How Is Adult ADHD Different in Women Than It Is in Men?

Psychology Today

by Scott S. Shapiro M.D.

February 26, 2026

AI-Generated Deep Dive Summary

ADHD in women often goes undiagnosed because its symptoms manifest differently than they do in men. While boys and men with ADHD are frequently identified due to hyperactivity or disruptive behavior, many girls and adult women mask their struggles by compensating or overachieving. This leads to a pattern of chronic overwhelm, procrastination, and burnout, which can be mistaken for character flaws rather than untreated ADHD. Women with ADHD often experience subtle but debilitating symptoms such as mental clutter, forgetfulness, emotional sensitivity, and difficulty starting tasks. These issues are compounded by societal expectations for women to "be nice" and collaborate, leaving many feeling responsible for taking on excessive roles at work and home. Over time, this can lead to burnout, anxiety, and depression, which are common among undiagnosed ADHD sufferers. Late diagnosis in women is often due to these masking behaviors, such as overpreparing or perfectionism, which allow them to appear successful on the surface but leave them internally strained. As life becomes more complex—through career demands, parenting, or hormonal shifts—their coping mechanisms begin to break down, leading to feelings of inconsistency and self-doubt. Hormonal factors also play a significant role in ADHD symptoms for women. Fluctuating estrogen levels can exacerbate cognitive fog and distractibility, particularly during the luteal phase of the menstrual cycle, postpartum, or perimenopause. This highlights the importance of considering both psychological and hormonal contexts when diagnosing and treating ADHD in women. Understanding these unique challenges is crucial for proper diagnosis and treatment. Untreated ADHD can erode confidence and lead to long-term mental health issues, including anxiety and depression. Recognizing these subtler symptoms not only improves outcomes but also empowers women to seek the support they need for better overall well-being.

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Originally published on Psychology Today on 2/26/2026