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Through in-depth interviews with seven Australian women recently diagnosed with adult ADHD, complemented by photo-voice methodology, we show how ADHD symptoms fluctuated markedly across different social interactions. The study found that participants actively construct and inhabit cultural ecosocial niches where their traits achieve a functional fit with their social and cultural environment. These niches ranged from adopting the macro-cultural framework of \u2018neurodiversity\u2019 to build affirming identities and communities, to finding micro-social occupational niches in fast-paced roles where their cognitive style became an advantage. Each niche was sustained by a reinforcing feedback loop, where the environment (such as a supportive social group or a demanding job) reinforced the very traits and beliefs that initially attracted them to that niche. This study challenges the notion that psychiatric symptoms are confined solely within a person or solely outside in the environment. Instead, it provides a concrete example of how symptoms and their meanings appear at the intersection of both. These findings illuminate the complex ways socio-cultural settings can both constrain and empower, while highlighting implications for how we conceptualise and address adult ADHD in an era of increasing diagnosis.<\/jats:p>","DOI":"10.1007\/s11013-025-09958-9","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T12:20:49Z","timestamp":1768825249000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adult ADHD in Cultural Ecosocial Niches: Exploring the Rise of Adult ADHD in Context"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9041-9125","authenticated-orcid":false,"given":"Jesse N.","family":"Ruse","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Rhodes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"issue":"7","key":"9958_CR1","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1001\/jamapsychiatry.2016.0465","volume":"73","author":"JC Agnew-Blais","year":"2016","unstructured":"Agnew-Blais, J. 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