How does ADHD Combined Type manifest differently in females? 

ADHD Combined Type often looks very different in females, which is one reason many girls and women go undiagnosed until later in life.While they may exhibit both inattentive and hyperactive symptoms, these often appear in more subtle, socially acceptable forms making an ADHD diagnosis harder to secure. Instead of acting out, many girls internalise their struggles. They might be talkative but not disruptive, emotional but not defiant. These differences in behaviour often lead to girls being overlooked or mislabelled, which can delay early support and effective ADHD management.  

Gendered Expressions of ADHD 

Understanding these differences is vital to improving outcomes and creating more responsive interventions. Here is how ADHD Combined Type often presents in females: 

Emotional sensitivity and overthinking 

While boys might exhibit physical hyperactivity, girls tend to display emotional intensity like frequent crying, mood swings, or anxiety. These behaviours are often better addressed through family therapy and emotional coaching. 

Social masking and perfectionism 

Many girls work hard to appear organised and sociable, hiding symptoms behind excessive effort or people-pleasing. This makes them less likely to receive early classroom strategies or school support. 

Verbal hyperactivity over physical restlessness 

Awareness is the first step to better outcomes. Visit providers like ADHD Certify for personal consultations and tailored, gender-informed ADHD management plans.

Girls may frequently chat, tell stories, or interrupt rather than display more physical behaviours like climbing or fidgeting. These actions are often mistaken for personality traits, rather than recognised as signs of a neurodevelopmental condition. For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Combined ADHD.