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High Functioning ADHD in Women Women who suffer from high functioning adhd can be frustrated and misunderstood in their relationships. The symptoms can be more severe during periods of hormonal changes, such as the premenstrual and menstrual cycles. Many girls and women resort to compensatory strategies, hiding their impairments and symptoms, which can delay time until referral. This patient group has distinct challenges that must be considered when treating them. 1. Lack of self-esteem Th