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Why Do Women with ADHD Show More Inattentive Symptoms Than Men? 

Author: Dr. Rebecca Fernandez, MBBS

Inattentive symptoms in women with ADHD are more common than in men, often leading to delayed or missed diagnoses. While ADHD is typically associated with hyperactive and impulsive behaviours, many women with ADHD exhibit inattentive presentation, which is characterised by difficulties with focus, organisation, and memory. Understanding why women with ADHD show more of these symptoms than men involves exploring both biological and societal factors. 

Why Women Exhibit More Inattentive Symptoms 

Several factors contribute to the inattentive symptoms in women with ADHD

Biological differences 

 Research indicates that ADHD can manifest differently in men and women. While men tend to show more outwardly disruptive behaviour, such as hyperactivity, women with ADHD are more likely to struggle with inattentive symptoms. This can include forgetfulness, disorganisation, and challenges with concentration. These symptoms may be more cognitive in nature, making them less noticeable and harder to diagnose. 

Gender patterns and social expectations 

Society often expects women to be organised, calm, and emotionally regulated. As a result, women with ADHD may develop coping strategies to hide or manage their inattentive symptoms, such as perfectionism or overworking. These strategies can mask the true nature of ADHD, leading to a gender pattern where women’s symptoms go unnoticed or are misinterpreted as personal failings. 

Less disruptive behaviour 

Inattentive presentation tends to be quieter and less disruptive than hyperactive or impulsive symptoms, which makes it easier for ADHD in women to be overlooked. This is especially true in childhood, where girls are often expected to be more compliant and well-behaved, making their inattentive symptoms less noticeable. 

Co-occurring conditions 

Women with ADHD are more likely to have co-occurring mental health conditions, such as anxiety, depression, or eating disorders. These overlapping symptoms can complicate the diagnosis, as they may be attributed to other conditions, further obscuring the ADHD diagnosis. 

The Impact of Inattentive Symptoms 

Inattentive symptoms in women with ADHD can significantly impact daily life, from academic performance to career development and personal relationships. When these symptoms are not recognised, women may struggle with low self-esteem, frustration, and difficulty in managing responsibilities. 

Visit providers like ADHD Certify for personal consultations and strategies tailored to ADHD’s inattentive symptoms in 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.