Many women live with ADHD for years without realizing it. Unlike the classic image of a hyperactive boy disrupting class, ADHD in women can look very different. Symptoms are often more subtle and are frequently dismissed as stress, anxiety, depression, or even personality flaws.
In our latest video, Dr. Dana Haywood, PhD, breaks down how ADHD manifests in women, why so many cases go undiagnosed, and what to do if you suspect ADHD might be affecting you or a loved one.
Why ADHD in Women Is Often Missed
Hormonal influence: Shifts in estrogen and progesterone—during puberty, menstrual cycles, pregnancy, and menopause—can affect dopamine and ADHD symptom expression.
Masking: Many women unconsciously develop coping strategies to hide their struggles, such as over-preparing, perfectionism, or people-pleasing.
Societal expectations: Women are often expected to stay organized, emotionally regulated, and attentive to others. When they struggle, they may blame themselves instead of suspecting ADHD.
Misdiagnosis: Symptoms are often attributed to anxiety, depression, or stress, leading to years of treatment without addressing the underlying ADHD.
Common Signs of ADHD in Adult Women
While each person’s experience is unique, some patterns are more common in women:
Inattention rather than hyperactivity → daydreaming, zoning out, or feeling mentally “foggy”
Emotional dysregulation → frequent mood swings, heightened sensitivity, or irritability
Executive function struggles → trouble with planning, organization, time management, and prioritizing tasks
Forgetfulness → missing deadlines, losing items, forgetting conversations, or feeling “scattered”
Chronic overwhelm → feeling like everyday responsibilities pile up faster than they can be managed
High-functioning masking → appearing capable on the outside while internally exhausted from constant effort
ADHD in Women vs. Men
Research shows that ADHD tends to present differently by gender:
Men/boys are more often diagnosed with hyperactive-impulsive symptoms.
Women/girls are more likely to show inattentive symptoms, which can be mistaken for lack of motivation.
Because of this difference, men are usually diagnosed earlier, while women may not receive recognition until adulthood—often after a child is diagnosed and they recognize the same patterns in themselves.
What To Do If You Suspect ADHD
Track your symptoms: Keep notes on where you struggle—focus, organization, time, emotions.
Consult a professional: A neuropsychological evaluation or ADHD-focused assessment can clarify whether ADHD is the root issue.
Seek support: Therapy, coaching, medication, and lifestyle strategies can help.
Reduce self-blame: Remember, ADHD is neurological, not a character flaw.