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High Functioning ADHD in Women Women with adhd that are high functioning are unhappy and are often misunderstood in their relationships. The symptoms may be more severe during times of hormonal changes like the premenstrual or menstrual cycles. Many women and girls resort to compensatory strategies to mask their symptoms and impairments can delay referral. This patient group faces particular challenges that must be considered when treating them. 1. Self-esteem issues The emotional and social iss