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Undiagnosed ADHD in Women Women who are not diagnosed with ADHD have low self-esteem. They struggle to meet social expectations and internalize their frustration. They may also be suffering from emotional distress like sensitivity to rejection. They are more likely to engage dangerous behaviors. ADHD symptoms can also change with hormonal changes, such as menstrual cycle or pregnancy, as well as menopausal. This can make it more difficult to diagnose. Signs and symptoms Women may struggle to identify their ADHD symptoms as they tend to mask them. This could lead