Attention-deficit/hyperactivity disorder (ADHD) is often associated with hyperactive, impulsive behavior, traits that are more commonly recognized in boys. However, this narrow understanding has led to a significant gap in identifying ADHD in girls and women. Many females with attention difficulties go undiagnosed for years, often struggling silently with symptoms that don’t fit the traditional mold. Understanding why this happens, and how comprehensive neuropsychological testing can help, is an important step toward getting the right support.

Why Are Attention Issues in Girls Are Often Missed?

1. Different Symptom Presentation

Girls with ADHD are more likely to exhibit inattentive symptoms rather than hyperactivity. Instead of being disruptive, they may:

• Daydream frequently
• Appear forgetful or disorganized
• Struggle to stay focused on tasks
• Have difficulty following through on assignments

Because these behaviors are less noticeable in classroom or social settings, they are often overlooked or mistaken for personality traits rather than signs of ADHD.

2. Social Masking and Coping Strategies

Many girls develop strong coping mechanisms to hide their difficulties. They may work extra hard to stay organized, rely on peers for support, or internalize their struggles. This “masking” can make it appear as though they are managing well, even when they are overwhelmed internally.

3. Misdiagnosis or Overlapping Conditions

Girls with undiagnosed ADHD are more likely to be misdiagnosed with anxiety, depression, or learning disorders. While these conditions can co-occur, they may also develop as a result of untreated attention difficulties. Without a full understanding of the underlying issue, treatment may not fully address the root cause.

4. Bias in Standard Screening Tools

Many traditional ADHD screening tools were developed based on research conducted primarily with boys. As a result, they may not capture the more subtle or internalized symptoms commonly seen in girls and women.

The Importance of Neuropsychological Evaluations

When standard screenings fall short, a comprehensive neuropsychological evaluation can provide a much clearer and more accurate picture. These evaluations go beyond surface-level symptoms to examine how the brain processes information and manages attention, memory, and executive functioning.

For girls and women who have been overlooked or misunderstood, this type of evaluation can be life-changing.

What Neuropsychological Testing Entails

A neuropsychological evaluation is a detailed, individualized process designed to uncover the “why” behind someone’s struggles. At Michelle C. Delehant, Ph.D., Inc., testing is tailored to each person’s unique concerns and may include:

• Clinical Interview. A thorough discussion of symptoms, developmental history, academic or work performance, and daily functioning
• Cognitive Testing. Assessments of attention, memory, processing speed, and executive functioning skills
• Behavioral and Emotional Screening. Evaluation of mood, anxiety, and other factors that may impact attention
• Academic or Learning Assessments (if needed). Identifying any co-occurring learning differences
• Feedback and Recommendations. A detailed explanation of results, along with personalized strategies and treatment recommendations

This comprehensive approach helps identify not only whether ADHD is present, but also how it affects daily life and what can be done to improve functioning.

How Early and Accurate Diagnosis Helps

When ADHD in girls and women is properly identified, it opens the door to meaningful support and long-term success. Benefits of an accurate diagnosis include:

• Better understanding of personal strengths and challenges
• Targeted treatment plans and accommodations
• Improved academic, professional, and social outcomes
• Increased confidence and self-awareness

Rather than continuing to struggle without answers, individuals gain clarity and a path forward.

Compassionate, Individualized Testing at Michelle C. Delehant, Ph.D., Inc.

At Michelle C. Delehant, Ph.D., Inc., the focus is on understanding each individual as a whole person. With over 25 years of experience in neuropsychological testing, Dr. Delehant and her team take a thoughtful, personalized approach rooted in the belief that cognition drives functioning. By understanding how someone thinks and processes information, it becomes possible to identify why they are struggling and how to help them thrive.

Our practice is neurodiversity-affirming, LGBTQ+ friendly, and culturally sensitive, ensuring that every client feels respected and supported throughout the evaluation process.

Neuropsychological evaluations and ADHD testing are available in person at the Mokena, IL office:

9990 W. 190th Street
Suite A
Mokena, IL 60448

We also serve our clients virtually through secure telehealth services, making high-quality care accessible and convenient.

Take the Next Step

If you or a loved one has been struggling with attention, organization, or focus, especially if previous screenings haven’t provided clear answers, it may be time to consider a more comprehensive approach.

A neuropsychological evaluation can provide the insight needed to move forward with confidence and clarity. Reach out to Michelle C. Delehant, Ph.D., Inc. today to learn more about ADHD testing and how personalized support can make all the difference.