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High Functioning ADHD in Women Women with high functioning adhd are unhappy and are often misunderstood in their relationships. The symptoms can be more severe in times of hormonal changes, such as the premenstrual and menstrual cycles. Many girls and women resort to compensatory strategies, masking their symptoms and impairments, which can delay time until referral. This group of patients has particular issues which must be considered when treating them. 1. Insecurity about oneself Women can feel depressed by