Are Substance-Use Issues More Common Among Undiagnosed Women? 

Yes, substance use among women with ADHD is more common than often recognised, particularly among those who remain undiagnosed. Many women with ADHD turn to alcohol, stimulants, or other substances as a form of self-medication, trying to manage emotional overwhelm, restlessness, or chronic stress. Without a diagnosis to explain their struggles, they may see these behaviours as personal failings rather than signs of unmet neurodevelopmental needs,  increasing both shame and addiction risk. 

Why Substance Use Often Goes Unnoticed 

Here’s why substance use among women with ADHD tends to fly under the radar, and how alcohol misuse and other patterns can develop: 

Emotional regulation and escape 

Women with undiagnosed ADHD often face years of internalised pressure,  to stay organised, stay composed, stay “on top of things.” Substances like alcohol or cannabis may offer temporary relief from anxiety, racing thoughts, or low self-esteem, especially in social situations or during stressful periods. 

Social masking

 Because many women are skilled at masking their ADHD symptoms, their substance use might be overlooked or minimised. Drinking to “wind down” or cope with sensory overload may appear socially acceptable, even when it hides a deeper problem. 

Delayed diagnosis increases risk 

The longer ADHD remains untreated, the higher the risk of maladaptive coping mechanisms like alcohol misuse. What begins as a strategy to manage focus or emotions can gradually lead to dependency, particularly if the woman never receives adequate support or explanation for her symptoms. 

Addressing the Root Cause 

Recognising the link between substance use and undiagnosed ADHD in women is essential for early intervention and meaningful recovery. When ADHD is diagnosed and treated, healthier coping strategies can replace self-medicating behaviours. 

Visit providers like ADHD Certify for comprehensive assessments that consider substance use and its connection to undiagnosed ADHD. 

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