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Why Does ADHD Go Unnoticed in Girls Until Adulthood? 

Author: Dr. Rebecca Fernandez, MBBS

ADHD unnoticed in girls reasons are multifaceted, often stemming from the way ADHD presents differently in females. While boys with ADHD typically exhibit hyperactivity and impulsivity, girls are more likely to show subtle symptoms such as inattention, daydreaming, and emotional dysregulation. These less visible signs make it easy for ADHD to go unnoticed, often until adulthood, when the demands of life become overwhelming. 

Key Reasons ADHD Goes Unnoticed in Girls 

There are several factors that contribute to why ADHD in girls often goes undiagnosed until adulthood: 

Masking 

 Many girls with ADHD develop coping mechanisms, like masking, to hide their symptoms and meet social and academic expectations. This often involves pretending to focus or overcompensating for their difficulties with perfectionism, which can make it difficult for teachers and parents to recognise the condition. 

Subtle Symptoms 

Girls with ADHD often display subtle symptoms such as forgetfulness, disorganisation, and trouble with time management. These symptoms can be dismissed as “not trying hard enough” or attributed to anxiety, depression, or other issues, making it harder for clinicians to diagnose ADHD. 

Societal Expectations 

Society often expects girls to be well-behaved, organised, and socially adept. These gendered expectations can lead to ADHD symptoms being overlooked or misattributed to personality flaws, as girls are less likely to exhibit the disruptive behaviours typically associated with ADHD. 

Misdiagnosis 

 Many girls with ADHD are often misdiagnosed with conditions like anxiety or depression because their ADHD symptoms overlap with these disorders. This misdiagnosis can delay the correct identification of ADHD until adulthood when the challenges become harder to manage. 

The Impact of a Late Diagnosis 

A late diagnosis of ADHD can have significant effects on a girl’s mental health and life outcomes. Many women with undiagnosed ADHD struggle with self-esteem, academic and professional challenges, and emotional well-being. Getting diagnosed later in life can provide relief and open the door to effective treatments and coping strategies. 

Visit providers like ADHD Certify for personal consultations and tailored guidance for women with 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.