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High Functioning ADHD in Women Women with high functioning adhd are frustrated and misunderstood in their relationships. The symptoms can become more severe during periods of hormonal changes, such as menstrual cycles and pregnancy. Many women and girls use compensatory strategies to concealing their impairments and symptoms which may delay the time until referral. This group of patients faces distinct issues which must be considered when treating them. 1. Self-Esteem is not a strong point.