ADHD in Women
ADHD in Women is often overlooked because it shows somewhat differently in women than in men. Many women are misdiagnosed or struggle silently for years before receiving the proper support.
Key takeaways:
- ADHD in women can be misdiagnosed as depression and anxiety for a long time.
- Symptoms are mostly inward due to shame, sensitivity, anxiety, and societal expectations.
- Hormonal shifts can intensify ADHD symptoms. Premenstrual symptoms and PMDD can be felt more intensely by those with ADHD.
- Women with ADHD can learn to overcome these challenges, and few people need ADHD medications, mainly stimulant medications, to support their functioning.
What are the signs of ADHD in adult women?
For types and symptoms of ADHD click here: ADHD Testing in Dubai
In women, the inattentive type of ADHD is the most common presentation. The list is not comprehensive, and the assessment is not based solely on symptoms.
- Not fully present during conversations.
• Difficulties with multitasking and prioritizing.
• Challenges with juggling tasks.
• Difficulty relaxing.
• Experiencing frequent energy crashes.
• Indulging in dopamine binges.
• Frequently feeling easily overwhelmed.
• Procrastination - Task and decision paralysis
Note: These symptoms can also be a result of other issues rather than solely due to ADHD.
Could ADHD in women be mistaken for anxiety or depression?
Chronic persistent anxiety from an overstimulated neurodivergent mind is a top-down process. Anxiety stemming from stressful and traumatic life experiences is a bottom-up process.
If ADHD is the source, ADHD medications are more suitable than anti-anxiety or antidepressant medications. The psychiatrist will carefully evaluate whether the anxiety is top-down, bottom-up, or both, aiding in effective management.
How do women with ADHD mask their symptoms to fit in?
Masking is concealing ADHD symptoms to fit in or feel a sense of belonging to the neurotypical herd. Masking is much more common in women.
It is an adaptive strategy, and many women with ADHD learn to navigate life by adapting. Over time, emotional exhaustion and identity confusion creep in, as it is not a natural way to be.
Common masking methods include:
• Perfectionism to hide internal disorganisation
• People-pleasing to conceal low self-worth
• Complying with others to fit in
• Using self-shaming humour for acceptance
• Overworking to counter internal struggles
• Hiding impulsive behaviours
What is the connection between ADHD and PMDD?
Estrogen is neuroprotective, and levels are lower during premenstrual periods, post-childbirth, and postmenopause (source: rcpsych.ac.uk/). This decline may exacerbate dopamine regulation, which is already affected in women with ADHD.
Women with ADHD may be more sensitive to hormonal fluctuations, particularly during the week before their period. Both levels getting lower can escalate emotional reactivity, impulsivity, and general disorganisation.
Can menopause worsen ADHD symptoms?
During menopause, fluctuating and declining levels of oestrogen can directly affect dopamine regulation in the brain, leading to worsening of one’s executive function, memory, and mood.
Three ways in which menopause and ADHD interact:
- Menopause can imitate ADHD symptoms
• A person with pre-existing ADHD might experience more psychological symptoms of menopause.
• Perimenopause can reveal pre-existing ADHD symptoms (source: rcpsych.ac.uk/ National Institutes of Health (NIH)).
Why can ADHD symptoms intensify after childbirth?
Pregnancy can often have a calming effect on ADHD symptoms. The post-pregnancy period introduces a rapid hormonal drop, significant life changes, and overwhelming responsibilities. This transition with increased demands can be challenging for women with ADHD.
Are women with hidden ADHD often misdiagnosed with anxiety, depression, or burnout?
Adult women with ADHD often hide it through anxiety, self-criticism, and self-hatred. Common misdiagnoses include: • Generalized Anxiety Disorder • Depression • Borderline Personality Disorder • Bipolar II Disorder • Burnout or Fatigue Syndromes. ADHD in women requires careful, trauma-informed assessment—particularly when high achievement, caregiving roles, or perfectionism have masked symptoms.
What unique strengths do women with ADHD bring to the table?
Women with ADHD can exhibit strengths that are unique to each individual. For instance, their empathy and sensitive side can offer emotional attunement and insights into others’ needs. Women with ADHD can find creative ways to adapt and offer solutions at work and home that are outside the box.
About Dr. Millia
Dr. Millia Begum
is a trained trauma specialist with over 25 years of clinical experience in psychiatry and therapy. She trained in the UK’s NHS system and served the NHS in various senior roles.
She is a former EMDR Europe Approved Consultant, EMDR researcher, and board member of the EMDR Association UK. She is now a member of the EMDR International Association (EMDRIA).
Dr. Millia is a Certified Internal Family Systems (IFS) Therapist, bringing a compassionate, parts-informed approach to her work with clients in Dubai.
To Book a Confidential Consultation
Individuals looking for trauma-informed care are welcome to visit Dr. Millia in a secure and encouraging environment. Her integrative approach can assist whether you are dealing with an emotional pattern you’re ready to change, long-standing trauma, or recent stress.
- First Psychiatry Clinic
◦ Villa 975, Municipality 363856
◦ Al Manara, Umm Suqeim 2
◦ Dubai, UAE
• Office Number: +971 4 221 6000
• E-mail: info@firstpsychiatryclinics.com
- First Psychiatry Clinic
- Office Number: +971 4 221 6000
- E-mail: info@firstpsychiatryclinics.com