Question: Hi there, 
  
  I'm curious about the prevalence of misdiagnosis of ADHD in women and girls as BPD or other personality disorder and how stigma prevents accurate diagnosis and treatment. Both diagnoses seem to suffer from gendered biases and assumptions. Though they aren't mutually exclusive conditions I'm convinced that undiagnosed ADHD can contribute to a child being raised in the 'invalidating environment' in which the maladaptive cognitive, emotional and behavioural patterns of BPD can manifest and be exacerbated by low frustration tolerance. How often does treatment of previously undiagnosed ADHD correlate to a reduction in BPD symptoms or a revision or removal of that or other diagnoses? 
  
  Thanks!
Answer: &gt;I'm curious about the prevalence of misdiagnosis of ADHD in women and girls as BPD or other personality disorder and how stigma prevents accurate diagnosis and treatment. Both diagnoses seem to suffer from gendered biases and assumptions. Though they aren't mutually exclusive conditions I'm convinced that undiagnosed ADHD can contribute to a child being raised in the 'invalidating environment' in which the maladaptive cognitive, emotional and behavioural patterns of BPD can manifest and be exacerbated by low frustration tolerance. How often does treatment of previously undiagnosed ADHD correlate to a reduction in BPD symptoms or a revision or removal of that or other diagnoses?
  
  You are correct that stigma and gender biases can lead to the failure to diagnose ADHD.  But that doesn't mean that the other disorder is not correctly diagnosed because people with one disorder often have another.
  
  I don't know if the treatment of previously undiagnosed ADHD reduces BPD symptoms.  I would guess not, assuming you mean borderline personality disorder.  If you mean bipolar disorder, treatment with stimulants can aggravate bipolar disorder if not prescribed appropriately.
content: Q: Hi there, 
  
  I'm curious about the prevalence of misdiagnosis of ADHD in women and girls as BPD or other personality disorder and how stigma prevents accurate diagnosis and treatment. Both diagnoses seem to suffer from gendered biases and assumptions. Though they aren't mutually exclusive conditions I'm convinced that undiagnosed ADHD can contribute to a child being raised in the 'invalidating environment' in which the maladaptive cognitive, emotional and behavioural patterns of BPD can manifest and be exacerbated by low frustration tolerance. How often does treatment of previously undiagnosed ADHD correlate to a reduction in BPD symptoms or a revision or removal of that or other diagnoses? 
  
  Thanks!
   Ans: &gt;I'm curious about the prevalence of misdiagnosis of ADHD in women and girls as BPD or other personality disorder and how stigma prevents accurate diagnosis and treatment. Both diagnoses seem to suffer from gendered biases and assumptions. Though they aren't mutually exclusive conditions I'm convinced that undiagnosed ADHD can contribute to a child being raised in the 'invalidating environment' in which the maladaptive cognitive, emotional and behavioural patterns of BPD can manifest and be exacerbated by low frustration tolerance. How often does treatment of previously undiagnosed ADHD correlate to a reduction in BPD symptoms or a revision or removal of that or other diagnoses?
  
  You are correct that stigma and gender biases can lead to the failure to diagnose ADHD.  But that doesn't mean that the other disorder is not correctly diagnosed because people with one disorder often have another.
  
  I don't know if the treatment of previously undiagnosed ADHD reduces BPD symptoms.  I would guess not, assuming you mean borderline personality disorder.  If you mean bipolar disorder, treatment with stimulants can aggravate bipolar disorder if not prescribed appropriately.