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Why is ADHD Underdiagnosed in Women? 

Author: Phoebe Carter, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

ADHD in women underdiagnosis is a widespread issue that many women face, often going undetected for years. While ADHD is more commonly diagnosed in men, women with the condition often slip through the cracks. This underdiagnosis can have a profound impact on their personal, academic, and professional lives, leading to late diagnosis and years of misunderstanding their struggles. 

Why ADHD is Often Missed in Women 

ADHD symptoms in women tend to present differently than those in men. While men are more likely to display hyperactivity and impulsivity, ADHD in women often manifests through inattention, daydreaming, and difficulty staying organised. Women may also be better at masking their symptoms, especially in social and academic environments, as they are often expected to be more organised and responsible. This can lead to their struggles being dismissed as laziness, stress, or a lack of motivation. 

Moreover, gender bias plays a significant role in the underdiagnosis of ADHD in women. ADHD has long been considered a condition that affects boys more than girls, and diagnostic criteria have historically been based on male symptoms. This bias leads to a lack of awareness and a reluctance to screen women for ADHD, especially when their symptoms don’t fit the traditional hyperactive mold. 

The Impact of Late Diagnosis 

For many women, a late diagnosis can be a relief, but it also brings challenges. Without an early diagnosis, they may have struggled with academic performance, self-esteem, or maintaining relationships. Early diagnosis and treatment can make a significant difference, allowing women to access the tools and support needed to manage ADHD effectively. 

Visit providers like ADHD Certify for personal consultations to better understand how brain imaging can inform ADHD treatment.  

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to ADHD misconceptions.  

Phoebe Carter, MSc
Author

Phoebe Carter is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Applied Psychology. She has experience working with both children and adults, conducting psychological assessments, developing individualized treatment plans, and delivering evidence-based therapies. Phoebe specialises in neurodevelopmental conditions such as autism spectrum disorder (ASD), ADHD, and learning disabilities, as well as mood, anxiety, psychotic, and personality disorders. She is skilled in CBT, behaviour modification, ABA, and motivational interviewing, and is dedicated to providing compassionate, evidence-based mental health care to individuals of all ages.

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, author and a reviewer for my patient advice - mypatientadvice.co.uk
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.