Inattentive ADHD in Women: Unmasking the Quiet Struggle

When most people think of ADHD, they picture hyperactive children who can’t sit still, constantly interrupting others. But there’s a quieter, often overlooked side to ADHD—one that many women live with, often in silence. Inattentive ADHD, a subtype of attention-deficit/hyperactivity disorder, manifests not with hyperactivity but with difficulties in focus, sustained attention, organisation, and forgetfulness. For women, societal expectations and gender roles can make this experience even more challenging, leading to years of struggle before diagnosis and support. It is still not clear whether male ADHD truly shows a marked degree of male bias, but it is becoming clear that there are multifaceted reasons for ADHD underdiagnosis in females.

What Is Inattentive ADHD?

Inattentive ADHD is characterised by symptoms like:

• Difficulty sustaining attention on tasks or conversations.

• Forgetfulness in daily activities (misplacing items, missing appointments).

• Poor organisational skills.

• A tendency to procrastinate or avoid tasks requiring sustained effort.

• Daydreaming or “zoning out” frequently.

Unlike the hyperactive/impulsive type, those with inattentive ADHD often don’t exhibit obvious external signs of restlessness, making their condition less visible to others.

Why Is Inattentive ADHD Often Missed in Women?

Women with inattentive ADHD are frequently overlooked because their symptoms don’t fit the stereotypical image of ADHD. Instead of disrupting the classroom or workplace, they might quietly struggle to keep up. This can lead to labels like "lazy," "disorganised," or "scatterbrained," hiding the underlying condition.

Additionally, societal expectations play a role. Women are often expected to be multitasking nurturers, managing homes, families, and careers seamlessly. These pressures can push women with inattentive ADHD to overcompensate, developing coping mechanisms that hide their struggles. However, this "masking" often comes at a cost: chronic stress, burnout, and low self-esteem.

From Why are females less likely to be diagnosed with ADHD in childhood than males? Martin, Joanna. The Lancet Psychiatry (2024), Volume 11, Issue 4, 303 - 310

Common Challenges Women Face With Inattentive ADHD

1. Academic and Career Difficulties
   Many women with inattentive ADHD recall struggling through school, feeling like they had to work twice as hard as their peers to achieve the same results. In the workplace, they may battle with meeting deadlines, prioritising tasks, or maintaining focus during meetings.

2. Emotional Toll
   The constant feeling of “not measuring up” can lead to feelings of inadequacy, guilt, and shame. Many women internalise their struggles, attributing them to personal failings rather than a neurodevelopmental condition.

3. Relationship Strains
   Forgetting important dates, zoning out during conversations, or struggling to manage household responsibilities can lead to misunderstandings with partners, friends, or family. Without understanding the root cause, these issues can create tension and resentment.

4. Delayed Diagnosis and Misdiagnosis
   Women are often diagnosed with anxiety or depression long before anyone considers ADHD. While these conditions can co-occur with ADHD, they are often secondary to the untreated core symptoms.

Finding the Path Forward

For women living with inattentive ADHD, recognising and naming the condition is often the first step toward healing. Here’s how to start:

1. Seek a Professional Evaluation
   If you suspect you have inattentive ADHD, consult a healthcare provider experienced in diagnosing adult ADHD. A thorough assessment, including a review of childhood and adult symptoms, is essential.

2. Learn About ADHD
   Understanding the condition can be incredibly validating. Books, online communities, and podcasts can offer insights and tips for managing symptoms. There are many more women who are identifying their ADHD and talking/writing about their experiences.

3. Build a Support Network
   Connecting with others who share similar experiences can be empowering. Support groups—whether online or in person—offer a space to share struggles, exchange strategies, and feel less alone.

4. Explore Treatment Options
   ADHD treatment often includes a combination of medication, therapy, and lifestyle adjustments. Cognitive-behavioural therapy (CBT) can help address negative thought patterns, while practical tools like planners, reminders, and digital apps can improve daily organisation.

Unmasking the Quiet Struggle

For too long, inattentive ADHD in women has been misunderstood and underdiagnosed. By raising awareness and fostering open conversations, we can help women unmask their struggles and access the support they deserve. No one should have to navigate the challenges of ADHD alone, especially when understanding and help are within reach.

If this resonates with you or someone you know, remember: the journey to understanding begins with a single step. Your story matters, and there’s strength in seeking support. Together, we can break the silence surrounding inattentive ADHD and empower women to thrive.