Gender Bias:
Girls are generally perceived to be less hyperactive than their male peers, causing those with ADHD to subconsciously internalise their restlessness. This often presents as racing thoughts, mental overload (like having multiple tabs open in the brain), and subtler physical signs such as hair twirling, nail picking, or restless legs. Similarly, women are often expected to be quieter, organised, attentive, and emotionally composed, leading many to develop masking strategies that make their ADHD symptoms less noticeable (think lists, double/triple checking, multiple alarms!)
Overdiagnosis:
But are we overdiagnosing?
When left-handedness was stigmatised, its recorded prevalence was quite low because many people (my grandmother!) were forced to use their right hand. Once societal acceptance grew, the number of reported left-handers spiked! Not because more people became left-handed, but because they were finally able to be themselves.
Similarly, the rise in ADHD diagnoses isn’t due to overdiagnosis but rather increased awareness and recognition of those who have always had it. Over time, like left-handedness, ADHD diagnoses will likely plateau at their true prevalence.
Receiving an accurate ADHD diagnosis is life changing. It provides clarity, validation, and access to the right support. As I often tell my clients, “You’re just a Zebra! Not a broken horse.” Representation and proper labelling matter in helping women understanding themselves and their needs.
