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Undiagnosed ADHD in Women Women with undiagnosed ADHD typically have low self-esteem. They struggle to live up to social expectations and internalize their frustration. They can also suffer emotional stress, which can include feelings of rejection. This can make them more likely to engage in risky behavior. can also change in response to hormonal changes, such as the menstrual cycle, pregnancy and menopausal. This can make it more difficult to diagnose. Signs and symptoms Women may have difficulty identifying t