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Undiagnosed ADHD in Women Women who have not been diagnosed with ADHD frequently have low self-esteem. They struggle to meet social expectations and internalize their anger. They also may experience emotional stress, which can include the sensitivity to rejection. This can cause them to be more likely to engage in risky behavior. ADHD symptoms can also change in response to hormonal changes, such as the menstrual cycle, pregnancy and menopausal. This can make it difficult to diagnose. Symptoms Women may struggle to identify their ADHD symptom