Girls are also less likely to be diagnosed earlier because they often display more symptoms of anxiety. Medical providers may only treat a female patient's anxiety or depression without evaluating for ADHD. Hormones, which affect the symptoms of both ADHD and anxiety, can complicate things.
ADHD often goes undiagnosed and untreated because the symptoms often look different in adulthood than in childhood. Other factors including lack of awareness and the masking or self-medicating of symptoms can also play a role.
The impact of underdiagnosis
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.
The signs of ADHD in girls are more likely to look like inattention than hyperactivity. Girls with ADHD often don't fit the stereotype of excessive energy. Instead, they have a hard time paying attention, staying organized, and managing their time. People might mistake girls with ADHD for just being spacey or lazy.
In the past, Attention Deficit Hyperactivity Disorder (ADHD) has often been viewed as an elementary-aged male disorder, causing girls and women to be overlooked when exhibiting the same symptoms. Some studies estimate that as many as 50% to 75% of girls with ADHD are missed.
Failing to pay attention to details or constantly making careless mistakes. Often having trouble organizing tasks and activities. Often avoiding tasks that require mental effort over a long period of time. Often losing things necessary for tasks and activities (e.g. wallets, keys, paperwork, eyeglasses, cell phones).
Untreated ADHD in adults can cause inattention, hyperactivity, and impulsivity. This may impact people's mental health, relationships, and working life. Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition that affects a person's behavior.
Girls Tend Towards Introspection Rather Than Hyperactivity
Inattentive ADHD involves a lot of daydreaming, inability to focus, forgetfulness, and having trouble staying organized. Because that doesn't look like 'typical' ADHD — and can be mistaken for simple scatterbrained-ness — it's often not diagnosed as such.
They keep their things fairly organized and try to avoid making a mess. But many kids and adults with ADHD are the opposite — they're messy most of the time. And it can cause problems at home, school, and work.
Research is showing that the symptoms of ADHD often intensify for girls during puberty when estrogen increases in their bodies. 3 As you already know, puberty is a time of great change in a girl's life as she begins the transition from childhood into adulthood.
“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.
It was a common belief that ADHD disappeared in adulthood, and this was probably because ADHD looks different in adults than it does in children, and its symptoms were overlooked. The truth is, researchers believe that at least 75% of adults who have ADHD don't even know that they have it.
Untreated ADHD in adults can lead to mental health disorders like anxiety and depression. This is because ADHD symptoms can lead to focus, concentration, and impulsivity problems. When these problems are not managed effectively, they can lead to feelings of frustration, irritability, and low self-esteem.
Treatment for ADHD in Women. A mix of both medication and therapy is the most effective treatment for ADHD. Cognitive behavior therapy (CBT), combined with mindfulness-based practices, are effective therapeutic methods.
Girls are more likely than their peers to develop inattentive ADHD. When girls develop combination ADHD, they usually do not have hyperactive symptoms.
Atypical Presentation of ADHD Symptoms
Impaired sense of time (loses track of time, often late, hates waiting, avoids doing homework, etc.) Sleep disturbances (has trouble with sleep initiation, sleep deprived, can't wake up easily, etc.)
Sleep apnea is a common culprit that's often misdiagnosed as ADHD — and vice versa. Fortunately, researchers are devising simple tests to definitively diagnose and get kids the treatment they need.
At what age are symptoms of ADHD the worst? The symptoms of hyperactivity are typically most severe at age 7 to 8, gradually declining thereafter. Peak severity of impulsive behaviour is usually at age 7 or 8. There is no specific age of peak severity for inattentive behaviour.
People with ADHD find it difficult to focus on one thing for an extended period of time. This means that mastering a certain skill or talent can prove incredibly challenging for them.
“The hardest thing about ADHD is that it's 'invisible' to outsiders. It's not like other conditions that people can clearly see. People just assume that we are not being good parents and that our child is a brat, when they don't have an idea how exhausted we truly are.” —Sara C.