Thanks so much for your thoughtful response - I did not expect a reply but was rather screaming into the wind. I'm very glad to hear that you have opened your heart to exploring the newer research and reality of adhd in adults, especially older women. Unfortunately, the field of psychiatric education is woefully inadequate and hopelessly out of touch and is too often destructive to vulnerable people who seek help. We know ourselves and likely our disorder from the inside - especially if we have faced a lifetime of misdiagnoses and invalidation. Please just never err away from adhd and/or autism in favor of deadly and stigmatizing conditions like bi-polar and schizophrenia if there is any doubt or your patient is self advocating against jumping to such a serious and invalidating conclusion. The identity destruction and the medication harm caused by misdiagnoses is truly injurious and can cost people their lives-