11/25/2025
Women and those AFAB have been historically overlooked in ADHD diagnosis because the criteria were built around young hyperactive boys, not the quieter more internalized presentation common in women. Many have learn to mask symptoms through perfectionism, people-pleasing, and over-preparing, and their struggles often get mislabeled as anxiety or depression. Hormonal shifts across the menstrual cycle, postpartum, and perimenopause can further blur the picture, leading clinicians to treat mood or hormonal symptoms without recognizing the underlying neurodivergence. As a result, countless women go undiagnosed until adulthood, often when their coping strategies finally hit a breaking point.
Hereās how I support patients during an ADHD assessment in my practice:
SCREENING
I use validated tools like the ASRS and BDEFS to map executive function, emotional regulation, and current impairment, not just whether you occasionally get distracted by your phone. We also look at whether these challenges started in childhood and how theyāre affecting work, relationships, and your home life.
We also screen for depression, anxiety, disordered eating, substance use, sleep apnea, and burnout. For some, especially those with treatment-resistant depression, ADHD might be the missing piece to understand why pharamaceutical and lifestyle interventions havenāt been effective.
We explore hormonal and lifestyle context
The menstrual cycle, contraceptive use, postpartum stage, or perimenopause can all affect symptoms. We also talk through things like caffeine, cannabis, supplements, and what youāve learned online about ADHD that feels relevant to your experience.
GOAL SETTING
From there, we move into care. That might include psychoeducation about how ADHD shows up in adults, CBT-style tools, coaching strategies, or discussion of medication options. I also provide resources you can trust (hi, CADDRA/CADDAC) and referrals when needed