are a complete lifeline when they work, and they do work in most cases.
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> It's certainly underdiagnosed in middle-aged women for example, and tends to be underdiagnosed in women in general.

What I'd like to see studied more is whether that root cause is underdiagnosis of inattentive type ADHD. My daughter was diagnosed because my wife is aware of this and had her evaluated, which led to me getting evaluated and eventually on medication. The common thread I've observed is that if you're reasonably intelligent such that it's not causing you to fail classes/get fired, people will just call you lazy and not entertain the idea that there's actually something else wrong. Couple that with girls/women having inattentive type w/o hyperactivity, and I think you do end up with a pretty solid bias.

> But also, ADHD meds are a complete lifeline when they work, and they do work in most cases.

For some there's a lot of trial and error, too. I wonder how many give up or insurance stops paying before they get to the right medication.