Are There Gender Differences in ADHD Symptoms Between Adults and Children?

Yes, ADHD gender differences are well documented and often play a role in delayed diagnosis, particularly for girls and women. ADHD tends to show up differently depending on gender, and these patterns shift further as people move from childhood to adulthood. While boys are more likely to display hyperactivity and external behaviours, girls often experience inattentiveness, emotional sensitivity and internal struggles that are easier to overlook. 

These differences in ADHD presentation have led to significant underdiagnosis of females during childhood. As a result, many women only receive their diagnosis later in life when their symptoms become more apparent under the pressure of adult responsibilities. 

Male vs Female ADHD: How Symptoms Vary 

Understanding male vs female ADHD is essential for accurate recognition and support: 

Hyperactivity and impulsivity 

Boys are more likely to be diagnosed in childhood due to disruptive behaviour. Girls may be equally affected but display symptoms through talking excessively, emotional outbursts or fidgeting that is less noticeable. 

Inattention and internalisation 

Females often experience more inattentive symptoms such as daydreaming, forgetfulness or poor time management. These traits are frequently mislabelled as anxiety or low motivation. 

Gender-based ADHD in adulthood 

Adult women may face greater emotional dysregulation, overwhelm and difficulty with routine tasks. Adult men may continue to struggle with impulsivity or restlessness, though both may experience challenges in focus and organisation. 

Social expectations and masking 

Girls are often socialised to be compliant and organised, leading many to hide or compensate for their symptoms. This masking can delay diagnosis and add to feelings of failure or confusion. 

Recognising ADHD gender differences helps improve diagnosis and treatment for everyone. Visit providers like ADHD Certify for personal consultations and support tailored to your presentation and life stage. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Can mindfulness practices benefit those with Adult ADHD vs. childhood ADHD.