Elite sport and female ADHD- Simone Biles


Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that affects millions worldwide, but its manifestation and diagnosis in females present unique challenges. This article explores the intersection of ADHD in females, particularly in elite sports where it is overrepresented and within the BAME (Black, Asian, and Minority Ethnic) community. Using the extraordinary journey of Simone Biles as a case study, we delve into the disparities in access to care and the dual nature of ADHD as both a potential setback and a catalyst for success.

ADHD is traditionally perceived as a disorder affecting young boys, leading to underdiagnosis in females. Girls with ADHD tend to exhibit less hyperactivity and more inattentiveness, which can be misinterpreted as daydreaming or lack of effort. Moreover, mental hyperactivity in females is often dismissed, and their tendency to internalise symptoms can mask the severity of their condition. This diagnostic bias results in many females not receiving the support they need, leading to struggles in academic, social, and personal spheres.

Interestingly, ADHD is overrepresented in elite sports, with many top athletes using their condition to their advantage. Hyperfocus, a common trait in ADHD, allows athletes to intensely concentrate on their training and performance. However, without proper management, the impulsivity and distractibility associated with ADHD can hinder performance and increase the risk of burnout.

Disparities in Access to ADHD support

The BAME community faces significant disparities in access to mental health care. Cultural stigma, lack of awareness, and socioeconomic barriers often prevent individuals from seeking diagnosis and treatment. For women in this community, these challenges are compounded by the intersection of gender and racial biases, further limiting access to necessary care and support.

Hormonal Fluctuations and ADHD in Females

Hormonal fluctuations significantly impact ADHD symptoms in females. Changes during puberty, menstrual cycles, pregnancy, and menopause can exacerbate symptoms like inattentiveness and mental hyperactivity. Understanding these hormonal links is crucial for effective diagnosis and treatment, ensuring that females with ADHD receive appropriate care tailored to their unique needs.

“I’d rather regret the risk that didn’t work out than the chances I didn’t take at all.” – Simone Biles

Simone Biles' story is a beacon of hope and resilience for everyone facing the challenges of ADHD. She exemplifies how determination, support, and the right mindset can turn obstacles into opportunities, inspiring countless others to pursue their dreams despite the odds.

Simone Biles: The Poster Girl for ADHD

Simone Biles, arguably one of the greatest gymnasts of all time, has openly discussed her ADHD diagnosis and the challenges she has faced. Despite her struggles, Biles has turned her ADHD into a strength, using her hyperfocus and determination to excel in gymnastics. Her journey exemplifies the dual nature of ADHD, showing how it can create setbacks but also serve as a catalyst for success.

In the 2016 Olympics, Biles faced controversy over her ADHD medication, which she managed with a therapeutic use exemption through the World Anti-Doping Agency. This public scrutiny could have been a significant setback, but Biles addressed it with openness and resilience, inspiring many in the ADHD community.

During the Tokyo 2020 Olympics, Biles again highlighted the importance of mental health by prioritising her well-being over competition, despite immense pressure. Her decision to step back due to the “twisties” — a dangerous condition where gymnasts lose spatial awareness mid-air — underscored the mental health challenges faced by elite athletes, particularly those with ADHD.

From Foster Care to Olympic Gold

Simone Biles’ journey is not just about her athletic prowess; it is also a testament to her personal courage and resilience. Born to a mother struggling with drug and alcohol problems, Biles spent her early years in and out of foster care. Her grandparents, Nellie and Ron, adopted her and her sister, providing a stable and supportive environment that enabled her to pursue her gymnastics dreams.

Nellie Biles enrolled Simone in gymnastics lessons to channel her energy and natural talent. Despite facing numerous challenges, including self-doubt and intense competition, Biles persevered. Therapy helped her regain confidence, and her hard work led to numerous championships and Olympic medals.

Biles’ memoir, “Courage to Soar,” chronicles her journey from foster care to Olympic champion, providing an inspiring narrative of overcoming obstacles and achieving greatness.

ADHD as a Catalyst for Success

ADHD brings unique challenges, but it also bestows strengths such as creativity, resilience, and hyperfocus. Many successful individuals in various fields attribute their achievements to the unconventional thinking and determination fostered by their ADHD. Biles’ story is a testament to how ADHD can be harnessed as a powerful tool for success.

Addressing the Disparities

To better support females with ADHD, especially in the BAME community and elite sports, we must address the systemic disparities in access to care:

Increase Awareness: Educate communities about the symptoms of ADHD in females to promote early diagnosis and intervention.

Cultural Sensitivity in Healthcare: Train healthcare providers to recognize and respect cultural differences in the presentation and management of ADHD.

Accessible Mental Health Services: Ensure mental health services are accessible and affordable for all, regardless of socioeconomic status.

Support Systems in Sports: Provide robust mental health support for athletes, recognizing the unique pressures they face and the potential impact of ADHD on their performance and well-being.


Simone Biles’ journey with ADHD highlights both the challenges and strengths associated with the condition. Her story serves as an inspiration to the ADHD community, demonstrating that with proper management and support, ADHD can be a catalyst for remarkable success. By addressing the disparities in diagnosis and access to care, particularly for females in the BAME community, we can empower more individuals to harness their ADHD as a strength rather than a setback.


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