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ADHD Awareness Month: can ADHD affect your sex life?

By Disability, Undressing Disability

October marks the start of ADHD (Attention Deficit Hyperactive Disorder) Awareness Month but what does that actually mean for those of us who are diagnosed with it?

When it comes to ADHD, I can’t tell you the number of ways it affects me from my workplace to my travel to, unfortunately, my relationships. There is so little out there for adults with ADHD in terms of research, especially for those of us who are queer, transgender or non-binary. When it comes to sex, the information can leave a lot to be desired.

However embracing our sexuality, and our ADHD, is important. While ADHD can make things like choosing the right toy or reaching orgasm more difficult, it’s not impossible. Communication and education can go a long way.

Here are three of the biggest things I wish I had known about sex, my brain and ADHD.

1 – Focus

One of the biggest stereotypes about ADHD is that we can’t focus. In reality, it’s not quite that simple as ADHD-ers struggle with regulating focus- either too much or too little. We cannot get our brain to focus if we don’t want to or break focus if we are locked into something we find interesting.

In the bedroom, that lack of focus can be a libido killer in that it can make it hard for us to stay in the mood, maintain an erection or achieve orgasm. The results of that can be a frustrating experience for everyone involved.

The opposite is true sometimes in that we can be so focused on everything around us that we find it hard to make time for sex. Coupled with a lower sex drive, I find that I can get so lost in my work that I fail to notice the hours slip past before it’s too late and a partner is already asleep.

Read more: As a neurodivergent person, how do I recognise abuse in my relationship?

2- Overwhelming

When it comes to sex toys, I never really got the hype but I also never considered this may not be my fault. So few are designed with neurodiversity in mind that they often arrive with overly complicated instructions, flashing buttons and LED-what-the-hells!??! By the time I have navigated the box, I have little spare mental energy to engage with pairing it to my phone.

Overwhelm can lead to a lot of not-sexy emotions including frustration, anger and sadness. Many ADHD people will experience shutdowns or meltdowns which are exhausting and can cause someone to completely withdraw.

It’s not just about toys though as some lubricants or massage lotions can be too much for neurodivergent people. The smell or texture can be too overpowering or feel uncomfortable on the skin. If that happens, it can make people feel awkward, anxious, nauseated or panicked. It may also ruin the mood by being the only thing they can notice in the room.

3 – Risk

When we make a decision to have sex we calculate a risk. We make a decision to wear a condom, use lubricants that are safe with our toys or bodies or we choose our partners carefully based on a number of factors. Those of us with ADHD struggle with decision-making as we can be impulsive and look for the potential reward that comes with taking a risk.

The bad thing is that there isn’t always a reward. A study in 2017 revealed that teenage girls with ADHD are three times more likely to get pregnant accidentally while ADHD boys are twice as likely to get someone pregnant.

Another study on medicated and unmedicated ADHD patients revealed those without medication were three times as likely to contract a sexually transmitted infection. Interestingly, the same study showed that medication cut this risk by 40%.

Interested in ADHD? Here are more stories you might like to read:

Being ADHD: Five Things I Wished Someone Had Told Me

By Sex & disability, Undressing Disability

By Carolyn DeBarra

When it comes to being neurodivergent, I am very proud of the way my brain works. I was diagnosed at the age of 10 with Attention Deficit Hyperactive Disorder (ADHD) and Oppositional Defiance Disorder (ODD) along with Generalised Anxiety Disorder (GAD). The combination of all three can be a blessing, but it can be a curse too.

It can be really difficult being neurodivergent especially as so much of the world doesn’t cater to different neurotypes. Combine that with the fact that so many of our conditions can be so different from each other. My ADHD is very different from the next person’s.

While we do understand a lot more now than back in the day when I was first diagnosed, there are so many areas of neurodiversity that we hear little about.

Here are five things that I wish people told me about ADHD.

1 – It’s okay to feel grief or anger

ADHD diagnoses are on the rise at the moment as more people recognise the signs of the condition through social media and articles. It has prompted many people to seek a diagnosis or speak to a GP. While many feel relief and a sense of power in knowing their diagnosis, there can also be a feeling of grief.

When I started to learn about my condition as an adult, I felt sadness at understanding how I could have overcome challenges by accepting my own neurodivergence. I also felt angry for not getting help sooner. I also felt grief for my childhood where I struggled as much as I did. All of these feelings are not only valid but part of the process.

Thanks to the emotional dysregulation of ADHD, processing the range of emotions associated with a diagnosis can be difficult. It’s important to take time, talk it out with loved ones and let yourself feel how you need to. But do know this, it’s completely normal and you are not alone if you feel sadness at your diagnosis.

2- Your workplace can and will make reasonable adjustments for you

In the past, I’ve made mistakes due to my ADHD but then, we are all human at the end of the day. Despite my difficulties with certain tasks, I’m a good employee with tons to offer that can be utilised by a company. However, I often worry that an ADHD disclosure will put employers off.

While I may have hidden this in the past, I now refuse to pretend. Your company can make reasonable adjustments for you and it is completely okay to ask them to do so. There is no timeframe on this. If you didn’t disclose the second you were hired, you can ask at a later stage.

There is no set list of things that can make your workday easier but having a look at what causes you difficulties is a good place to start. Simple things like being able to take a break in a long meeting because I am struggling to sit still help me.

There are grants available such as Access to Work which can help people change their workplace to make things easier. It could be money towards software or physical items such as desks or chairs. You are worth it. All you need to do is ask even if it’s the last thing you feel like doing.

3 – Postural Sway and bad balance

When I was a kid I had the worst balance which occasionally caused me great panic. While I always thought this was down to a fear of heights, I’ve realised that it goes deeper than that.

My ADHD plays a part in bad balance because those with neurological conditions can have poor motor control. My body struggles to find its centre of gravity so this means I have a harder time balancing while standing still. I often find heights, patterns, lights or movements can be disorientating so I can lose my balance while not moving. Over time, this has also been exacerbated by my anxiety as the two work in tandem to destroy my day. I often find I need an arm to hold or a banister or something to steady myself when it’s particularly bad.

I wish someone had told me when I was younger that this is not only okay but it’s totally normal.

4 – Caffeine affects you differently

Anyone who meets me for breakfast is horrified at how many coffees I can put away in a short space of time. It’s truly a sight to behold as I throw six or seven back easily.

While most neurotypical folk would be bouncing off the ceiling by now, or throwing up, I am absolutely fine with the mildest of buzzes going on.

You would think that the last thing a person with a hyperactivity disorder would need is a stimulant but you would be wrong. A lot of the drugs to treat ADHD are stimulant based because our brains devour them differently.

Caffeine stimulates the body’s central nervous system and boosts dopamine production. ADHD brains are thought to have lower levels of dopamine so no longer we love a coffee break. Dopamine helps us with concentration and focus. So if we have lower levels of dopamine compared to neurotypical folk, stands to reason we may need more coffee to get us to focus. So hence why my seven coffees don’t touch the sides for me.

Although make no mistake, there is a sweet spot and for me it’s usually around eight.

5. – ADHD can go hand in hand with other disorders

It is estimated that about 40% of people with ADHD have oppositional defiance disorder like me. In my daily life that means I can be defensive, anti-authority and a bit combative when I don’t
want to be or intend to be.

ADHD can often be diagnosed alongside other conditions such as mood disorders, learning disorders, sleep problems, anxiety or tics and Tourette's syndrome. It’s also worth noting that substance abuse disorders are higher among ADHD people than neurotypical people. This means we have a higher chance of developing issues with alcohol, drugs or nicotine. I wish before I started smoking I had known this.

There is power in knowing the full picture post-diagnosis as it can help you to explain how you behave or feel. However, if there are other conditions in the picture, it could affect what medications you need or how things work for you. It can be difficult as ADHD presents very differently in each person so sometimes it can mask symptoms so keeping a diary can be helpful to note what is happening.

Neuroqueer and wanting to get pregnant

By The Love Lounge questions

The Question

Hello

I have been looking at your website as I knew about your work on sex and disability from one of your trainers. I am seeking to signpost a young autistic woman with moderate learning difficulties who wishes to become pregnant via donor and raise a child. She also would like support regarding her sexuality; her GP has not been supportive, and I wondered if you knew of any services which would help?

She has a very supportive mother who would help her to access support.

Many thanks

Liza

 

Our Answer

I have liaised with one of our team who also identifies as Neuroqueer and they were not surprised that the GP was not more supportive. GPs can be really shocking when it comes to information for ADHD people, and they have had a lot of bad experiences with some.

So, I have also researched some support groups which I hope will be useful for the young woman you’re helping. Unfortunately, neither of us were able to find a specific group regarding the issue of seeking a sperm donor whilst being autistic herself.  All I can suggest would be to approach a donor organisation and see if they have any tips/experience they can share.

Below are a few groups where she, or her Mum, can seek support from its staff or members who may be able to share experiences of being autistic and raising a child.

 

Support Services

This is the UK’s leading Neurodiversity charity. I’m sure they will have a wealth of knowledge and may be able to signpost you to more relevant groups on this topic.

https://www.adhdfoundation.org.uk/about-us/

 

Closer to her home I have found this therapy centre

https://theowltherapycentre.co.uk/therapists/county/12/discipline/13/autism-support-therapists-in-east-sussex

 

A.S.P.E.C.S UK Autism LGBTQ+ Community. This support group may be valuable in the area of seeking help from anyone with personal experience of donor pregnancies.  They are based up north but are looking to provide community meetings online around the country. Perhaps a call to them could be fruitful?!

https://www.facebook.com/groups/53253797142/?fref=ts

 

They offer peer support for people who identify as neurodiverse and queer.

https://www.facebook.com/groups/NQsupportnetwork

 

And finally, I found a support group in Brighton. The Ledward Centre opened in May 2022 to serve and support the Brighton LGBTQ+ community. They have started a new series of monthly meetups organised by a team of regular volunteers, who have lived experience of various conditions under the neurodivergent umbrella.

https://www.facebook.com/theledwardcentre/

Message ellis.thistle@ledcen.org.uk with any questions

 

I really hope some of these services can help this young woman; talking to peers who may share their own experiences can be invaluable and often better than mainstream support services (as she has found out!). Someone in these groups might be able to signpost her to more specific services regarding the pregnancy and donor element.

 

Good luck and let us know if you find a great group we should know about!

Zoe (and Caroline)

 

Contact Us

Everyone who writes into our Love Lounge receives an email with a private answer to their question. We then anonymise the Q&A and share them here on our website to help others who may be struggling with the same concern.  Get in touch if you’d like some advice.

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