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ADHD in Women - Getting an Accurate Diagnosis and Treatment Women who aren't attentive ADHD can have a harder time keeping up with their daily responsibilities. can cause problems at school and at work. The symptoms may be worsened by hormonal changes during the menstrual cycle, pregnancy, and menopausal. This can make diagnosis and treatment difficult. Rating scales that rely on normative data derived from mostly male or mixed samples could be detrimental to female patients. Other tools such as Nadeau or Quinn checklists offer fem