Why ADHD in Women Is Often Misdiagnosed: FAQs & Symptoms to Know
Attention-Deficit/Hyperactivity Disorder (ADHD) is often thought of as a childhood condition affecting hyperactive young boys, but this outdated stereotype has left many women undiagnosed or misdiagnosed for years. ADHD in women can look vastly different, often manifesting in ways that are mistaken for stress, anxiety, or personality quirks. Understanding these unique challenges is crucial for women seeking answers about their mental health.
This article is a follow-up from my previous article about ADHD misdiagnosis in women. This article will dive deeper into the most frequently asked questions about ADHD in women, including why it’s often overlooked, how symptoms differ from men, and the best ways to receive an accurate diagnosis.
Why is ADHD in Women Often Overlooked?
ADHD in women tends to be overlooked because it frequently presents differently than the hyperactive form commonly associated with young boys. While boys with ADHD are more likely to display disruptive behaviors, girls and women often struggle with:
Inattentiveness – Difficulty focusing, forgetfulness, and daydreaming
Executive dysfunction – Trouble managing time, staying organized, and completing tasks
Emotional dysregulation – Mood swings, heightened sensitivity, and difficulty managing frustration
Chronic overwhelm – Struggling to balance responsibilities, leading to exhaustion and burnout
Additionally, many women develop strong masking behaviors, meaning they consciously or unconsciously work to hide their struggles. This can involve over-preparing, mimicking neurotypical behaviors, or relying on rigid routines to compensate for ADHD-related difficulties. While masking can help women function in daily life, it often delays diagnosis because their symptoms appear less severe to outsiders—including healthcare providers.
How is ADHD in Women Different From ADHD in Men?
While the core symptoms of ADHD—inattention, hyperactivity, and impulsivity—are the same in both men and women, the way they manifest can differ significantly.
Men with ADHD are more likely to display hyperactive and impulsive behaviors, which can include restlessness, interrupting conversations, and taking excessive risks.
Women with ADHD are more likely to exhibit inattentiveness and emotional dysregulation, which can lead to chronic overwhelm, low self-esteem, and difficulties managing daily life.
Because hyperactivity is more noticeable than internal struggles like executive dysfunction, emotional regulation issues, and mental fatigue, many women go undiagnosed until adulthood.
Why Are So Many Women Misdiagnosed With Depression or Anxiety Instead of ADHD?
Many women with ADHD are initially diagnosed with anxiety, depression, other mood disorders like bipolar disorder, or even personality disorders like borderline personality disorder before they ever receive an ADHD diagnosis. This happens because:
Symptom Overlap – ADHD and conditions like anxiety and depression share common symptoms, such as difficulty focusing, emotional dysregulation, and restlessness.
Masking ADHD – Women often push themselves to meet societal expectations, leading to chronic stress, exhaustion, and eventual emotional burnout, which can be mistaken for depression.
Gender Bias in Mental Health – Historically, ADHD research has focused on boys, leading to a lack of awareness about how the condition presents in women.
While women with ADHD may genuinely experience anxiety or depression, these conditions are often secondary to undiagnosed ADHD. Treating only anxiety or depression—without addressing the underlying ADHD—can leave women feeling stuck and frustrated when traditional treatments don't fully resolve their symptoms.
What is the Best Way to Get an Accurate ADHD Diagnosis as a Woman?
The most reliable way to receive an accurate ADHD diagnosis is through a comprehensive psychological evaluation with a licensed psychologist. Unlike brief screenings, a thorough evaluation assesses a person’s full history, symptoms, and mental health background to ensure an accurate diagnosis.
At Zephyr Care, we specializes in comprehensive ADHD evaluations for women, ensuring a proper diagnosis that accounts for the unique ways ADHD manifests in adulthood. Contact us to learn more about getting tested for ADHD.
Can ADHD Symptoms Get Worse With Age?
Yes, many women find that their ADHD symptoms become more noticeable with age, especially as life responsibilities increase.
College & Career: Many women with ADHD struggle in high-demand environments that require self-motivation, organization, and time management.
Parenthood: The transition to motherhood can be particularly overwhelming, as executive function demands increase.
Hormonal Changes: Pregnancy, postpartum, and menopause can all impact ADHD symptoms due to fluctuating estrogen levels, which play a role in dopamine regulation.
For many women, ADHD symptoms become more pronounced in their 30’s and 40’s, leading them to seek diagnosis and treatment later in life.
Can Women Develop ADHD Later in Life?
ADHD is a lifelong condition, meaning it doesn’t suddenly develop in adulthood. However, many women don’t realize they have ADHD until later in life because their symptoms were previously masked or misdiagnosed. Major life transitions—such as starting college, a new job, motherhood, or menopause—can increase cognitive demands, making previously manageable ADHD symptoms more noticeable.
What is the Connection Between ADHD and Hormones in Women?
Hormonal fluctuations can significantly impact ADHD symptoms in women. Estrogen plays a key role in dopamine regulation, which is critical for focus and executive function. Many women report that ADHD symptoms worsen:
Before and during menstruation (when estrogen drops)
During pregnancy and postpartum, which can bring emotional and cognitive challenges
During perimenopause and menopause, leading to increased forgetfulness, brain fog, and mood swings
Understanding the link between ADHD and hormones can help women make informed decisions about treatment and symptom management.
How Does ADHD Affect Relationships in Women?
Women with ADHD often struggle with emotional regulation, impulsivity, and forgetfulness, which can create challenges in relationships. They may feel overwhelmed by social expectations, struggle with maintaining friendships, or experience heightened sensitivity to rejection (Rejection Sensitive Dysphoria). In romantic relationships, ADHD can lead to miscommunications, difficulties with organization (e.g., forgetting important dates), or feelings of being misunderstood. However, with awareness and the right strategies, women with ADHD can build strong and fulfilling relationships.
What is ADHD Masking, and Why Do Women Do It?
ADHD masking refers to the conscious or unconscious strategies women develop to hide their symptoms and fit into societal expectations. This can include:
Overpreparing for tasks to compensate for forgetfulness
Mimicking others' behaviors to appear more organized or focused
Suppressing hyperactivity or impulsivity to avoid judgment
While masking can help in the short term, it often leads to chronic stress, burnout, and a delayed ADHD diagnosis. Recognizing masking behaviors can be the first step toward seeking the right support.
Is There a Link Between ADHD and Eating Disorders in Women?
Yes, research suggests that women with ADHD are at a higher risk for disordered eating patterns, including binge eating disorder, emotional eating, and restrictive behaviors. Impulsivity, difficulty with self-regulation, and dopamine-seeking behaviors can contribute to overeating or undereating as a form of coping. Proper ADHD treatment can help address these challenges by improving impulse control and emotional regulation.
How Can Women With ADHD Improve Time Management?
Time management can be one of the biggest struggles for women with ADHD, leading to chronic lateness, missed deadlines, and feelings of overwhelm. Helpful strategies include:
The Pomodoro Technique – Working in short, timed intervals with breaks
Using external reminders – Alarms, timers, and calendar alerts for important tasks
Task chunking – Breaking down large tasks into smaller, manageable steps
Body doubling – Having a friend, coworker, or virtual accountability partner to help stay on track
Can Women With ADHD Be Successful in Their Careers?
Absolutely! Many successful women—such as entrepreneurs, creatives, and leaders—have ADHD. The key is finding a work environment that supports their strengths, such as:
Creative and dynamic roles that allow for flexibility
Task variety to prevent boredom and burnout
Using ADHD-friendly tools, like project management apps and voice-to-text software
With the right accommodations and self-awareness, women with ADHD can thrive in their careers and harness their unique strengths.
What Are Some Common Misconceptions About ADHD in Women?
There are many myths about ADHD in women that contribute to underdiagnosis. Some of the most common misconceptions include:
"ADHD only affects children." – In reality, ADHD is a lifelong condition.
"Women with ADHD aren’t hyperactive." – Many experience internal restlessness, even if they don’t appear physically hyperactive.
"If you did well in school, you can’t have ADHD." – Many women compensate through perfectionism and overworking, masking their struggles.
"ADHD isn’t real; it’s just a lack of discipline." – ADHD is a neurological condition that affects executive function and impulse control.
Dispelling these myths helps more women get the diagnosis and support they need.
What Treatments Are Available for Women With ADHD?
ADHD treatment is most effective when it includes a combination of strategies tailored to each individual’s needs. Common treatments for ADHD in women include:
Medication – Stimulants (like Adderall or Ritalin) or non-stimulant medications to improve focus, impulse control, and executive function
Behavioral Coaching & Therapy – Cognitive-behavioral therapy (CBT) and ADHD coaching to develop practical strategies for managing symptoms
Lifestyle Modifications – Exercise, diet, mindfulness, and structured routines to support daily functioning
Support Groups & Community – Connecting with other women with ADHD to share experiences and coping strategies
If you suspect you may have ADHD, a proper diagnosis can help you take the next steps toward effective treatment and better understanding yourself.
Are There Natural Ways to Manage ADHD Symptoms in Women?
While medication is one of the most effective treatments for ADHD, many women also find relief through lifestyle changes and holistic approaches, such as:
Nutrition – Eating protein-rich foods and reducing processed sugar to support dopamine production
Exercise – Regular physical activity can improve focus, impulse control, and mood
Mindfulness & Meditation – Practices like yoga or deep breathing can help with emotional regulation
Routine & Structure – Using planners, alarms, and visual schedules to stay organized
A combination of professional treatment and lifestyle changes can be highly effective for managing ADHD.
Where Can I Get an ADHD Evaluation for Women?
ADHD in women is often overlooked and misunderstood, but receiving the right diagnosis can make all the difference. At Zephyr Care, we specialize in ADHD evaluations for women, helping to uncover the unique ways ADHD manifests in adulthood.
In-person evaluations are available in Nashville, TN
Virtual ADHD assessments are available in most states, allowing women across multiple states to access professional diagnosis and support
States we serve include: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming.
If you’re ready to take control of your ADHD symptoms and get the clarity you deserve, contact Zephyr Care today to schedule an evaluation.
Final Thoughts: Why Recognizing ADHD in Women Matters
For too long, ADHD in women has been overlooked or misunderstood. By raising awareness, debunking misconceptions, and providing accurate information, more women can access proper diagnosis, treatment, and support.
If you suspect you have ADHD and want a comprehensive evaluation, Take the first step toward clarity and support. Contact Zephyr Care today to schedule an ADHD evaluation!
Author: Heather Joppich, PhD
Dr. Joppich is a Licensed Psychologist and owner of Zephyr Care Mental Health. She specializes in neurodiversity-affirming assessments for autism, ADHD, and mental health concerns.
