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High Functioning ADHD in Women Women who suffer from high functioning adhd may experience discontent and confusion in their relationships. The symptoms can be more severe during times of hormonal changes, like the premenstrual or pregnancy cycles. Many girls and women are forced to resort to compensatory strategies, hiding their impairments and symptoms that can delay time to referral. This group of patients faces a unique set of problems which must be taken into account when treating them. 1. Lack of self-esteem