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High Functioning ADHD in Women Women with adhd that are high functioning are frustrated and misunderstood in their relationships. The symptoms may be more severe during times of hormonal changes such as the premenstrual and menstrual cycles. Many girls and women resorting to compensatory strategies to hide their impairments and symptoms can delay the time for referral. This group of patients faces particular issues which must be taken into account when treating them. 1. Self-esteem issues The emotional and social challenges that c