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Resource 19

ADHD in Women & Girls

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The “Invisible” Presentation: Why Women are Often Misdiagnosed

For decades, ADHD was viewed as a disorder of hyperactive boys. In women and girls, ADHD often manifests as inattentiveness, emotional dysregulation, and internalised hyperactivity (a racing mind).

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ADHD in Women and Girls

The High Cost of “Masking”

The Exhaustion of Performing Neurotypicality. Women are often socialised to be organised, punctual, and attentive. To cope, many develop complex “masking” behaviours—exhausting strategies used to hide their struggles.

  • Over-Compensation: Arriving 45 minutes early for appointments to avoid being late.
  • Social Mimicry: Monitoring facial expressions in conversation to appear engaged.
  • The “Internalised Critic”: Attributing executive function failures to personal flaws rather than biology.

Hormones and ADHD – The Oestrogen Connection

Research shows that oestrogen levels significantly impact dopamine efficiency.

  • Puberty & Menopause: Drastic shifts in hormones can cause ADHD symptoms to spike.
  • The Menstrual Cycle: Many women find their medication is less effective during the luteal phase (the week before a period) when oestrogen drops.

It’s not “Anxiety”—it’s an ADHD brain.

Traditional diagnostic criteria often miss the female experience. Our Internalised Symptom Checklist focuses on the subtle clues of ADHD in women. It includes:

  • The “Masking” Self-Assessment.
  • The Sensory Sensitivity Log.
  • The Hormonal Symptom Tracker.
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