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Autism and ADHD diagnoses in adult women

Writer: Dr Prarthana Shetty
Dr Prarthana Shetty
6 days ago
2 min read

Getting an Autism or ADHD diagnosis as an adult woman can bring up quite mixed

feelings. On the one hand, there can be enormous relief and validation. Things that

have felt confusing or that you have blamed yourself for suddenly have another

possible explanation. On the other hand, it can open up a whole new set of

questions. You might start looking back at your childhood, your friendships, your

relationships or your working life and thinking, “Was that my ADHD? Was that

autism? Was I masking? Why have I spent so much of my life feeling like I’m slightly

out of step? Why did nobody notice?” And sometimes the answers aren’t particularly

straightforward.


I think this is particularly complicated for women because many of us become very

good at adapting. We watch other people and work out what we're supposed to do.

We learn to be sociable, capable, organised and accommodating, even when doing

those things takes considerably more effort than people realise. So you can get to

adulthood having achieved quite a lot while also feeling exhausted, overwhelmed or

somehow different. You might be very capable in one part of your life and completely

stuck in another. You might have spent years thinking you are too sensitive, too

intense, too disorganised, too much, or simply not trying hard enough.


A diagnosis can bring relief, but it can also bring grief. You may grieve for the support

your younger self didn't have, or for how much energy you've spent trying to

understand or change yourself. You may also start questioning what is “you” and

what has developed in response to your experiences.


I don't think diagnosis gives us all the answers. Nor does everything need to be

explained by neurodivergence. But it can give us another, often much more

compassionate way of understanding ourselves. And perhaps that is where some of

the useful work can begin; not simply learning that you are autistic or have ADHD,

but working out what that actually means for you and your life.




 
 
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