Understanding ADHD Inattentive Type in Girls and Women: Symptoms and Effective Treatments

The symptoms of ADHD inattentive type can be managed with the right care and a good dose of compassion. 

Attention-Deficit/Hyperactivity Disorder (ADHD) is often thought of as a childhood condition that primarily affects boys. However, ADHD also impacts girls and women, often in ways that differ from the more commonly recognized hyperactive type. Inattentive type ADHD (what used to be referred to as ADD), in particular, can be easily overlooked, especially in females, leading to a lack of diagnosis and support. Understanding the symptoms of ADHD inattentive type in girls and women is crucial for providing effective treatment and improving quality of life.

Symptoms of ADHD Inattentive Type

ADHD inattentive type is characterized by symptoms related to difficulty in maintaining attention, but without the hyperactive and impulsive behaviors typically associated with ADHD. For girls and women, these symptoms may manifest differently compared to their male counterparts. Here are some of the most common signs:

  1. Daydreaming and Being Easily Distracted: Girls and women with inattentive ADHD often find themselves lost in thought, frequently drifting away from conversations or tasks. This can lead to a perception of them being spacey or disengaged.

  2. Difficulty Organizing Tasks and Activities: Organization and planning can be overwhelming for individuals with inattentive ADHD. They may struggle to keep track of responsibilities, leading to missed deadlines, forgotten appointments, or a generally chaotic environment.

  3. Trouble Following Through on Instructions: Instructions, especially multi-step ones, can be challenging to process and execute. This often results in incomplete tasks or errors, not from a lack of effort, but from an inability to maintain focus.

  4. Procrastination and Poor Time Management: Inattentive ADHD can cause significant delays in starting or completing tasks. Procrastination, often fueled by a sense of being overwhelmed, can lead to chronic lateness and a persistent feeling of being behind.

  5. Low Self-Esteem and Feelings of Inadequacy: Because the symptoms of inattentive ADHD can make everyday tasks more difficult, girls and women with the disorder may struggle with low self-esteem. They might feel inadequate or lazy, especially if they compare themselves to peers who seem to manage tasks effortlessly.

  6. Difficulty in Social Situations: Social interactions may be challenging due to a tendency to miss social cues or the struggle to stay engaged in conversations. This can lead to social anxiety or a preference for solitude.

ADHD in Girls and Women: Why It's Often Overlooked

Historically, ADHD has been underdiagnosed in girls and women. This is partly because the symptoms of inattentive ADHD are less disruptive and more internalized compared to the hyperactive type. While boys with ADHD hyperactive type might display overt behaviors such as fidgeting or impulsivity, girls might appear simply shy or disorganized. Additionally, societal expectations play a role; girls are often expected to be more compliant and organized, so when they struggle, their difficulties may be attributed to character flaws rather than a medical condition.

Many women with inattentive ADHD go undiagnosed until adulthood. Often, these women have learned to mask their symptoms or develop coping strategies that help them get by, even if they still struggle internally. It is not uncommon for women to seek a diagnosis only after recognizing their symptoms in their children or after experiencing worsening symptoms under stress.

Effective Treatment for ADHD Inattentive Type

Treatment for ADHD inattentive type in girls and women is most effective when it is personalized and multi-faceted. Here are some of the most common approaches:

1. Medication: Stimulant medications like methylphenidate (Ritalin, Concerta) and amphetamine salts (Adderall) are commonly prescribed and have been shown to be effective for many individuals with ADHD. These medications help increase focus and reduce distractibility. Non-stimulant medications, such as atomoxetine (Strattera), are also available and may be preferred for those who do not respond well to stimulants.

2. Cognitive Behavioral Therapy (CBT): CBT is particularly beneficial for individuals with inattentive ADHD, as it focuses on developing practical strategies to manage symptoms. This includes time management techniques, organizational skills, and cognitive restructuring to address negative thought patterns that contribute to low self-esteem.

3. Neurofeedback: Neurofeedback is a non-invasive treatment that has gained attention for its potential benefits in managing ADHD symptoms. This therapy involves training the brain to self-regulate its activity by providing real-time feedback through EEG (electroencephalography). During sessions, individuals learn to control their brain waves, which can improve focus, reduce impulsivity, and enhance overall cognitive function. Over time, neurofeedback can lead to lasting improvements in attention and concentration, making it a valuable addition to a comprehensive treatment plan.

4. Coaching and Support Groups: ADHD coaches work with individuals to develop personalized strategies for managing their symptoms in everyday life. Support groups also provide a space for sharing experiences and learning from others who face similar challenges.

5. Lifestyle Modifications: Simple changes in daily routines can make a significant difference. Regular exercise, a balanced diet, and sufficient sleep are essential for managing ADHD symptoms. Additionally, mindfulness practices, such as meditation, can help improve focus and reduce anxiety.

6. Educational Support: For girls and young women still in school, accommodations such as extended time on tests, permission to take breaks, or access to a quiet space for studying can be very helpful.

ADHD inattentive type can significantly impact the lives of girls and women, often in ways that are not immediately apparent to others. Recognizing the unique ways in which this disorder manifests in females is crucial for ensuring they receive the support they need. With proper diagnosis and a comprehensive treatment plan—including innovative therapies like neurofeedback—women and girls with inattentive ADHD can manage their symptoms effectively, leading to a more fulfilling and organized life.

Be Still Holistic Counseling & Wellness specializes in serving women and teen girls who are struggling with anxiety, depression, grief & loss, and chronic illness & pain who want to stop feeling exhausted and overwhelmed and start living in balance and freedom.


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