Women with ADHD face the same feelings of being overwhelmed and exhausted as men with ADHD commonly feel. Psychological distress, feelings of inadequacy, low self-esteem, and chronic stress are common. Often, women with ADHD feel that their lives are out of control or in chaos, and daily tasks may seem impossibly huge.
Interestingly, girls with untreated ADHD may be more likely to blame and judge themselves for these problems, leading to a higher risk for low self-esteem than boys who have ADHD. They may also be more likely to have problems with substance abuse, eating disorders, and anxiety.
Put simply; masking is intentionally shifting your behavior to hide your differences. For example, a woman with ADHD might smile and nod during a conversation even though she tuned out long ago, or she may secretly work late into the night to overcompensate for not staying on task for a deadline.
These data suggest that ear length and nose wing width may be related to the neurodevelopmental disorder group. Similar to the literature, we found a strong relationship between the diagnosis of ADHD, a neurodevelopmental disorder, and nasal width and ear length.
Many adults with ADHD use coping strategies that help them hide their symptoms. This practice is known as ADHD masking and is especially common in women with ADHD. One type of ADHD masking — known as mirroring — involves intentionally or unintentionally mimicking the speech, movements, or behaviors of someone else.
This is one reason why women often go undiagnosed in childhood: Adults aren't taught to recognize all the signs and symptoms of ADHD, especially the way it presents in girls. The symptoms used to diagnose ADHD are also largely built on research with males, meaning many key presentations may be getting missed.
With girls, inattentive ADHD is the most common.
Similar to the hyperactive symptoms, impulsive symptoms are typically seen by the time a child is four years old and increase during the next three to four years to peak in severity when the child is seven to eight years of age.
Atypical Presentation of ADHD Symptoms
Sleep disturbances (has trouble with sleep initiation, sleep deprived, can't wake up easily, etc.) Weak executive function (poor recall of information, internalizing language, controlling emotions, problem-solving, etc.)
While the prevalence rates are increasingly similar by gender, the diagnosis rate among American men is nearly 69% higher than it is among American women (5.4% of men in the U.S. have an ADHD diagnosis vs. just 3.2% of women.1)
There is no single test that can show if an individual has ADHD. Doctors typically use a combination of physical exams, behavioral testing, and questionnaires. Although it has no cure, treatment can reduce ADHD symptoms and help people with daily functioning.
Methylphenidate is the most commonly used medicine for ADHD. It belongs to a group of medicines called stimulants, which work by increasing activity in the brain, particularly in areas that play a part in controlling attention and behaviour.
Many women are in their late 30s or early 40s before they are diagnosed with ADHD. "One of the most common pathways to a woman being diagnosed is that one of her children is diagnosed. She begins to educate herself and recognizes traits in herself," says Nadeau.
Female children with ADHD often try to join a group, talk a lot but can hardly understand how her peers feel about what they are doing. They have difficulty connecting socially with others and when frustration gets in, they become impulsive and resort to verbal aggressiveness.
“Chatty Kathy” with ADHD
A third type of girl with ADHD is a combination of hyperactive and inattentive. While they have a much higher activity level than the daydreamers, they are not necessarily “tomboys.” Often these girls are hyper-talkative rather than hyperactive. They are “silly”, excitable and overemotional.
Depression, a common comorbid condition of ADHD, can lead to poor diet, binge eating, restrictive eating and lack of exercise. Hyperfocus on some aspect of body image an individual may perceive as negative can bring instant stimulation – e.g. weight or appearance.
Other women with this disorder are able to maintain their composure yet still feel anxious and annoyed. Women with ADD may also be impatient about life and events. A woman may plan her whole education or life in one day and need for it to happen immediately. She goes into things full swing rather than step-by-step.
“Nobody has perfect memory… but for [people with ADHD], it's extreme. They feel like they're lost all the time,” Almagor said. He believes this is why people don't take ADHD seriously. “I think that's why some people don't respect the severity of what [a person with ADHD] can experience,” he said.
An adult with undiagnosed ADHD may simply lack that focus. This lack of focus is the most noticeable for time-consuming, predictable, or repetitive tasks. Reading books, completing daily household chores, or managing a checkbook are a few examples of these activities.