Though both girls and boys are affected by the condition, boys are three times as likely to be diagnosed than girls. This disparity is not due to the increased prevalence of the condition in boys. Instead, it is because ADHD symptoms present themselves differently in girls.
ADHD Symptoms in Girls
When people imagine ADHD, they often envision energetic young boys who display externalized hyperactive symptoms. However, in girls, ADHD often presents itself through more internalized symptoms that are less disruptive to others, making them far less noticeable than hyperactivity. Some of these symptoms include:
- Low self-efficacy
- Poor coping strategies
- Difficulty with academic achievement
- Verbal aggression
- Being withdrawn
- Intellectual impairment
Not only are girls less likely to be diagnosed with ADHD, but there is also a referral bias where females with ADHD are less likely to be referred for treatment than males with ADHD.
ADHD Symptoms in Boys
In contrast to girls, boys with ADHD tend to have more externalized symptoms that have become the stereotype of what ADHD is expected to look like. As a result, there has been a gender stereotype in males that contributes to the overdiagnosis of ADHD in boys. These symptoms are:
- Constant fidgeting
- Lack of focus
- Physical aggression
- Excessive talking
- Frequent interruption of others
Societal Impact of the Underdiagnosis of ADHD in Girls
Research indicates that undiagnosed ADHD in girls, which is very common in our society, has led to a negative impact on affected girls’ mental health. While boys with ADHD often externalize their frustration by acting out, girls are more likely to blame themselves. This pain and anger are directed inward, often causing major depression, anxiety, and eating disorders.
Without a proper ADHD diagnosis, girls and young women don’t understand why they are struggling to multitask or have impaired social and academic skills. This lack of understanding lowers their self-esteem and increases their likelihood of self-harm.
Contact Mile High Psychiatry
At Mile High Psychiatry, we understand the difficulty of living with undiagnosed ADHD and the harmful effects that this can have on mental health. Our practice recognizes that ADHD presents itself differently in girls and boys, and we are committed to providing our patients with care and a diagnosis that will allow them to live their life to the fullest. If you believe that you or a loved one may be struggling with ADHD, request an appointment with Mile High Psychiatry today!