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.
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.
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.
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.
