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Increased ADHD Diagnoses and Medication Use Among Women in the Netherlands

The number of women in the Netherlands diagnosed with ADHD and prescribed medication has risen dramatically, particularly among those in their twenties, surpassing men in that age group, according to recent data. This increase highlights a growing awareness of how ADHD manifests differently in women, but also raises concerns about potential over-diagnosis and the medicalization of societal pressures.

The experiences of women like Tara Mohunlol, who struggled for years before receiving a diagnosis, are becoming increasingly common. Many women find validation and support in their ADHD diagnosis, understanding that they process information differently and blaming themselves less for their struggles. This recognition is seen as a positive step by some, including psychiatrist Sandra Kooij, who views the rise in medication use as a “much-needed correction” to historical under-diagnosis.

However, others, like professor Laura Batstra, express concern that women are turning to medication as a result of societal pressures and unrealistic expectations. Batstra argues that the pressure to balance work, studies, family, and social life can lead women to feel inadequate and seek medical solutions for what may be a broader societal problem. She worries that increasing medication use reinforces the idea that these struggles are individual failures rather than reflections of systemic issues.

The debate also centers on the diagnostic criteria for ADHD, with some experts suggesting that the broadening of these criteria may contribute to over-diagnosis. Psychiatrist Maria Groen-Blokhuis notes that the shift from “clinically significant limitations” to “a reduced quality of functioning” has widened the scope of the diagnosis, potentially including individuals who are merely less focused than average.

While ADHD medication can be beneficial for some women, enabling them to focus and function more effectively, it also carries potential side effects and long-term risks. Tara Mohunlol, for example, finds that medication helps her focus but also flattens her personality. The use of amphetamine-based medications raises concerns about potential addiction and the impact on women’s health, particularly during pregnancy.

Ultimately, experts agree on the importance of a balanced approach that recognizes both the individual experiences of women with ADHD and the broader social context. While diagnosis and medication can provide relief and support, it is crucial to address the societal pressures and expectations that may contribute to the increasing demand for medical solutions. Further research is needed to understand the long-term effects of ADHD medication and to ensure that women receive appropriate and comprehensive care.