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Do Women with ADHD Mask Symptoms More Than Men? 

Author: Dr. Rebecca Fernandez, MBBS

Women masking ADHD is a common coping strategy, with many women concealing their symptoms to fit social expectations. Unlike men, whose symptoms often present more overtly, women with ADHD tend to camouflage their challenges, which can lead to delayed diagnoses and untreated symptoms. This tendency to mask can significantly impact their mental health and well-being, making it crucial to understand why women may engage in social masking more than men. 

Why Do Women Mask ADHD Symptoms? 

Several factors contribute to why women with ADHD are more likely to mask symptoms

Gendered social expectations 

Society often expects women to be organised, calm, and emotionally regulated. These expectations can make women feel pressured to hide their ADHD symptoms, such as disorganisation, forgetfulness, or difficulty focusing. By camouflaging these symptoms, women try to meet the social standards of behaviour, even if it means concealing their struggles. 

Subtle symptom presentation 

 Many women with ADHD exhibit the inattentive subtype, which is often less disruptive and harder to identify than the hyperactive and impulsive symptoms that are more common in men. This makes it easier for women to mask symptoms by compensating or overworking to maintain appearances. 

Fear of judgment or misunderstanding 

 Women may fear being labelled as “lazy” or “too emotional” if they openly express their difficulties. As a result, they may engage in social masking, pretending to be more organised or focused than they actually are. This can create a sense of isolation, as women may feel they are the only ones struggling. 

Cultural norms 

 Cultural norms around femininity often prioritise traits like politeness, social grace, and responsibility. Women with ADHD who don’t fit these norms may feel pressure to hide their difficulties in order to fit in or avoid social stigma. 

The Impact of Masking on Women with ADHD 

Women masking ADHD symptoms can lead to long-term emotional and psychological consequences. Masking can cause significant stress, anxiety, and burnout as women expend considerable energy hiding their struggles. It can also delay diagnosis and treatment, leaving women to cope with untreated ADHD well into adulthood, which affects their personal, academic, and professional lives. 

Visit providers like ADHD Certify for personal consultations and support tailored to women who mask their ADHD symptoms. 

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.