A Female-Specific Treatment Group for ADHD—Description of the Programme and Qualitative Analysis of First Experiences

M. de Jong, D. S. M. R. Wynchank, M. Michielsen, A. T. F. Beekman, J. J. S. Kooij

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: The diagnostics and treatment of attention-deficit/hyperactivity disorder (ADHD) in women remain insufficient. Fluctuations of reproductive hormones during the premenstrual period, postpartum period, and (peri)menopause are neglected, even though they impact ADHD symptoms and associated mood disorders. Therefore, we created a female-specific treatment group for women with ADHD and premenstrual worsening of ADHD and/or mood symptoms. Methods: We describe the group programme and underlying rationale, offering a qualitative analysis of the participants’ evaluation. Results: The seven bi-weekly sessions foreground the menstrual cycle and address several ADHD-specific topics in relation to this cyclical pattern. Concurrently, women track their menstrual cycle and (fluctuating) ADHD and mood symptoms with an adjusted premenstrual calendar. In total, 18 women (25–47 years) participated in three consecutive groups. We analysed the evaluation of the last group. Participants experienced the group as a safe and welcoming space. Recognition was valued by all. The topics discussed were deemed valuable, and the structure suited them well. Completing the premenstrual calendar augmented the awareness and recognition of individual cyclical symptoms. A lifespan approach increased self-understanding. Participants took their menstrual cycle more seriously, prioritising self-acceptance and self-care. Conclusions: Exploring a cyclical approach in a group setting seems to be a positive addition to treatment for female ADHD.
Original languageEnglish
Article number2106
JournalClinical Chemistry
Volume13
Issue number7
DOIs
Publication statusPublished - 1 Apr 2024

Keywords

  • attention-deficit/hyperactivity disorder (ADHD)
  • female specific therapy
  • group treatment
  • menstrual cycle
  • non-pharmacological treatment
  • premenstrual
  • self-acceptance
  • self-awareness
  • sex hormones
  • women

Cite this