ADHD Chatter The Invisible Struggle: The Truth About Women's ADHD (Explained by a psychiatrist) | Dr Shyamal Mashru
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Nov 11, 2025 Dr. Shyamal Mashru, an award-winning psychiatrist and ADHD expert, shares his insights on the often overlooked struggles women face with ADHD. He discusses how feeling misunderstood can deeply impact self-esteem and emotional health. Delving into comorbid conditions, he highlights the link between untreated ADHD and increased dementia risk. Dr. Mashru also addresses the unique challenges women encounter, like masking and burnout, while offering hope through proper diagnosis and treatment. His poignant letter to his younger self inspires resilience and optimism.
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Screen Bipolar Before Prescribing Stimulants
- Ensure clinicians assess for bipolar disorder before starting stimulants to avoid inducing mania.
- Seek psychiatrists with experience across conditions to reduce dangerous misprescribing.
Hunter Traits Clash With Modern Life
- ADHD traits may have been advantageous in hunter-gatherer societies but are mismatched to modern sedentary systems.
- Dr Shyamal Mashru links evolutionary roles to why education and workplaces can punish ADHD traits today.
RSD Feels Like Sudden Physical Pain
- Rejection Sensitive Dysphoria (RSD) is common, hard to quantify, and can feel like sudden physical chest pain.
- Recognizing RSD helps patients spot triggers and lessen intensity over time, says Dr Mashru.
