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Do Girls with ADHD Struggle More During Adolescence? 

Author: Dr. Rebecca Fernandez, MBBS

Yes, adolescence in ADHD girls can be particularly challenging, both academically and socially. While ADHD in boys is often recognised through disruptive behaviour, girls typically present with inattentiveness, emotional sensitivity, and internalised struggles that become more intense during the teenage years. This not only affects how they perform in school but also how they relate to peers and manage their identity. 

Why Adolescence Is a Tipping Point 

Puberty brings hormonal changes, new academic pressures, and increased social expectations, all of which can intensify the symptoms of ADHD in girls

School challenges

As schoolwork becomes more demanding, girls with ADHD may struggle to stay organised, manage deadlines, and concentrate in class. These issues can lead to declining grades and a sense of falling behind, especially if their ADHD has not been diagnosed or supported. 

Social impact 

 Teenage girls often face complex social dynamics, where attention, memory lapses, or emotional reactivity can make it hard to maintain friendships. Many girls with ADHD are labelled as “too sensitive” or “difficult,” which can fuel feelings of rejection or low self-worth. 

Emotional pressure 

 Girls are often expected to self-regulate, stay composed, and handle responsibilities, all of which can feel overwhelming with untreated ADHD. This pressure can lead to anxiety, depression, or a drive to mask their symptoms, making diagnosis even harder. 

Why Early Recognition Matters 

The impact of adolescence in ADHD girls can shape mental health and academic outcomes well into adulthood. Early recognition and support can prevent years of silent struggle. 

Visit providers like ADHD Certify for assessments that explore how ADHD affects girls in adolescence and beyond. 

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.