Why Women with ADHD Are Missed
Female ADHD is characterised by internalising symptoms — anxiety, perfectionism, emotional dysregulation — rather than visible hyperactivity. The diagnostic criteria were developed from research on male ADHD, creating systematic bias. Dr. Goyal's peer-reviewed research on gender perspectives in adult ADHD (Asian Journal of Psychiatry, 2025) confirms this.
What ADHD Looks Like in Women
Internal hyperactivity (racing thoughts), masking and compensating, anxiety and perfectionism driven by shame, Rejection Sensitive Dysphoria, and cyclical burnout patterns that are often misread as mood disorder.
Hormones and ADHD
Oestrogen modulates dopamine function — meaning ADHD symptoms worsen in the luteal phase, during perimenopause, and after childbirth. Many women seek their first assessment during perimenopause.
Want to talk to someone who understands?
Dr. Sneha Goyal provides specialist assessment and therapy for ADHD in women at Enable Workplace Consulting, 156 Collins Street Melbourne CBD. Medicare rebates available.
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