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High Functioning ADHD in Women Women with high functioning adhd are frustrated and misunderstood in their relationships. The symptoms may be more severe during times of hormonal changes, like premenstrual and pregnancy periods. Many women and girls resort to compensatory strategies, hiding their impairments and symptoms, which can delay time until referral. This group of patients faces a unique set of challenges which must be considered when treating them. 1. Lack of Self-Esteem Women can