ADHD in Women: Why It’s So Often Missed or Misdiagnosed

The Problem with Traditional ADHD Stereotypes

ADHD has long been associated with hyperactive boys who can't sit still. But for many women, symptoms present differently—less physical hyperactivity and more internalized struggles like anxiety, forgetfulness, or daydreaming.

How ADHD Presents Differently in Women

Inattentive Symptoms

Women often have the inattentive type of ADHD—difficulty focusing, mental fog, zoning out during conversations. These symptoms are easy to overlook, especially if grades or work performance are decent.

Emotional Regulation

Many women with ADHD experience intense emotions, sensitivity to criticism, and quick mood shifts. This is often mistaken for anxiety or hormonal changes.

High-Functioning Masking

Women frequently develop strong coping skills: hyper-organization, people-pleasing, or perfectionism. But these strategies come at a high emotional cost.

The Cost of Going Undiagnosed

Chronic Self-Blame

Without a diagnosis, many women internalize their struggles as personal failings. They wonder why they can’t keep it together when others seem to.

Misdiagnoses

ADHD in women is often misdiagnosed as anxiety, depression, or borderline personality disorder. These may co-occur, but ADHD is frequently the root.

Emotional Burnout

Holding everything together through sheer willpower leads to exhaustion. Many women seek help only when they hit a breaking point.

Stories from Late-Diagnosed Women

"I Thought Everyone Felt This Way"

Many women describe a lifelong sense of overwhelm, thinking it was normal.

"I Was Great at School—Until I Wasn't"

High-achieving girls often mask symptoms until the structure of school ends, and adulthood brings more chaos.

"I’m Exhausted from Trying So Hard"

The constant mental effort to stay on top of life is draining and unsustainable.

What to Do If You See Yourself in These Patterns

If this resonates, you’re not alone—and you’re not broken. A proper evaluation can provide clarity and relief. At Restore Psychology, we specialize in assessing ADHD in women and offer compassionate, nuanced care.