Author: Harriet Winslow, BSc | Reviewed by: Dr. Rebecca Fernandez, MBBS
One of the lesser-known challenges of ADHD is ADHD masking in girls, where behaviours are hidden to appear more socially acceptable. Unlike boys, who may display outward signs of hyperactivity, many girls internalise their struggles. This leads to missed diagnoses, ongoing stress and a greater risk of feeling misunderstood.
ADHD masking in girls is often driven by social pressure to fit in. From a young age, girls may adopt coping strategies such as over-preparing, mimicking peers or staying quiet to avoid judgement. While this may reduce conflict on the surface, it comes at a cost. Internal strain can increase feelings of anxiety, depression and low self-esteem.
Why ADHD Masking in Girls Happens More Often
Social pressure
Expectations to behave politely and calmly push many girls to suppress visible symptoms, even when struggling inside.
Coping strategies
Girls often rely on masking techniques like excessive organisation or people-pleasing, which can be exhausting long-term.
Underdiagnosis
Because signs are less obvious, girls are frequently overlooked, leading to late or missed diagnoses and reduced access to support.
Internalised symptoms
Rather than acting out, girls may turn their struggles inward, which can manifest as worry, guilt or perfectionism.
Recognising ADHD masking in girls allows parents, teachers and clinicians to offer earlier help. By addressing hidden symptoms, girls gain the chance to access proper support and build healthier self-acceptance.
Visit providers like ADHD Certify for personal consultations and expert advice tailored to your needs.
For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Girls and women with ADHD.
Harriet Winslow, BSc
Author
Harriet Winslow is a clinical psychologist with a Bachelor’s in Clinical Psychology and extensive experience in behaviour therapy and developmental disorders. She has worked with children and adolescents with ADHD, autism spectrum disorder (ASD), learning disabilities, and behavioural challenges, providing individual and group therapy using evidence-based approaches such as CBT and DBT. Dr. Winslow has developed and implemented personalised treatment plans, conducted formal and informal assessments, and delivered crisis intervention for clients in need of urgent mental health care. Her expertise spans assessment, treatment planning, and behavioural intervention for both neurodevelopmental and mental health conditions.
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
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.Â
