ADHD In Women

The Hidden Struggles of ADHD in Women

Historically, ADHD has been viewed as a condition primarily affecting young boys, particularly those with obvious signs of hyperactivity. However, ADHD in women often goes undiagnosed, particularly because it manifests differently. Women are more likely to experience inattentive symptoms, which can be mistaken for anxiety, depression, or simply being “scatterbrained.” Consequently, many women with ADHD do not receive a diagnosis until adulthood, often after years of struggling with undiagnosed symptoms.

How ADHD Manifests Differently in Women
In women, ADHD symptoms tend to centre around inattention and emotional dysregulation. They might appear to be daydreaming, disorganised, or forgetful rather than hyperactive. These subtler symptoms often lead to misdiagnosis, with women frequently being labelled as anxious, depressed, or simply “not trying hard enough.” The term “masking” is commonly used to describe how many women develop coping strategies to hide their struggles, further delaying diagnosis.
The Role of Hormones in ADHD

Hormonal changes throughout a woman’s life can exacerbate ADHD symptoms. For instance:

Menstrual Cycles: Many women with ADHD report worsening symptoms in the week before their period, often referred to as “brain fog.” This is due to the drop in oestrogen levels, which affects dopamine regulation.

Pregnancy: During pregnancy, ADHD symptoms may fluctuate. Some women experience a reduction in symptoms due to higher oestrogen levels, while others find that the demands of pregnancy exacerbate their ADHD.
Menopause: The hormonal changes during menopause can significantly worsen ADHD symptoms, particularly because of the sharp decline in oestrogen levels. Many women find that symptoms they previously managed well become overwhelming during this period of life.
For many women, undiagnosed ADHD leads to chronic feelings of inadequacy and failure. They may feel overwhelmed by daily tasks that seem easy for others, such as managing household chores, keeping track of appointments, or staying on top of work responsibilities. Over time, these struggles can erode self-esteem, leading to feelings of shame, guilt, and chronic stress.
Misdiagnosis and Co-presenting Conditions
Women with ADHD are often misdiagnosed with other mental health conditions, such as anxiety, depression, or borderline personality disorder. This is particularly common for women who are emotionally dysregulated, a common symptom of ADHD. Additionally, ADHD often co-occurs with other conditions, such as anxiety disorders, mood disorders, or substance use disorders, which can complicate diagnosis.
The Importance of a Proper Diagnosis
For women with ADHD, receiving a proper diagnosis can be life-changing. With the right treatment, many women find that they are better able to manage their symptoms and improve their quality of life. Treatments can include a combination of medication, therapy, and lifestyle changes, which help women develop strategies for managing time, organising tasks, and regulating emotions.
ADHD In Women