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Why Are Women Often Diagnosed Later? 

Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Women ADHD late diagnosis is a well-documented issue, rooted in both social and clinical factors. Many women with ADHD are overlooked in childhood, only to be diagnosed in adulthood often after years of struggling with undiagnosed symptoms. One key reason is that ADHD tends to present differently in girls and women, with more inattentive symptoms and fewer signs of hyperactivity, which makes it easier to miss. 

While boys are more likely to exhibit disruptive behaviours in school prompting quicker referrals girls with ADHD often internalise their struggles. They may appear quiet, dreamy, or anxious, masking symptoms like distractibility, forgetfulness, and emotional overwhelm. These behaviours are less likely to raise concerns, leading to underdiagnosis or misdiagnosis, often as anxiety or depression. 

Why ADHD Is Diagnosed Later in Women 

Here are some reasons of women ADHD late diagnosis: 

Inattentive Symptoms  

Women are more likely to have inattentive symptoms, such as zoning out, difficulty following instructions, or disorganisation, rather than the more obvious hyperactivity seen in boys. 

Gender Bias in Diagnosis  

Gender bias in both educational and medical systems means symptoms in girls are often downplayed or misunderstood, delaying proper evaluation. 

Masking and Coping Mechanisms  

Many women develop strong coping strategies like perfectionism or overcompensation to hide their symptoms, which can delay recognition of the underlying issue. 

In conclusion, many women only receive an ADHD diagnosis when they reach adulthood and begin to struggle under the weight of unrecognised challenges. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Signs, Symptoms, and Self-identification of ADHD. 

Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk
Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.