128: ADHD and Sex – Dr. Ari Tuckman

To reach an ADHD diagnosis, Dr. Tuckman reports that a 45-minute interview is required. With the media coverage of young boys with ADHD, Dr. Tuckman says that most clinicians can diagnose childhood ADHD accurately, though he notes that girls aren’t diagnosed as often as boys. He suggests that clinicians might expect ADHD more often in boys than girls, leading to them not noticing the symptoms.

Ari says that adults with ADHD also have a harder time being diagnosed, partially because their symptoms vary a little. Grown men and women almost never display the hyperactivity of ADHD youths, he admits, but forgetfulness, poor time management, losing things, and high distractibility continue to impact people’s personal and professional lives throughout adulthood.

He shares that adults with ADHD frequently realize they have ADHD themselves in what he calls a two-for-one: Parents bring in their child for an assessment and realize they also display ADHD symptoms, leading to simultaneous diagnoses.

Adult women with ADHD can be particularly difficult to diagnose, according to Ari. He tells us that they often present with anxiety and depression, but he reports that most clinicians stop their analysis there, when the root cause of their mental anguish stems from poor executive function, poor time management, and other, similar symptoms of ADHD.

ADHD Symptoms
Dr. Tuckman explains that it’s easier for people with ADHD to maintain focus on more interesting activities and on tasks that have a strict, close deadline. Being consistent and reliable are difficult tasks for people with ADHD, admits Dr. Tuckman. In these scenarios, partners with ADHD often lament their lack of reliability, while partners without the condition hate seeing themselves turn into a nagging spouse.

Dr. Tuckman describes another scenario where one person who likes everything organized in a rational manner, marries someone who isn’t as attentive or consistent about item placeme