For many reasons, girls w ADHD offer what they think is expected of them in a clinical interview; they hide their truths & guard their secrets. 5 ideas for circumventing the fear, stigma, and resistance to get more honest feedback from girls with ADHD
For many reasons, girls with ADHD offer what they think is expected of them in a clinical interview; they hide their truths and guard their secrets. The following are five ideas for circumventing the fear, stigma, and resistance to get more honest feedback from girls with ADHD. They will help doctors develop the best treatment plan.It is generally accepted that, before their periods, many females experience demoralizing symptoms related to plummeting estrogen levels.
, which complicates the picture. After their period, they will likely have more hopefulness, better emotional regulation, and be more positive about interactions. They are less stressed and able to assess their world more accurately.When a girl enters your office, how do you know which girl you’re seeing? Clinicians should always ask about menstruation cycles, what they are like, and where in their monthly cycle they are at the moment.
Girls resist the idea that their opinion on something as important as medicine really matters. They need to know explicitly that they are believed; they do not easily accept that proposition because the world has already betrayed their trust. Self-doubt surrounds their perceived lack of credibility. It’s important to let them know how vital their feedback is, and that sharing the details of their experience is important.
The trauma-informed interview happens more often today, but too few clinicians ask about trauma directly. It is painful and intrusive unless handled with delicacy. Again, it is unlikely that girls will volunteer to discuss one of their most painful experiences with a stranger, especially a male. In many cases, even parents are reluctant to open that can of worms. Some girls have never told their parents, and some parents would shut them down if they tried.
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