The Benefits of an ADHD Diagnosis. (Image source: Wikimedia commons) 
MedBound Blog

The Benefits of an ADHD Diagnosis!

Seeing adult ADHD as an advantage rather than a deficit

Dr. Shanjitha J Hussain, MD Internal Medicine

Do you know renowned people like Olympic swimmer Michael Phelps and singer Adam Levine achieved success in their lives with a diagnosis of attention deficit hyperactivity disorder (ADHD)? As far as I’ve seen from my practice, getting diagnosed with ADHD can be both liberating and intimidating. It is liberating because now the person knows the reason behind his behavior. Yet it can be intimidating because now it has become a disorder that must be treated. The reason for this could be that ADHD is mostly approached from a deficit-oriented view. But what if we focus on the opposite—the benefits of an ADHD diagnosis—when trying to manage it? 

A short note on what ADHD is:

According to a study published in 2021 [1], symptomatic adult ADHD is prevalent among 6.76% of the global population. The prevalence of adult ADHD persistent from childhood is 2.5%.  However, most adult cases of ADHD remain undiagnosed because of the stigma and lack of awareness. 

The Diagnostic and Statistical Manual (DSM-5) has standardized criteria to diagnose adult ADHD. Based on the DSM-5, ADHD is classified into three types [2]:

Predominantly inattentive type, which includes features like lacking attention to detail, inability to focus for long hours, being distracted easily, poor listening, forgetfulness, and poor organizational skills.

Predominantly hyperactive type includes features like constant fidgeting, interrupting people while they talk, not being able to remain seated for long, blurting out answers, not being able to wait for their turn, and feeling restless.

The combined type includes symptoms from both the inattentive and hyperactive types.

The current line of treatment involves non-medical approaches like cognitive behavioral therapy and psychoeducation and medical approaches using stimulants like methylphenidate and amphetamine. 

Are there any benefits of an ADHD diagnosis?

People with ADHD can be gifted in ways that a non-ADHD person doesn’t have. It is important to highlight these gifts to make their lives manageable and worthwhile. Research [3, 4] shows an ability-oriented approach that focuses on harnessing the benefits of ADHD can improve the quality of life of a person with ADHD. So, what are the benefits of having an ADHD diagnosis?

Hyperfocus:

The most common misconception about people with ADHD is that they have a short attention span. While they can be easily distracted, once they become engrossed in something that interests them, they can experience hyperfocus—an intense concentration on the task at hand. Unlike typical attention, which can be diverted, hyperfocus is difficult to interrupt.

One 23-year-old woman participant from the 2023 Norway study [4] stated that hyperfocusing served as a compensatory strategy. The hyper-focusing trait of her ADHD helped her throughout her exam periods.

I think my ADHD has helped me throughout the exam periods. If it had not been for a kind of hyperfocus, it would not have worked. But then again, I might not have postponed the reading for so long if I did not have ADHD
A 23 years old woman participant from the 2023 Norway Study

Hyperfocus can be a significant asset in fields requiring creativity, research, and development, where prolonged engagement and deep concentration are essential. But there is also a downside to it. ADHDers can get caught up in one thing, thereby neglecting the other essential parts of their lives like family and self-care. With the right guidance, they can be taught how to harness this strength in a balanced way and achieve success while not falling into its drawbacks.

Creativity

Many people know Will.i.am as a great music performer and producer who has won Grammy awards eight times. But many don’t know that he is also an innovator who has designed smartwatches and other camera accessories for the iPhone and has also started a foundation for educating children with low resources.

Will.i.am attributes this quality of developing multiple creative ideas to his ADHD. [5]

One thing I learned about ADHD is that it’s hard to keep your attention, and you can’t sit still and you’re always moving and thinking about a whole bunch of things. But those traits work well for me in studios and in meetings about creative ideas.
Will.i.am, singer and music producer

ADHDers have an unconventional creative mind that lets them think outside the box, have multiple new ideas, and come up with creative solutions for problems. Though this trait can make them look like they are not fitting in with the norms, it can be put to good use by setting up the right learning or working space. Their non-linear way of thinking can be a superpower if used wisely.

High energy

ADHDers can be hyperactive. The better perspective to look at this “deficit” is that they have high amounts of energy to do the work they need or love to do. With this view, they can learn to channel their high energy levels towards meaningful goals, like Michael Phelps.

Michael Phelps, the well-known Olympic swimmer who won five golds and one silver, opened up about his ADHD traits. He took part in multiple sports activities to channel his high energy in a better way. Through his trial-and-error practice, he found that swimming was the one he needed to hyperfocus on. He spent all his high energy in practicing the swimming techniques. [6]

Growing up, I was a normal athletic kid. I would go from the baseball field to the soccer field to the lacrosse field to the swimming pool. Just trying to get as much energy as I could out of my system. Growing up with ADHD, I could never sit still. I noticed the way I was always moving around or fidgeting with something.
Michael Phelps, the well-known Olympic swimmer

All participants in an NHS study from London [7] described their high energy as a potential benefit if they knew to harness it in the right way. Besides physical work like sports, etc., this quality can also be useful in entrepreneurship.

ADHDers have an unconventional creative mind that lets them think outside the box, have multiple new ideas, and come up with creative solutions for problems. (Representational image: Wikimedia Commons)

Spontaneity

The impulsivity in ADHD can be seen as spontaneity. Most ADHDers act out impulsively without thinking. It is not as simple as that. People with ADHD have cognitive dynamism, where they get spontaneous and non-sequential thoughts, flashes of images, and ideas. Their impulsive nature is to act upon or blurt out these thoughts. 

But, like other benefits of ADHD, this can be channeled effectively, as actor Ryan Gosling did. Ryan Gosling says that his constant urge to jump out of his skin makes him a better actor by giving him more energy and letting him be spontaneous with his roles.  [8]

Another woman participant from the 2023 Norway study [4] mentioned that her spontaneity has given her memorable experiences and new friendships. 

I am not really that fond of that spontaneous side of myself because I experience losing control, but at the same time, it has given me unique friendships, relations and possibilities
A 28 years old woman participant from the 2023 Norway study

ADHDers can embrace their spontaneous natures while setting personal rules and boundaries to prevent themselves from getting out of control.

Resilience

People with ADHD have an innate nature of resilience that makes them stronger than before. The best example is David Neeleman, the founder of JetBlue Airlines. [9] 

David, who is diagnosed with ADHD, massively failed two times before finding JetBlue Airlines. Through JetBlue Airlines, he revolutionized the industry, providing better amenities and budget-friendly prices for travelers.  This venture ended when he was replaced from his position as CEO after 8 years of starting the company. A year later, he founded Azul Airlines, which became the country's third-largest airline—even bigger than JetBlue.

David attributes his ability to pick himself up, dust himself off, learn, and try again after each setback to his ADHD.

We don't usually ace the standardized tests and do law at Harvard; we get chucked out of the boat and forced to swim. We have to get creative and find our own way.
David Neeleman, founder of JetBlue Airlines

This resilience of ADHDers is due to their constant exposure to failures when growing up, which in turn causes them to repeatedly course-correct and find a way to show up and survive the “normal” world. This resilience led them to better understand themselves and gave them acceptance of their differences. 

Able to multitask: 

Though there is no research on this, Dale Archer, a clinical psychiatrist, in his book, The ADHD Advantage, quotes from his experience that ADHDers love multitasking. [9]

They can put a huge amount of intensity and focus into something for a short period of time before getting bored and moving on to the next thing

Facing new situations and doing many things at once can be stressful for non-ADHDers. But Dr. Dale says that it can be meditative for ADHDers.

He has given examples of many people with ADHD who thrive on multitasking. One of them is Kelly Dooley, who is the founder and CEO of a $10 million fashion sportswear business with a following of celebrities like Kim Kardashian and does most of the major work by herself from her apartment. She says how her ADHD has helped her manage the various tasks. 

My brain is always in overdrive, solving problems in my head. It’s like I’m never not working. I feel more relaxed when I’m busy.
Kelly Dooley, who is the founder and CEO of BodyRock Sport

However, while multitasking, they have to be self-aware and try to maintain balance. 

Curious, courageous, and cool in crisis:

People with ADHD are explorative. This quality gives them the curiosity and courage to seek new experiences. They are not afraid to undertake new ventures. This nature makes them good learners. 

Well, thrill-seeking is an ADHD thing…. I can list in my life having done white water rafting, bungee jumping, hand-glider pilot, riding a rocket ship motorcycle at the age of 60, which I really ought not to be now…. travelling to far flung places….so just adventure, novelty seeking, thrill-seeking…..I have done a lot in my life and achieved a lot and experienced a lot…… I would see a lot of that as being quite positive and a lot of that is ADHD drive….
A participant from the NHS study

Also, Dr. Dale quotes in his book [9] that these people can be cool and calm in the face of a crisis. Any sense of urgency or a deadline approaching can give ADHDers the stimulation they crave. The explanation for this behavior and the multitasking trait is that the surge in adrenaline and dopamine feeds their brain's reward system well enough. This is why they procrastinate. What other people may find stressful and frustrating makes ADHDers calm and productive. But of course, they need to balance this act by leveraging their procrastinating behavior wisely and having a controlled situation at work. 

Humanity

ADHDers have more self-acceptance and social intelligence [9]. They can understand themselves, show empathy towards others, and also connect well with others. They are non-judgmental of others.

This can be due to their own experience of being seen differently or stigmatized. They can genuinely relate to the feelings of others who are disabled in some way. 

Mebound Times approached Dr. Shafana Hyroon, a psychiatrist, to learn about the clinical possibility of this strength-focused approach for managing people with ADHD.

In adults, it's difficult to diagnose adult ADHD as it could be part of his personality, or comorbid depression, anxiety disorders, and substance use making it difficult to diagnose and treat. If it's mild to moderate adult ADHD, they can go into a non-pharmacological approach; that's, as you say, a strength-based approach, but when it comes to severe ADHD, it would be difficult with only non-pharmacological treatment. When it's severe and it's completely affecting his or her normal social, interpersonal, and occupational functioning, then it would be difficult. A combined approach will only be possible with both medications and other behavioral interventions.
Dr. Shafana Hyroon, MD Psychiatry, Assistant professor, Shri Sathya Sai medical College and Research Institute

A diagnosis of adult ADHD can be liberating and intimidating. Now, with the rise of social media use, more people are beginning to focus on the benefits of an ADHD diagnosis. This perspective can help ADHDers manage themselves using a strength-based approach. However, people need to consult a healthcare professional to get their ADHD evaluated and get a treatment plan based on their advice.  More research and awareness are needed to incorporate this mindset in both the care providers and the people. 

Reference:

  1. Song, Peige, Mingming Zha, Qingwen Yang, Yan Zhang, Xue Li, and Igor Rudan. “The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis.” Journal of Global Health 11 (February 11, 2021). https://doi.org/10.7189/jogh.11.04009.

  2. ADDA - Attention Deficit Disorder Association. “DSM-5 Criteria for ADHD: How Is Adult ADHD Evaluated?,” May 3, 2024. https://add.org/adhd-dsm-5-criteria/.

  3. Newark, P. E., Elsässer, M., & Stieglitz, R.-D. (2016). Self-Esteem, Self-Efficacy, and Resources in Adults With ADHD. Journal of Attention Disorders, 20(3), 279-290. https://doi.org/10.1177/1087054712459561

  4. Nordby ES, Guribye F, Nordgreen T, Lundervold AJ. Silver linings of ADHD: a thematic analysis of adults' positive experiences with living with ADHD. BMJ Open. 2023;13(10):e072052. Published 2023 Oct 3. doi:10.1136/bmjopen-2023-072052

  5. Team, Understood. “Celebrity Spotlight: Why will.i.am Says ADHD Fuels His Creativity.” Understood, March 12, 2024. https://www.understood.org/en/articles/celebrity-spotlight-why-william-says-adhd-fuels-his-creativity.

  6. Mohan, Vishnu. “"I was trying to get as much energy as I could out of my system,”.” www.sportskeeda.com, March 13, 2024. https://www.sportskeeda.com/us/olympics/i-trying-get-much-energy-i-system-when-michael-phelps-opened-growing-adhd.

  7. Sedgwick, J.A., Merwood, A. & Asherson, P. The positive aspects of attention deficit hyperactivity disorder: a qualitative investigation of successful adults with ADHD.ADHD Atten Def Hyp Disord 11, 241–253 (2019). https://doi.org/10.1007/s12402-018-0277-6

  8. Bennett, Angela. “How these 9 famous people achieved success with ADHD.” www.angelabennett.com., September 18, 2022. https://www.angelabennett.com.au/post/how-these-9-famous-people-achieved-success-with-adhd.

  9. Archer, Dale. The ADHD Advantage. Penguin, 2016. http://books.google.ie/books?id=6VWmDAAAQBAJ&dq=the+book+adhd+advantage&hl=&cd=1&source=gbs_api.

By Dr. Shanjitha J Hussain

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