In this video blog, psychotherapist Katelyn Moloney explores why ADHD in women is often misunderstood, overlooked, or diagnosed later in life. Early researchers developed diagnostic criteria using a sample population that significantly underrepresented women. This lead to misconceptions about how ADHD presents across genders. Researchers historically viewed ADHD as more prevalent in males, but studies show that including adults narrows the gap. Therefore, clinicians have missed many women in diagnosis. It is important to have an intersectional approach. Traditional diagnostic standards rely on white, Western norms and often overlook the lived experiences of women, particularly women of color and LGBTQ+ individuals.
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Executive dysfunction in ADHD in women tends to be more internalized, such as anxiety, low self-esteem, emotional overwhelm, and difficulties with organization, time management, and follow-through. There are three ADHD presentations. Behaviors commonly associated with girls are less likely to trigger concern in school settings, contributing to delayed diagnosis. ADHD cannot be self-diagnosed. There are more appropriate pathways for assessment and treatment, including therapy, medication, coaching, and support groups. Recognizing how ADHD shows up in women allows clinicians to provide individualized, affirming, and responsive care.
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