If it seems that everyone is being diagnosed with Attention Deficit Hyperactivity Disorder (ADHD), there may be a reason and it’s likely not the reason people think. Diagnostic criteria were initially based on how ADHD presented in white children who were mostly male, so if you fell outside of that box your diagnosis was often overlooked. This is especially true in girls who then turned into undiagnosed or misdiagnosed women.

But it’s not just women who were undiagnosed since the criteria mostly included ways in which hyperactivity showed up, you know, the “H” in ADHD. But not everyone with ADHD presents with the stereotypical hyperactivity bit.

A lot of adults slipped through the cracks

That means a lot of kids fell through the cracks and, as kids do, eventually became adults.

Family physician and ADHD expert Dr. Heather Brannon breaks down ways in which ADHD is missed and how to identify it in adults in a TEDx Talk in 2021.

In the first few minutes of the video, Brannon shares a clinical observation that feels mind-boggling

“75% of adults with anxiety actually have ADHD as the cause of their anxiety.” Even though I fit into that category, consider my mind completely boggled because I thought I was a rarity and my psychiatrist was a magician. Turns out, he was probably just up to date on his continuing education credits.

Brannon talks about how people who may express feelings of overwhelm, anxiousness, and tiredness and who are easily frustrated may actually have undiagnosed ADHD.

It’s pretty easy to overlook ADHD that presents with more of the attention deficit part of the diagnosis than the hyperactivity part. When someone is having difficulty sitting still, talking so fast that you can barely keep up, and is constantly on the go, it’s pretty easy to pinpoint there may be an issue.

But when the person is quiet, sits still but misses large chunks of conversations, or is chronically forgetful and sleepy, it’s much easier to miss the signs, according to Brannon.

Brannon says many people feel bad about themselves without knowing why, so having an answer for why you’re feeling this way can be helpful.

Does any of this sound like you?

In the clip, Brannon introduces us to a theoretical person named Sally.

Sally is successful, creative, and holds a master’s degree. She’s functioning at a high level by all indications, but Sally struggles with procrastination, getting sidetracked, and feeling unmotivated. She feels lazy and ashamed of it, but she just can’t bring herself to change her behavior.

Brannon says that Sally is typical of adults with undiagnosed ADHD. These are people who feel and know something is not quite right with them, but they have no idea what.

As for a little happy ending, Sally eventually finds out that she has ADHD and receives treatment. Brannon says in the video that the right medication can make a world of difference.

“Now [Sally] can have creative thoughts without having that big swirl of ideas running around in her head. She can look at an email to see if she has time to answer or she needs to save it for later. Now Sally can be on time for her appointment, and that frees up the perfectionist that was trying so hard to be on time before and was failing every time.”

The numbers are bigger than you’d expect

Brannon says that over the span of her career, she would estimate about 2 or 3 out of 10 adults have undiagnosed ADHD and are living a life of difficulty and shame.

“That’s a lot of people who could be feeling a whole lot better,” she says.

This article originally appeared three years ago. It has been updated.

While a bottle of bubbles might seem out of place in a hospital setting, you might be surprised to learn that, for thousands of children around the world born with cleft lip and palate, they can be a helpful tool in comprehensive cleft care. Lilia, who was born with cleft lip and palate in 2020, is one of the many patients who received this care. 

As a toddler, Lilia underwent two surgeries to treat cleft lip and palate with Operation Smile’s surgical program in Puebla, Mexico. Because of Operation Smile’s comprehensive care, it wasn’t long before her personality transformed: Lilia went from a quiet and withdrawn toddler to an exuberant, curious explorer, babbling, expressing herself with a variety of sounds, and engaging with others like any child her age. 

Lilia is now a healthy five-year-old, with the same cheerful attitude and boundless energy. Her progress is the result of care at every level, from surgery to speech therapy to ongoing support at home—but it’s also evidence that small, sustained interventions throughout it all can make a meaningful difference. 

Cleft Conditions: A Global Problem

Since 1982, Operation Smile has provided cleft lip and cleft palate surgeries to more than 500,000 patients worldwide with the help of generous volunteers and donors. Cleft conditions are congenital conditions, meaning they are present at birth. With cleft lip and palate, the lip or the roof of the mouth do not form fully during fetal development. Cleft conditions put children at risk for malnutrition and poor weight gain, since their facial structure can make feeding challenging. But cleft conditions can have an enormous social impact as well: Common difficulties with speech can leave kids socially isolated and unable to meet the same developmental milestones as their peers. 

Surgery is a vital step in treating cleft conditions, but it’s also just one part of a much larger solution. Organizations like Operation Smile emphasize the importance of multi-disciplinary teams that provide comprehensive, long-term care to patients across many years. This approach, which includes oral care, speech therapy, nutritional support, and psychosocial care, not only aids in physical recovery from surgery but also helps children develop the skills and confidence to eat easily, speak clearly, and engage in everyday life. This ensures that each patient receives the full range of support they need to thrive. 

A Playful (and Powerful) Solution

Throughout a patient’s care, simple tools like bubbles can play a meaningful role from start to finish. 

Immediately before surgery, children are often in a new and unfamiliar environment far from home, some of them experiencing a hospital setting for the first time. When care providers or loved ones blow bubbles, it’s a simple yet effective technique: Not only are the children soothed and distracted, the bubbles also help create a sense of joy and playfulness that eases their anxiety. 

In speech therapy, bubbles can take on an even more important role. Blowing bubbles requires controlled airflow, as well as the ability to form a rounded “O” shape with the lips, which are skills that children with cleft conditions may struggle to develop. Practicing these skills with bubbles allows children to gently strengthen their facial muscles, improve breath control, and support the motor skills needed for speech development. Beyond that, blowing bubbles can help kids connect with their parents or providers in a way that’s playful, comforting, and accessible even for very young patients. 

Finally, bubbles often follow patients with cleft conditions home in the “smile bags” that each patient receives when the surgical procedure is finished. Smile bags, which help continue speech therapy outside of the hospital setting, can contain language enrichment booklets, a mirror, oxygen tubing, and bubbles. While regular practice with motor skills can help with physical recovery, small acts of play help as well, giving kids space to simply enjoy themselves and join in on what peers are able to do.

Bubbles at Home and Beyond

Today, because of Operation Smile’s dedication to comprehensive cleft care, Lilia is now able to make friends and speak clearly, all things that could have been difficult or impossible before. Instead of a childhood defined by limitation, Lilia—and others around the world—can look forward to a childhood filled with joy, learning, discovery, friends, and new possibilities.  

CTA: Lilia’s life was changed for the better with the care she received through Operation Smile. Find out how you can make an impact in other children’s lives by visiting operationsmile.org today. 

It’s not breaking news that journaling has been proven, again and again, to be good for you—mind, body, and soul.

But not all journaling is created equal. Writing about what you did that day and your future plans has a profoundly different effect than writing about your deepest emotions, especially the upsetting ones. A growing body of research now shows that confronting your deepest traumas and experiences in order to put them on the page not only makes you feel better, but can even help heal you. One remarkable scientific study demonstrates how.

Landmark study indicates that “expressive writing” has healing powers

The body of research around expressive writing had been growing for years. American social........

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