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Why Do Women Get Diagnosed with ADHD Later Than Men? 

Author: Dr. Rebecca Fernandez, MBBS

Women ADHD late diagnosis reasons are complex, often influenced by societal expectations, gender bias, and how ADHD presents differently in women compared to men. While ADHD is traditionally associated with hyperactivity and impulsivity, women often display more subtle symptoms, leading to delays in diagnosis. 

Key Reasons for Late ADHD Diagnosis in Women 

Several factors contribute to why women are diagnosed later with ADHD than men: 

Gender bias

Historically, ADHD has been studied and diagnosed based on how it typically presents in men, mainly through hyperactivity and impulsive behaviour. This gender bias leads to underdiagnosis in women, whose symptoms may be less overt or outwardly disruptive. 

Presentation differences 

Women are more likely to have inattentive symptoms, such as difficulty focusing, forgetfulness, and disorganisation. These symptoms can often be misinterpreted as signs of anxiety, depression, or simply being “scatterbrained.” The lack of hyperactivity and impulsivity in many women with ADHD means they don’t fit the typical ADHD profile. 

Masking and coping strategies 

 Women with ADHD often develop coping mechanisms to manage their symptoms, such as perfectionism, overcompensation, or social masking. These strategies can make it harder for teachers, parents, or even clinicians to recognise the condition until adulthood when the demands of life become overwhelming. 

Social expectations 

 Society places different expectations on men and women. Women, in particular, are often expected to be organised and socially well-adjusted. These pressures can lead to delays in recognising ADHD, as symptoms may be written off as personal failings rather than part of a neurological condition. 

The Impact of a Late Diagnosis 

A women ADHD late diagnosis can have long-lasting effects on mental health, self-esteem, and life satisfaction. Delayed recognition of ADHD often leads to years of frustration, misdiagnosis, and unnecessary struggles. Early diagnosis and intervention can provide better coping strategies, improve life outcomes, and reduce the risk of co-occurring mental health issues. 

Visit providers like ADHD Certify for personal consultations and tailored support for women managing ADHD. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Late diagnosis and gender differences. 

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

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 author's privacy.