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High Functioning ADHD in Women Women with high functioning adhd are frustrated and misunderstood in their relationships. Symptoms can heighten at times of hormonal change, such as the menstrual cycle and pregnancy. Many women and girls use compensatory strategies to hiding their impairments and symptoms which may delay the time to referral. This patient group faces specific problems that must be taken into account when treating them. 1. Self-esteem issues The emotional and social challenges that com