ADHD
ADHD in Women
November 10, 2025 2 mins read
Nicole Leighton, CRNP
Director of Substance Use Disorder Treatment
Table of contents
ADHD in women often goes undiagnosed, misunderstood, or mischaracterized. This blog post is written for patients—especially women—who are navigating the complexities of ADHD with compassion, clarity, and hope.
“Why Didn’t Anyone Notice Sooner?”
Understanding ADHD in Women
If you’ve ever felt like you’re constantly spinning plates—forgetting appointments, zoning out mid-conversation, or feeling overwhelmed by everyday tasks—you’re not alone. For many women, ADHD isn’t diagnosed until adulthood, often after years of being labeled “too sensitive,” “too disorganized,” or “too much.”
What ADHD Looks Like in Women
ADHD in women often presents differently than the stereotypical “hyperactive boy” image. Instead of bouncing off the walls, many women experience:
- Chronic overwhelm and mental fatigue
- Difficulty focusing or initiating and finishing tasks
- Emotional sensitivity and mood swings
- Forgetfulness, disorganization, or time blindness
- People-pleasing and perfectionism to mask symptoms
These traits are often misdiagnosed as anxiety, depression, or even personality disorders
Why It’s Often Missed
Girls and women are more likely to internalize their symptoms. They may appear “high functioning” while struggling silently. Many develop elaborate coping strategies—like over-preparing, masking, or avoiding tasks altogether—to hide their difficulties.
Hormonal changes (like puberty, pregnancy, or menopause) can also intensify symptoms, making ADHD harder to manage and easier to misinterpret
You Are Not Lazy or Broken
ADHD is a neurodevelopmental condition, not a character flaw. It affects how your brain processes information, regulates attention, and manages emotions. Understanding this can be a huge relief—and a powerful first step toward healing.
Getting Diagnosed
If you suspect you have ADHD:
- Talk to a provider who understands how ADHD shows up in women.
- Keep a journal of your symptoms and how they affect daily life.
- Ask about screening tools like the ASRS or DIVA-5.
Diagnosis can be validating and open the door to treatment options like therapy, medication, coaching, or lifestyle changes.
Living Well with ADHD
There’s no one-size-fits-all approach, but many women find relief through:
- Medication (like stimulants or non-stimulants)
- Cognitive behavioral therapy (CBT)
- Executive function coaching
- Mindfulness and nervous system regulation
- Community support from other neurodivergent women
You deserve care that sees your strengths—not just your struggles.
Final Thoughts
ADHD in women is real, valid, and treatable. Whether you’re newly diagnosed or still figuring it out, know this: you are not alone, and you are not too late. Book an appointment with Nicole Leighton CRNP PMHNP-BC, a provider experienced in treating ADHD in women, and start your journey towards clarity and focus.
About the Author
Nicole Leighton, CRNP
Director of Substance Use Disorder Treatment
Nicole Leighton CRNP PMHNP-BC is the Director of Substance Use Treatment at Fine Tune Psychiatry. She is an expert in treating co-occurring mental health and substance use disorders. She works with pregnant and parenting women with opioid use disorder and severe mental health conditions. She is Clinical Adjunct Faculty at Thomas Jefferson University’s College of Nursing. Nicole resides in Philadelphia with her husband, daughter and cat, Jenny.