How ADHD Can Present Differently in Boys and Girls

Attention-Deficit/Hyperactivity Disorder (ADHD) can manifest quite differently in boys and girls, impacting both diagnosis and access to treatment. Understanding these differences is crucial for parents, educators, and healthcare providers to ensure that all children receive the support they need to thrive.

ADHD is typically categorised into three types: predominantly inattentive ADHD, predominantly hyperactive/impulsive ADHD, or a combination of both. Recognising the distinctions in how ADHD can present in girls versus boys can lead to more accurate diagnoses and better treatment outcomes.

Key Distinctions Between ADHD in Boys and Girls

Boys and ADHD:

• Higher Diagnosis Rates: Boys are diagnosed with ADHD more frequently than girls, often due to their more overt symptoms.
• Hyperactive and Impulsive Behaviors: Boys with ADHD are more likely to exhibit hyperactive and impulsive behaviors. They might be seen as “troublemakers”, risk takers,  or be more disruptive in class. 
• Observable Behaviors: Common behaviors include fidgeting, interrupting others, and being constantly on the move. Teachers and parents may notice these hyperactive behaviors more easily, leading to earlier detection.

Girls and ADHD:

• Inattentive Symptoms: Girls with ADHD are more likely to display inattentive symptoms. They may be daydreamers, forgetful, or disorganised, but less hyperactive.
• More Subtle Hyperactive Symptoms: If girls do have hyperactive symptoms, they are more likely to be very talkative or to engage in minor fidgeting.. 
• Underdiagnosis and Misdiagnosis: Girls are often under-diagnosed or diagnosed later because their symptoms can be less disruptive and more easily overlooked. They may be misdiagnosed with anxiety or mood disorders instead of ADHD, or be seen as daydreamers.

Subtle Signs of ADHD

Identifying ADHD  can be challenging, especially when symptoms are less overt. Here are some subtle signs to look out for if you suspect your child might have ADHD:

• Difficulty Staying Seated: Even if not overly disruptive, the child  might frequently leave their seat or appear restless.
• Impulsiveness: The child might act without thinking, such as blurting out answers or interrupting conversations.
• Lack of Focus: Struggling to complete tasks, easily distracted, or frequently losing items needed for tasks and activities.
• Excessive Talking: Talking excessively or having difficulty engaging in activities quietly.
• Daydreaming: Often appears to be “in her/his own world” and may seem forgetful or disorganised.
• Emotional Sensitivity: Exhibits higher levels of emotional sensitivity, anxiety, or low self-esteem.
• Difficulty Following Instructions: Struggles to follow through on instructions or complete schoolwork, which might be mistaken for a lack of effort.

Undiagnosed ADHD can have significant impacts on self-esteem and lead to mental health issues. Children and young people with undiagnosed ADHD may blame themselves for academic and social difficulties as they don’t understand that ADHD is at the root of their problems. A comprehensive ADHD assessment with an appropriately qualified, experienced professional is crucial to diagnose ADHD so appropriate treatment and support can be accessed. 

Comprehensive ADHD Testing and Diagnosis at Veridian Psychology

At Veridian Psychology, we understand that ADHD can present differently in  girls than boys. We provide high-quality ADHD testing and diagnosis services on the Sunshine Coast. We offer a range of assessments tailored to the needs of children and young people, ensuring a thorough and accurate assessment process. 

By understanding how ADHD can present differently in boys and girls, we can better support each child’s unique needs. If you suspect your child may have ADHD, contact Veridian Psychology today for more information and to schedule a comprehensive assessment.

Find out more about our assessment process here.