Undiagnosed ADHD in Girls: Key Signs Parents Should Know

Approximately 700,000 children in the UK are affected by attention deficit hyperactivity disorder (ADHD), a condition that has seen a significant rise in diagnoses over the past two decades. Experts attribute this increase to greater awareness, yet symptoms can remain unnoticed, particularly in girls. If left undiagnosed, ADHD can severely impact a girl’s self-esteem and mental health.

Research from the Child Mind Institute indicates that girls with ADHD often internalize their struggles, leading to higher rates of depression, anxiety, and eating disorders. This underscores the importance of early diagnosis and intervention.

Inattentiveness: A Common Sign in Girls

While ADHD is frequently associated with hyperactivity, many may overlook its presentation as inattentiveness, particularly in girls. Mark Pattison, CEO and Founder of Care ADHD, explains that girls may appear distracted, forgetful, or disorganized. These symptoms can lead to feelings of being overwhelmed and contribute to low self-esteem.

Pattison notes how inattentiveness manifests in girls: “They may seem to drift off during conversations or struggle to start or finish tasks.” This subtlety makes ADHD less visible at home and in educational settings, increasing the risk of underdiagnosis.

Hyperactivity Presents Differently in Females

For girls who exhibit hyperactive tendencies, the symptoms can also differ from the stereotypical image of hyperactivity. Pattison points out that hyperactivity may manifest as fidgeting, excessive talking, or interrupting, rather than overtly disruptive behavior. Many girls experience a sense of inner restlessness and a racing mind filled with thoughts.

Because these behaviors are less likely to disrupt others, they often go unnoticed. “Their efforts to mask symptoms can lead to perfectionism, making it even harder to recognize ADHD,” Pattison adds.

Dr. Kenneth Lee, a specialist in child ADHD at the London Psychiatry Clinic, emphasizes that attention difficulties typically emerge in early childhood. These challenges may become more apparent during secondary school, where academic and social pressures increase.

For parents who suspect their daughter may have undiagnosed ADHD, Pattison recommends initiating an open dialogue about her experiences. Observing daily patterns and discussing challenges with teachers can provide valuable insights. Consulting a general practitioner for an ADHD assessment is also advised.

Establishing supportive routines at home can help mitigate stress and protect a child’s self-esteem while waiting for a professional evaluation.

Recognizing the signs of ADHD in girls is crucial for ensuring they receive the support they need. Increased awareness and understanding can make a significant difference in their lives, promoting healthier self-perceptions and emotional well-being.

For those seeking help, resources such as Mind, Samaritans, CALM, The Mix, and Rethink Mental Illness offer support services in the UK. These organizations provide essential assistance to individuals facing mental health challenges, including ADHD.

Awareness and education about ADHD can empower parents, educators, and healthcare professionals to better support girls as they navigate their unique challenges.