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Writer's pictureDr. Janina Maschke

Understanding ADHD in Women: Common Misdiagnoses and Overlapping Symptoms

In recent years, there has been growing awareness of how ADHD presents differently in women. Unfortunately, this increased recognition has also exposed a troubling reality: many women who have ADHD are being misdiagnosed with conditions such as bipolar disorder (BD), post-traumatic stress disorder (PTSD), anxiety, depression, or learning disabilities. The consequence of these misdiagnoses is that women are left struggling without the proper treatment, support, and understanding they truly need.



Why Are Women Misdiagnosed?

ADHD has traditionally been viewed as a condition that primarily affects young boys, often characterized by hyperactivity and impulsivity. Because for girls and women ADHD often presents differently, the subtler symptoms of ADHD can be easily overlooked or misinterpreted. Instead of outward hyperactivity, women with ADHD may experience chronic inattention, emotional dysregulation, or internal restlessness—symptoms that can resemble other mental health conditions.

This diagnostic gap leads many women to go undiagnosed until adulthood, if at all. When these women finally seek help, their symptoms may be attributed to other conditions that have overlapping signs, leading to years of frustration and incorrect treatment.


Overlapping Symptoms of ADHD and Other Conditions

One of the main reasons for misdiagnosis is the significant overlap in symptoms between ADHD and other disorders:


  • Bipolar Disorder: Both ADHD and bipolar disorder can lead to mood swings, impulsivity, and restlessness. However, bipolar disorder involves distinct periods of mania and depression, while ADHD symptoms are more consistent and don’t follow a cyclical pattern.

  • Anxiety: ADHD can cause chronic stress and a constant feeling of being overwhelmed, which can easily be mistaken for generalized anxiety disorder. While both conditions share feelings of restlessness, ADHD often stems from difficulties with attention regulation and task management rather than just anxiety over particular stressors.

  • Depression: Many women with undiagnosed ADHD experience feelings of failure, chronic fatigue, and low self-esteem, often resulting from years of struggling to keep up with daily tasks and responsibilities. This can be mistaken for major depression, especially since ADHD can lead to emotional dysregulation and a sense of despair.

  • PTSD: Emotional dysregulation and difficulty concentrating are common in both ADHD and PTSD. However, PTSD is linked to a specific traumatic event, while ADHD is a neurodevelopmental condition that is present from childhood.

  • Learning Disabilities: Women with ADHD may have difficulties with organization, time management, and focus, all of which can impact academic performance. These struggles may be misinterpreted as a learning disability, especially in environments like school or work.


The Cost of Misdiagnosis

The misdiagnosis of women with ADHD carries significant consequences. First and foremost, women may receive treatment that doesn’t address the core issues they face. For example, mood stabilizers or antidepressants may be prescribed to treat conditions like bipolar disorder or depression, but they won’t alleviate the inattention, forgetfulness, or executive dysfunction that comes with ADHD. Without the right treatment, women may continue to feel lost and misunderstood, with a persistent sense of failure and frustration.


Furthermore, societal expectations often exacerbate the difficulties women with ADHD experience. Women are often expected to juggle multiple roles—career, family, and household responsibilities—while staying organized, composed, and efficient. When ADHD goes undiagnosed, women may struggle to meet these expectations, leading to burnout and mental health issues like anxiety and depression, which further complicate their overall well-being.



The Importance of an Accurate Diagnosis

Accurate diagnosis is the first step in helping women with ADHD thrive. Understanding the unique ways ADHD manifests in women allows for better, more targeted treatment approaches. This might include medication, cognitive-behavioral therapy (CBT), or ADHD coaching to develop strategies for managing time, organization, and emotions.


If you suspect that you or someone you know has been misdiagnosed, it’s crucial to seek out a mental health professional who is experienced in recognizing the nuanced presentation of ADHD in women. Advocating for a second opinion or further evaluation can make all the difference in receiving proper treatment and support.


Breaking the Silence

While awareness of ADHD in women is growing, there is still much work to be done to ensure that women receive the correct diagnosis and care. Many women live in silent frustration, not realizing that their struggles are not their fault but rather a sign of ADHD that has gone unrecognized.


By increasing awareness, pushing for better diagnostic practices, and speaking openly about the challenges women with ADHD face, we can help prevent further misdiagnoses and empower women to live happier, healthier lives.


If you're ready to learn more about how ADHD uniquely affects women—and how societal pressures can hide it in plain sight—check out my book, "A Feminist Guide to ADHD." It's a comprehensive resource that not only explores misdiagnosis but also offers tools to thrive as a woman with ADHD.


Misdiagnosing women with ADHD as having other mental health disorders is a pervasive issue that can delay proper treatment and cause undue suffering. It is critical that healthcare providers, mental health professionals, and society at large recognize the unique ways ADHD manifests in women to ensure they receive the support they need to thrive.


Want to dive deeper into the ways ADHD affects women differently? In my book, A Feminist Guide to ADHD, I explore the challenges women face in getting a proper diagnosis, how to advocate for yourself, and tools for managing life with ADHD. Get your copy today and join the conversation!


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