Dr. Roberto Olivardia, a clinical psychologist and Understood expert, discusses the challenges of parenting teenagers with ADHD during puberty. Topics include the impact of hormonal changes on ADHD medication, dynamics of parenting a teen with ADHD, and the exciting possibilities that come with puberty for individuals with ADHD.
Puberty can be particularly challenging for kids with ADHD due to physical and emotional changes, requiring parental support and understanding.
Teens with ADHD commonly experience emotional dysregulation and have a higher risk of developing mood disorders, requiring strategies for self-soothing and emotion regulation.
Deep dives
Puberty and ADHD: Navigating the Challenges
Puberty can be particularly challenging for kids with ADHD due to the combination of physical and emotional changes. These changes often lead to difficulties in self-care, such as maintaining hygiene routines. Balancing school, home, and social life becomes more complex, as ADHD teens struggle with forgetfulness, difficulty sticking to schedules, and navigating friendships. Emotional dysregulation is common in teens with ADHD, and they may have a higher risk of developing mood disorders. Hormonal fluctuations can affect the effectiveness of ADHD medication, and it's important to reassess dosage and type of medication during puberty. The social pressures of adolescence, including experimentation with drugs, alcohol, and sex, are more complex for those with ADHD, who have a higher risk of addiction. It's crucial for parents to understand the unique challenges ADHD teens face and work collaboratively with them to develop strategies for success. The ADHD brain continues to develop into the late 20s, so support and understanding from parents, healthcare professionals, and peers are essential during this developmental stage.
Physical Changes and Self-Care
ADHD teens going through puberty face additional complexities when it comes to physical changes and self-care. While they may become more aware of the importance of self-care to fit in socially, they can struggle with mindfulness and remembering routine tasks. Sleep, eating, and exercise may be affected, requiring parental guidance and support. ADHD individuals often have difficulties connecting everyday habits to long-term consequences, which can impact their overall well-being.
Emotional Dysregulation and Mood Disorders
Teens with ADHD commonly experience emotional dysregulation, which is exacerbated by the hormonal changes of puberty. They have a higher risk of developing mood disorders and experience challenges with self-soothing and emotion regulation. The ADHD brain has a delay in connecting emotional responses to the frontal lobe, making it harder to manage and inhibit emotional reactions. ADHD individuals may be more emotionally sensitive, which can affect their relationships and self-esteem.
Social Lives and Peer Pressure
Puberty and ADHD intersect in the realm of social lives and peer pressure. Adolescents with ADHD face the normal challenges of developing social identities and fitting in with peers. However, ADHD adds another layer of complexity, as executive function deficits can impact social interactions and friendships. Impulsivity, forgetfulness, and struggles with time management can influence relationships. ADHD individuals also have a higher risk of addictive behaviors. It is crucial for parents and teens to have open conversations, develop strategies, and establish clear boundaries regarding social media, substance use, and peer pressure.
Puberty can be a challenging time for kids and their families. But what about if your child going through puberty has ADHD?
In this episode, hosts Gretchen Vierstra and Rachel Bozek take a deep dive into puberty and ADHD. First, they hear from three parents of teens with ADHD to find out what it’s like to be “in it.”
Then, they welcome returning guest Dr. Roberto Olivardia, a clinical psychologist and Understood expert. Listen in as he explains how ADHD and puberty can affect each other.
Understood is a nonprofit organization dedicated to empowering people with learning and thinking differences, like ADHD and dyslexia. If you want to help us continue this work, donate at understood.org/give
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