
What ADHD Looks Like In Women And How It Challenges Our Relationships

I was diagnosed with ADHD in the 7th grade. Whenever I reveal that, there’s always that great debate of whether my doctor is simply trying to dope me up or not. While I do agree that this occurs, I also believe it was the correct diagnosis for me. With that said, I have struggled for years socially because of what may appear to come across as my being rude or unorganized.
As I’ve gotten older, I’ve become more aware and often feel the need to throw out a disclaimer whether I’m on my meds or off my meds, because truly, you cannot win on the social side of things. When I take my meds, I’m hyper-focused and lose my personality for a touch of time. I tend to not laugh, catch jokes as quickly, or my own humor is nonexistent. When I’m off the meds, especially after taking them for some time, I drift in and out of conversations that last for longer than five to10 minutes. And overall, I often find myself apologizing for my ADHD in social settings.
This doesn’t even begin to touch on the disorganization: losing car keys for days on end, locking myself out of the house, and forgetting things. The irony of it is that people with ADHD are often advised to make lists which is something that requires you to have some semblance of organization skills. I make mention of all of this because I often feel the perception regarding me in both my professional and personal relationships is that I’m this hot-ass mess–that’s the extent of the explanation. In reality, there’s so much more to unpack here.
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What I didn’t know was that ADHD could present itself differently based on factors like gender. In a 2019 study, it was shown that men displayed external symptoms more often than women, leaving women with ADHD misdiagnosed or undiagnosed. I have only recently discovered this and in learning this, I further wonder how it might show up differently for Black women as a whole. As with anything, culture has the ability to change the way disorders manifest within a community.
Furthermore, I became curious about how ADHD affects Black women in relation to our dating lives and challenges in our relationships. To confirm some of my thoughts, I reached out to Angela Banks, a licensed professional clinical counselor (LPCC) and clinical supervisor known as The Strong Friend's Therapist.
How ADHD Presents in Women
“ADHD tends to manifest as inattentiveness in women. It can impact their ability to focus, concentrate, complete tasks and stay organized,” Banks says. “These symptoms can cause people to stereotype Black women and assume they are ‘lazy’ or ‘have an attitude.’ These types of stereotypes can play into a woman’s self-esteem and cause her to feel like she is lazy, or it can cause her to work overtime to prove the stereotype wrong and overperform.”
According to Banks, this further impacts Black women, generally speaking, because they “are often viewed as ‘strong’ which means that people have higher expectations for them, and they also have those same high expectations for themselves. These types of expectations cause Black women to feel overwhelmed by obligations and feel the need to do more with less resources. When a Black woman’s functioning is affected by ADHD, she may view herself as a bad mom, wife or friend if she’s unable to meet those unrealistic expectations or perform at the standard that society has created.”
In addition to ADHD manifesting in women as inattentiveness, another symptom is indecisiveness. Banks explains, “Black women are at the bottom of the totem pole and already must make decisions while encountering oppression at almost every turn. There’s also a stigma related to mental health in the Black community, so even the idea of treatment or intervention can be overwhelming for a Black woman." Banks concludes that plus limited access to culturally responsive mental health providers sometimes influences whether or not Black women seek treatment or evaluation for ADHD.
Black Women, ADHD, and Romantic Relationships
And just how does this all affect Black women’s romantic relationships?
Banks notes that when we are not meeting expectations based on the role we assign to ourselves, it can be easy to feel less than and therefore less deserving of love. “Black women may find themselves feeling insecure in their relationships because of these challenges with ADHD. Black women have been expected to equate their value to their role in others’ lives for many years, which creates that insecure feeling. If I don’t value myself outside of that role, and I’m not meeting the perceived expectations of that role, it can ultimately impact self-esteem."
She concludes, "If one believes they are not performing well in their role and not reaching certain expectations, they may start to feel like they are not deserving of receiving healthy love. We sometimes call that ‘imposter syndrome.’ This can ultimately cultivate mistrust and might make it difficult to build those healthy romantic relationships.”
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Getting Out of Your Own Way: ADHD Help for Adults
Banks remind us to seek support, therapy included, in order to help us develop various coping skills but especially the ability to be vulnerable and transparent in turn helping to improve our relationships all around. From my personal experience, I will add that the difficult part about being vulnerable enough to seek help from the various systems in our lives will be the side-eying that occurs from doctors who think because you’re Black you’re abusing your meds or because you use Medicaid they don’t prioritize you or generally don’t view you as an autonomous being. For instance, my doctor refuses to give me my meds during my pregnancy because he thinks I need to wean myself off. This is despite the fact that my OB (not the same as my prescribing physician) has warned me that expecting moms who are ADHD have an increased risk of postpartum depression.
While I pray this isn’t so, this will impact every aspect of my life from my financial well-being to my ability to build a bond with my son, not to mention those who didn’t come from my womb. I said a mouthful to point out that support can feel difficult to access – easier said than done for sure – but despite this, we must continue to reach out for it. “A good therapist can also teach strategies to cope with ADHD and will provide an opportunity to practice that vulnerability and transparency with a person. Also, becoming okay with experiencing unpleasant feelings and emotions is a good way to be more transparent with others. The best way to be more open with others is to practice and put yourself out there to be uncomfortable. Once support is given from others, it will become easier to open up and build a solid support network.”
As far as expanding access to support based on cultural beliefs and systemic racism, Banks holds society accountable as well. She states, “Society needs to be understanding of how years of trauma and oppression have affected Black women. We need to be humanized and treated with compassion and empathy. Try putting yourself in our shoes and see if that helps in understanding a Black woman’s experience.”
And by society, this extends itself to significant others and potential partners. Be aware of comments and thoughts that suggest ADHD is fake – read the room. I think healthy dialogue is fine, but accusations are not, especially if your person feels the diagnosis and medication help.
Essentially, the key to improving your romantic relationships while coping with ADHD will be the same key that allows you to improve every other relationship in your life. And much like anything in this life, the last, and the next – it requires two! You can do all you can to be vulnerable and that won’t mean much if your partner refuses to acknowledge your diagnosis. Meaning it also requires you to be conscious and have discussions around belief systems.
While ADHD doesn’t seem like that big of a deal to those on the outside, it is a lot for those of us dealing with it from day to day. Practice empathy.
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Motor City native, Atlanta living. Sagittarius. Writer. Sexpert. Into all things magical, mystical, and unknown. I'll try anything at least once but you knew that the moment I revealed that I was a Sag.
Eva Marcille On Starring In 'Jason’s Lyric Live' & Being An Audacious Black Woman
Eva Marcille has taken her talents to the stage. The model-turned-actress is starring in her first play, Jason’s Lyric Live alongside Allen Payne, K. Michelle, Treach, and others.
The play, produced by Je’Caryous Johnson, is an adaptation of the film, which starred Allen Payne as Jason and Jada Pinkett Smith as Lyric. Allen reprised his role as Jason for the play and Eva plays Lyric.
While speaking to xoNecole, Eva shares that she’s a lot like the beloved 1994 character in many ways. “Lyric is so me. She's the odd flower. A flower nonetheless, but definitely not a peony,” she tells us.
“She's not the average flower you see presented, and so she reminds me of myself. I'm a sunflower, beautiful, but different. And what I loved about her character then, and even more so now, is that she was very sure of herself.
"Sure of what she wanted in life and okay to sacrifice her moments right now, to get what she knew she deserved later. And that is me. I'm not an instant gratification kind of a person. I am a long game. I'm not a sprinter, I'm a marathon.
America first fell in love with Eva when she graced our screens on cycle 3 of America’s Next Top Model in 2004, which she emerged as the winner. Since then, she's ventured into different avenues, from acting on various TV series like House of Payne to starring on Real Housewives of Atlanta.
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Eva praises her castmates and the play’s producer, Je’Caryous for her positive experience. “You know what? Je’Caryous fuels my audacity car daily, ‘cause I consider myself an extremely audacious woman, and I believe in what I know, even if no one else knows it, because God gave it to me. So I know what I know. That is who Je’Caryous is.”
But the mom of three isn’t the only one in the family who enjoys acting. Eva reveals her daughter Marley has also caught the acting bug.
“It is the most adorable thing you can ever see. She’s got a part in her school play. She's in her chorus, and she loves it,” she says. “I don't know if she loves it, because it's like, mommy does it, so maybe I should do it, but there is something about her.”
Overall, Eva hopes that her contribution to the role and the play as a whole serves as motivation for others to reach for the stars.
“I want them to walk out with hope. I want them to re-vision their dreams. Whatever they were. Whatever they are. To re-see them and then have that thing inside of them say, ‘You know what? I'm going to do that. Whatever dream you put on the back burner, go pick it up.
"Whatever dream you've accomplished, make a new dream, but continue to reach for the stars. Continue to reach for what is beyond what people say we can do, especially as [a] Black collective but especially as Black women. When it comes to us and who we are and what we accept and what we're worth, it's not about having seen it before. It's about knowing that I deserve it.”
This interview has been edited for length and clarity.
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Once upon a time, I knew a married couple who told me that they wouldn’t even discuss with each other who they found to be attractive on television because, in their minds, that was a form of cheating. They’re divorced now, and although there are a series of reasons why, it was always strange to me that things were so restrictive within their relationship that they couldn’t even share a fleeting thought about how someone looked.
Thinking about them kinda-sorta inspired this piece because they caused me to reflect on the times when some of my clients have come to me, semi-freaking out, and it was because their thoughts about someone had gone beyond “Hey, she’s pretty” or “Hey, he looks good.” Instead, they were starting to fantasize about certain folks, and they weren’t sure what to do about it, especially when some of those fantasies were transpiring while they were engaging in sex with someone else.
You know, it’s been reported that somewhere around 50 percent of people do indeed have fantasies about other people while having sex with another person. And that is definitely a high enough number to tackle some things about the topic here.
If you’re someone who fantasizes about other individuals, especially sexually, here’s some intel into why that could be the case, along with when it gets to the point and place where you might want to consider actually doing something about it.
What’s a Fantasy and What Exactly Causes Them?
Whenever you think of the word “fantasy,” what immediately comes to your mind?
Personally, what I find to be interesting is the fact that the dictionary says that there are actually a lot of things that can be considered a fantasy: your imagination, hallucinations, visions, ingenious inventions, illusions — I mean, there is even a genre of fiction that falls into the fantasy category. However, when it comes to what we’re going to discuss today, a psychological term for fantasy is “an imagined or conjured up sequence fulfilling a psychological need; daydream.”
And yes, before we get to the end of all of this, that definition is going to answer quite a few questions as it pertains to the topic of this particular piece. But first, more about the origin story of fantasies.
Apparently famed neurologist, Sigmund Freud spent some time analyzing fantasies and came to the conclusion that, more than anything else, a fantasy represents something that is either a suppressed urge or desire and when you stop to think about what you imagine, what your visions are, what you may long to invent — that certainly tracks. However, something that you should also keep in mind about fantasies is that, oftentimes, they are rooted in few boundaries and can even go well beyond what is considered to be reality (which is something that is based on facts and truth).
Oh, something else that needs to be kept in mind about fantasies is that they are typically relied on as a mental form of escape from something or someone (bookmark that).
And now that fantasies are more clearly defined, if your immediate question is, “Is it wrong to fantasize?” — no, I certainly don’t think that. What I do believe, based on what a fantasy is, though, is if you are fantasizing a lot about a particular person, place, thing or idea, it would be a good idea to ponder why that is the case — why is that a suppressed desire for you, why are you using that as a mental escape and perhaps, the most important question of all, does your fantasy come with any limits?
Now let’s build on top of this…
Now What Causes Folks to Fantasize About Other People?
As I was doing more research on the topic of fantasies, I came across an article entitled, “What Happens In Our Brains When We Fantasize About Someone.” The author of it started the piece out by talking about a cool connection that she made with someone on a plane, only for her to find herself fantasizing about him once they parted ways. As she went deeper into her story, she mentioned a word that definitely needs to be shared here: heuristics.
If you’re not familiar with it, heuristics is simply a mental shortcut. For instance, if you find yourself needing to make a quick decision (check out “Before You Make A Life-Altering Decision, Read This.”), you may rely on heuristics to do it (even if it’s subconsciously). The challenge with that is oftentimes heuristics will only provide you with a limited amount of data and information, and relying only on that could cause you to not make the best choice, if you’re not careful. And boy, when heuristics jump into your fantasy space — well, something that immediately comes to my mind is celebrity culture.
Ain’t it wild how people will be on social media, speaking so confidently, about someone—or someone’s relationship—as if they personally know them (when they absolutely don’t)? I mean, just because someone is attractive or you’ve seen them carry themselves well in an interview or two, that doesn’t automatically mean that they are the ideal person or that they are someone to set your own dating standards by. If you’re not careful, though, heuristics and fantasies may encourage you to think otherwise.
That’s because the combo will try and get your brain to jump to all sorts of conclusions and, if you don’t keep that in check, it could result in you making premature, counterproductive, or even straight-up reckless decisions — because remember, a fantasy tends to be about suppressing an urge or desire.
Honestly, whether you are in a relationship or not, if you are fantasizing about a particular individual, understanding why you are doing that should definitely be explored.
However, if you are with someone and you’re fantasizing about someone else, you really shouldn’t ignore what is transpiring because, although by definition, there’s a good chance that whatever and whomever you are fantasizing about will never come to pass, the fact that it’s taking up some of your mental and emotional space, that needs to be acknowledged. Because if there is something that you want or need, and you seem to believe that your fantasies are better at supplying that for you than the reality of your relationship, why is that?
Let’s keep going…
What Does (or Could) It Mean If You Fantasize About Someone Else During Sex?
It’s pretty common that a random song will come to mind whenever I’m writing an article. Today? It was Guy’s “My Fantasy.” Then a sitcom did — King of Queens, and the episode when Doug and Carrie were talking about his sexual fantasies. The song is about images that the fellas randomly have about beautiful women. The episode was about Carrie wanting to dictate to Doug what and whom he could fantasize about because some of his sexual fantasies made her feel uncomfortable or intimidated.
And both of these are a pretty solid intro into whether there is something wrong with sexually fantasizing about someone, especially while having sex with someone else. Well, before getting into all of that, I think another article that I read on the topic brings up a pretty good point — that it’s important to think about where your fantasies are coming from: your imagination, things you see on social media, porn that you may have watched, people who you actually know…and if it’s the latter, is it someone from your past or someone from your present?
Yeah, knowing the source of your fantasies can definitely help you to understand how “deep” into your fantasies you might be.
What I mean by that is, seeing a beautiful man one time and randomly thinking about what it would be like to have sex with him on some beach vacation is quite different than constantly thinking about your ex, the sex you used to have with him and then fantasizing about it For one thing, the beautiful guy, you will probably never have access to. That ex, though? Well, at the very least, that is a bit more realistic, right?
Then there’s the fact that, again, a fantasy is a suppressed urge or desire. When it comes to the beautiful man, is it his looks that you long for, or is it something deeper? And that ex of yours? Lawd, now why, when you have your own man in your own bed, is your ex “scratching some sort of itch”? Because we all know what they say — “he’s your ex for a reason,” so why is he creeping up into your intimacy space now that the relationship is over? Is something unresolved?
Are there sexual needs that he met that your current partner isn’t (check out “You Love Him. You Prefer Sex With Your Ex. What Should You Do?”)? Is something currently transpiring in your current relationship that you are using fantasies about your ex to escape from?
You see, although when it comes to the topic of fantasizing about others when you’re having sex with someone else might seem like the a cut-and-dried, “Don’t do it, end of discussion” — as someone who works with couples for a living, I think the bigger concern isn’t if another guy comes into your mind during sex with your partner…it’s more about WHY is that happening to begin with. Because if you need to escape from where you are, if you can’t be present with your partner, something is definitely up.
When Should You Be Concerned About the Fantasies You Are Having?
During the last several months of breaking up (because we all know that sometimes breaking up is a process) with the last boyfriend whom I will have in this lifetime, I recall fantasizing about other people while having sex with him. It’s because I really wasn’t attracted to or interested in him, sexually, anymore — but I was a bit fearful of what it would mean to let the entire relationship go.
And boy, is that a huge red flag because I wasn’t fantasizing about some random famous person one time during sex — I was relying on images, my imagination, and previous experiences with other people to literally get me through the act. NOT. GOOD.
Y’all, one of the greatest and most profound forms of communication and connection between two people is sexual intimacy, and so, when it transpires, it really should only be about the two of them. That said, should you freak out over a thought about someone who creeps up into your mind every once in a while? Chile, more people have that happen than they will ever admit out loud.
On the other hand, should you worry if you’re like I was? I’ll put it this way — you should definitely be concerned because the last thing that you should be feeling during sex with someone is like you are suppressing what you need and/or that you want to escape from the moments that you are experiencing with them.
And yet, if that is indeed the case, though, what should you do?
Start with doing some sex journaling. Write down your fantasies, the sources of them, and why you are leaning on them in this season (check out “The Art Of Sex Journaling (And Why You Should Do It)”). If they are tied to unrealistic situations, be real with yourself about that. If they are rooted in potential possibilities, do some journaling about how much you are “feeding into” that reality and what you think would be the wisest way to move forward, both for your sake as well as your relationship.
Talk to your partner. Each relationship is different, and so, while I’m not going to recommend that everyone just blurt out that they’ve been thinking about having sex with their co-worker or college sweetheart while having sex with their partner, I do think that the suppressed urges and desires (in general) should be mentioned. Sometimes, fantasies are birthed out of boredom (check out “If You're Not Having Great Sex, This Is (Probably) Why” and “Common Sex Problems Couples Have (& How To Fix 'Em)”) and doing something like creating a sex bucket list (check out “This Is How To Create The Best Kind Of ‘Sex Bucket List’”) can breathe new life into your bedroom.
Plus, sharing some of your deepest thoughts, feelings, and needs (in a kind, thoughtful, and mature way) can cultivate more emotional intimacy with your partner, and that can definitely be a good thing.
Consider seeing a sex therapist. If, after doing both of these things, the fantasies seem to be getting stronger and louder, you might need to make an appointment with a reputable sex therapist (check out “Have You Ever Wondered If You Should See A Sex Therapist?”). They may be able to help you to “connect some dots” about what’s going on that you wouldn’t have considered without their help, because sex therapists are trained in helping individuals sort out the mental and emotional sides of intimacy, not just the physical ones.
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Are fantasies bad? They aren’t. However, when it comes to sexual ones, a quote by Benjamin Franklin absolutely comes to mind: “If passion drives you, let reason hold the reins.”
And that, right there, should be a guiding message for how you should process the fantasies that you do have.
Amen? Sho’ you right.
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