ADHD in Women — Why it Looks Different than in Men

Attention-deficit/hyperactivity disorder (ADHD) is often labeled as a condition that affects young boys. And while it’s true that about 15% of boys ages 3-17 have ADHD, the truth is that it can impact anyone at any age — including women.

The stereotype overlooks the unique ways that ADHD appears in women, leaving many to go undiagnosed for years, struggling in silence without the right support. At Boston Neurobehavioral Associates, our team of psychiatrists and psychotherapists is changing that. We specialize in treatment for adults with ADHD, and here’s why the condition looks different in women than in men.

Women are more likely to have “silent” ADHD symptoms

ADHD is generally classified into three main presentations: primarily inattentive, primarily hyperactive, and combined inattentive and hyperactive. Anyone can have any of the three presentations, but the inattentive presentation is more common in girls and women.

Historically, ADHD has been diagnosed based on hyperactive, impulsive behaviors that are relatively simple to observe from the outside and are more common in men and boys. However, women with the inattentive presentation are more likely to experience less obvious symptoms like forgetfulness and disorganization.

These symptoms are easier to overlook and can be masked or misattributed to stress, anxiety, depression, or even personality traits. As a result, many girls and women don’t receive an ADHD diagnosis until adulthood — or are misdiagnosed entirely with conditions like anxiety or depression.

A note on social pressures

It’s no secret that society has different expectations regarding behavior based on gender, and these social norms have an impact on ADHD presentation and diagnosis in women versus men.

Societal expectations generally encourage women to be quiet, composed, and organized, while it’s more acceptable for men to behave impulsively. This adds another layer of pressure for women with ADHD to develop coping strategies or hide their challenges, which can delay proper diagnosis and lead to burnout.

Why it matters

The underdiagnosis of ADHD in women profoundly affects mental health, productivity, relationships, and self-worth. Misdiagnosed or overlooked women often carry labels like “anxious,” “lazy,” or “disorganized,” when, in fact, their brains are working differently — not deficiently — and the right support can make all the difference.

Understanding your ADHD treatment options

At Boston Neurobehavioral Associates, ADHD treatment is personalized and comprehensive. We begin with a detailed and comprehensive evaluation to understand the root of your symptoms, whether inattentive, hyperactive, or a combination.

First-line treatments for ADHD often include stimulants, which boost dopamine levels to improve focus. If stimulants aren't effective or cause side effects, we can discuss non-stimulant options like guanfacine or atomoxetine. Sometimes, antidepressants that increase both dopamine and norepinephrine are helpful, too.

Along with medication, therapy plays an essential role. Individual therapy can help you navigate internal symptoms like self-esteem issues, anxiety, or emotional regulation. In your sessions, your therapist helps you develop strategies tailored to your life context, including time management and organization.

We monitor your treatment plan closely, and we can adjust it as needed. With telehealth and in-person appointments available, our goal is to make it easier for women to get help from wherever they are.

ADHD in women often looks very different — but that doesn't diminish its impact. With the right evaluation and treatment, you can get care designed for how your brain truly works, opening the door to clarity, validation, and lasting support. Contact us to get started.