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High Functioning ADHD in Women Women with high functioning adhd are frustrated and misunderstood in their relationships. The symptoms can be more severe during periods of hormonal changes, such as the premenstrual and pregnancy cycles. Many girls and women use compensatory strategies to concealing their impairments and symptoms that can delay time to referral. This group of patients faces distinct problems that need to be taken into account when treating them. 1. Lack of self-esteem Women c