ADHD in women and girls

ADHD has historically been under-diagnosed in women and girls. The reasons are well documented: research bias towards boys, a tendency for girls to mask difficulties, more inattentive than hyperactive presentations, and social pressure to appear capable and organised.

Many women receive their first ADHD diagnosis in their thirties, forties, or later, often after a major life transition: a demanding role, parenthood, perimenopause, or a child’s diagnosis that prompted self-recognition.

Common patterns women describe include intense focus on interests alongside chronic difficulty with admin, finances, and routines; emotional reactivity, often labelled anxiety or low mood when ADHD was the underlying driver; perfectionism and burnout cycles; and a long-standing sense of effort outpacing output.

Hormonal shifts can intensify ADHD difficulties, particularly across the menstrual cycle, in pregnancy, and around perimenopause. We discuss these factors as part of assessment and treatment planning where relevant.

If you suspect ADHD has been part of the picture for longer than the labels you have been given, an assessment can clarify it. The Clarity Pathway is the standard route for adults seeking diagnosis.