When most people hear the term Attention Deficit Hyperactivity Disorder (ADHD), the image that often comes to mind is that of a restless young boy who struggles to sit still in class. However, this stereotype overlooks an important truth – ADHD also affects women, but often in ways that are less obvious and more easily missed.
At The Therapy Company, we work with many women who have lived for years without a proper diagnosis, silently coping with symptoms that were either overlooked or mislabelled. By shedding light on how ADHD presents differently in women, we can encourage more accurate assessments and ensure women receive the tailored support they deserve.
How ADHD Manifests in Women
ADHD is a neurological condition characterised by inattention, impulsivity, and, in some cases, hyperactivity. Yet, while boys are more likely to display outward hyperactive behaviour, women often internalise their struggles. This internalisation makes their symptoms less visible – but no less disruptive.
Women with ADHD may appear calm and composed on the surface, yet beneath they are battling forgetfulness, disorganisation, and feelings of overwhelm. These symptoms can affect every aspect of life – from careers and education to relationships and parenting – and the fact that they are hidden often leads to misunderstanding from others.
The Impact of Gender Roles and Expectations
Society places particular expectations on women: to be organised, nurturing, and attentive to the needs of others. For women with ADHD, meeting these expectations can feel impossible. The resulting mismatch between what is expected and what they can realistically achieve often creates feelings of guilt, inadequacy, and exhaustion.
Many women attempt to overcompensate, pushing themselves to work harder and mask their difficulties. This can lead to burnout, worsening anxiety, and a persistent sense of failure – even when they are doing their best.
Why ADHD is Underdiagnosed in Women
Historically, research and diagnostic criteria for ADHD were based on studies of boys, which means that female symptoms were poorly understood. As a result:
- Many women are misdiagnosed with anxiety, depression, or another condition.
- Treatments may not address the underlying ADHD, leaving symptoms unmanaged.
- Delayed diagnosis prolongs unnecessary struggle and can affect self-esteem and relationships.
Recognising how ADHD uniquely presents in women is key to improving diagnosis and care.
Common ADHD Symptoms in Women
While symptoms vary, many women with ADHD experience the following patterns:
1. Inattention and Disorganisation
Women may struggle to stay focused, keep on top of tasks, or manage time effectively. Losing items, forgetting appointments, and feeling constantly “behind” are common experiences. This chaos can create ongoing stress in both personal and professional life.
2. Hyperfocus
Interestingly, ADHD does not only cause distraction – it can also cause intense focus. Women may become so absorbed in one activity that they neglect other priorities. While hyperfocus can be productive, it often comes at the cost of balance.
3. Emotional Dysregulation
Many women with ADHD experience strong emotions that are difficult to control. Mood swings, irritability, and sensitivity to criticism are common. This can strain relationships and lead to feelings of isolation.
4. Co-existing Conditions
Anxiety and depression frequently accompany ADHD in women. Eating disorders and substance misuse may also develop as coping mechanisms. Treating these without addressing ADHD often leaves the root issue unresolved.
5. Hormonal Influences
Hormonal changes play a significant role in how ADHD symptoms appear:
- Puberty – fluctuating hormones can intensify symptoms, affecting academic performance and friendships.
- Pregnancy and Postpartum – some women experience temporary improvement, while others struggle with heightened symptoms, particularly due to sleep deprivation and new responsibilities.
- Menopause – declining oestrogen can worsen forgetfulness, mood swings, and inattention.
At The Therapy Company, we consider these life stages when carrying out ADHD assessments for women, as they often hold the key to understanding symptom patterns.
The Importance of an ADHD Assessment
For women experiencing these challenges, a professional ADHD assessment can be life-changing. Accurate diagnosis allows for tailored support and improved quality of life.
At The Therapy Company, our assessment process may include:
- Initial consultation – exploring symptoms, medical history, and life experiences.
- Behavioural assessment – using structured questionnaires and, when appropriate, input from family or partners.
- Attention and cognitive testing – identifying specific areas of difficulty such as concentration, memory, or impulsivity.
- Medical evaluation – ruling out other conditions to ensure accuracy.
This thorough process ensures no detail is overlooked and provides a foundation for effective treatment planning.
Why Early Diagnosis Matters
The sooner ADHD is identified, the sooner effective strategies can be put in place. Early diagnosis can:
- Prevent secondary issues such as anxiety or depression from taking hold.
- Help women understand their experiences, reducing feelings of failure.
- Allow access to tailored treatments, therapies, and support networks.
- Improve relationships and workplace performance by introducing strategies that work with, rather than against, ADHD.
Many women describe diagnosis as a turning point – the moment when their struggles finally make sense and they feel empowered to move forward.
Treatment and Management Options
Managing ADHD requires a personalised approach, often combining medical, therapeutic, and lifestyle strategies.
Medication
Stimulant medications are commonly prescribed and can improve focus and reduce impulsivity. Non-stimulant options are also available and may suit women who experience side effects or prefer a different approach.
Therapy
Cognitive Behavioural Therapy (CBT) is particularly effective, offering tools to manage organisation, time management, and emotional regulation. Therapy also provides a safe space to address feelings of guilt, shame, or self-doubt. Group therapy can further offer a sense of community and validation.
Lifestyle Changes
Simple, sustainable adjustments can make a huge difference:
- Establishing structured routines.
- Practising mindfulness and relaxation techniques such as yoga or meditation.
- Engaging in regular exercise and maintaining a balanced diet to support brain health.
Building a Support Network
Support from friends, family, and peers – whether in person or through online communities – is vital. Knowing others face similar challenges can be deeply reassuring and empowering.
How The Therapy Company Can Help
At The Therapy Company, we understand the unique challenges women with ADHD face. Our team provides compassionate, evidence-based support tailored to each individual. From assessment to ongoing therapy, we aim to help women not only manage their symptoms but also thrive.
We offer:
- Specialist ADHD assessments for women.
- Individual and group therapy sessions.
- Tailored strategies to address organisation, focus, and emotional wellbeing.
- A safe, understanding environment where women feel heard and supported.
By raising awareness and providing accessible support, we help women move beyond struggle and towards fulfilment.
Final Thoughts
Understanding how ADHD manifests in women is crucial for accurate diagnosis and effective treatment. Too many women have lived in silence, believing their struggles were personal failings rather than symptoms of a recognised condition.
With the right support, women with ADHD can learn to harness their strengths, manage challenges, and lead balanced, rewarding lives.
If you recognise yourself in these symptoms, or if you suspect a loved one may be affected, we encourage you to seek an ADHD assessment with The Therapy Company. Taking that step could be the beginning of a life-changing journey towards clarity, confidence, and control.