

559- Unmasking the Pain: Easing Rejection Sensitivity for Black Women with ADHD
Jun 17, 2025
Diane Miller, a clinical psychologist specializing in adult ADHD and racial identity, discusses the unique challenges faced by Black women with ADHD, particularly around rejection sensitivity and double-masking. She explores how societal pressures and cultural identity complicate their mental health. Practical solutions for self-advocacy, authentic self-expression, and navigating burnout are highlighted. Miller emphasizes the importance of culturally competent support and open communication to foster emotional safety in personal and professional relationships.
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Ruth's Masking Story
- Ruth is a 33-year-old Black woman who struggled with undiagnosed ADHD since childhood.
- She masked her symptoms to fit cultural and academic expectations but continued to face challenges.
Cultural Barriers to ADHD Diagnosis
- Cultural expectations and generational messages cause Black women to hide ADHD symptoms.
- This leads to misdiagnosis, delayed care, and internalizing struggles as personal failures.
Strong Black Woman Schema Impact
- The 'strong Black woman' archetype demands resilience and suppressing vulnerability.
- This leads to self-silencing and increased masking, worsening mental health struggles.