ADHD in Women: A Guide to Signs, Symptoms & Support | Ready Health

May 20, 2025

ADHD in Women: A Guide to Signs, Symptoms & Support

At Ready Health Clinic, we understand that Attention Deficit Hyperactivity Disorder (ADHD) is not always easy to spot—especially in women. While often associated with hyperactive young boys, ADHD in women is underdiagnosed, misinterpreted, and frequently overlooked. As a result, many women struggle silently with symptoms that affect their work, relationships, and overall wellbeing.

This blog breaks down what ADHD can look like in women, how it affects daily life, and what support options are available.

Why ADHD Often Goes Unrecognised in Women

Cultural norms and gender expectations have played a big role in masking ADHD symptoms in girls and women. Instead of being seen as signs of a neurodevelopmental condition, behaviours such as forgetfulness, distractibility, or emotional outbursts are often dismissed as being “emotional,” “messy,” or “lazy.”

In reality, ADHD in women typically presents as:

  • Inattentiveness (e.g., forgetfulness, poor focus)

  • Internal restlessness

  • Impulsivity (often verbal or emotional)

Unlike hyperactivity in boys, women may internalise their symptoms—making it harder for doctors, teachers, or even themselves to recognise what’s really going on.

What It’s Like to Be a Woman with ADHD

ADHD can have a profound impact on how women function in daily life. Between managing careers, parenting, household responsibilities, and societal expectations, many women with undiagnosed ADHD find themselves constantly overwhelmed and emotionally exhausted.

Often, they’re incredibly good at hiding it. This masking behaviour—like over-preparing, obsessively organising, or rehearsing conversations—can make it even more difficult to spot the disorder.

Common ADHD Symptoms in Women

Work and Productivity

  • Struggling to meet deadlines

  • Difficulty staying focused in meetings

  • Forgetting appointments

  • Messy or disorganised workspaces

  • Easily distracted by noise or interruptions

Relationships

  • Zoning out during conversations

  • Forgetting important dates or commitments

  • Blurting things out unintentionally

  • Emotional outbursts or irritability

  • Feeling disconnected or misunderstood

Social Interaction

  • Difficulty making or maintaining friendships

  • Talking too much or interrupting

  • Feeling self-conscious or awkward

  • Misreading social cues

Emotional Health

  • Intense emotions or mood swings

  • Anxiety or low self-esteem

  • Sleep problems or disordered eating

  • Sensitivity to criticism or rejection

Daily Functioning

  • Constant clutter or disorganisation at home

  • Impulse spending or trouble budgeting

  • Difficulty making decisions (even small ones)

  • Avoiding chores or letting tasks pile up

  • Losing track of personal items or appointments

Types of ADHD in Women

ADHD is classified into three main types:

  1. Inattentive Type
    Common in women. Symptoms include forgetfulness, disorganisation, daydreaming, and time blindness.

  2. Hyperactive-Impulsive Type
    Less common in women, but may involve excessive talking, restlessness, or impulsive behaviour.

  3. Combined Type
    A blend of both inattentive and hyperactive-impulsive symptoms.

Why ADHD in Women Is Often Missed

Women are more likely to:

  • Be labelled as overly talkative or emotional

  • Develop coping strategies that mask their symptoms

  • Internalise their struggles, leading to anxiety or depression

  • Be misdiagnosed with mood disorders before ADHD is considered

Research shows that women with ADHD are frequently diagnosed much later in life—often during major life changes such as starting university, becoming a parent, or entering menopause.

ADHD and Hormonal Changes

Hormonal shifts can significantly affect ADHD symptoms. Women may notice increased difficulties during:

  • Puberty

  • Menstrual cycles

  • Pregnancy

  • Postpartum period

  • Menopause

Fluctuations in oestrogen and progesterone can impact dopamine levels in the brain—worsening focus, mood, and emotional regulation during these phases.

High-Functioning ADHD in Women

Some women with ADHD appear to be “high-functioning.” They might hold down demanding jobs, manage families, and keep up appearances. But behind the scenes, they may be burning out, overwhelmed, and mentally exhausted.

These women often:

  • Overcompensate with rigid routines

  • Rely heavily on reminders, calendars, or lists

  • Avoid socialising due to shame about mess or lateness

  • Feel “not good enough” despite achievements

How to Get Diagnosed with ADHD

There’s no single test for ADHD, but a proper diagnosis involves:

  • A clinical assessment by a healthcare professional

  • Review of personal and childhood history

  • Questionnaires or behavioural rating scales

  • Input from a parent, partner, or teacher when possible

At Ready Health, we offer private ADHD assessments for women, carried out by experienced clinicians who understand how ADHD presents across different life stages.

Treatment Options for Women with ADHD

Treatment is most effective when it’s tailored to your lifestyle and symptoms. It may include:

1. Medication

Stimulant medications (like methylphenidate or lisdexamfetamine) are often first-line treatments. Non-stimulant options or antidepressants may be used if needed.

2. Psychological Therapy

Cognitive Behavioural Therapy (CBT) helps identify unhelpful thinking patterns and replace them with more productive habits. Mindfulness and stress-management techniques are also useful.

3. ADHD Coaching

Working with an ADHD coach can help with time management, goal-setting, organisation, and building sustainable routines.

4. Lifestyle Support

  • Exercise: Boosts dopamine and helps regulate mood

  • Diet: Regular, balanced meals can stabilise energy and focus

  • Sleep: Establishing a healthy sleep routine is essential

  • Support Groups: Talking to other women with ADHD can provide perspective and connection

Living Well with ADHD

ADHD doesn’t define you—and it doesn’t have to hold you back. With the right strategies, support, and understanding, women with ADHD can lead rich, fulfilling, and successful lives.

At Ready Health, we’re here to support you at every stage of your ADHD journey—from diagnosis to tailored treatment plans.

💬 Think You Might Have ADHD?

We offer private adult ADHD assessments for women from our CQC-registered clinic in Standish, serving Wigan, Bolton, Chorley, and beyond. Get in touch today to start your journey.

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