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ADHD and Autism in Women: What You Need to Know


Recognizing the Signs

Understanding the overlap between ADHD and autism in women is crucial for targeted and effective support. Distinguishing between the two can be challenging, and sometimes individuals may have both conditions. Key signs to look out for include:

  • Focus and Social Skills: Women with ADHD often have trouble keeping attention on tasks, while those with autism might have an intense focus on specific interests. Autism can also bring more noticeable social challenges, such as understanding social cues.
  • Sensory Sensitivities: Both ADHD and autism can involve sensory processing issues. Autism may include strong reactions to certain sounds, textures, or lights. Women with ADHD might also have sensory issues but usually seek sensory input to stay focused.
  • Need for Routine: Women with autism often rely heavily on routines and find unexpected changes very difficult, more so than those with ADHD. This need for structure helps manage anxiety and sensory overload.
  • Social Interaction: Women with autism may find it harder to understand social rules and other people's perspectives. They might create their own rules to navigate social situations. Women with ADHD might be more impulsive in social settings.
  • Emotional Regulation: Both ADHD and autism involve challenges with managing emotions, but these challenges can look different. Women with ADHD might have quick mood swings, while those with autism may have intense and prolonged emotional responses.
  • Meltdowns: Meltdowns, or intense emotional reactions, are more common in autistic women. These can be triggered by sensory overload, changes in routine, or social stress.
  • Creating Social Rules: Women with autism often develop their own social rules to help understand and navigate social interactions, due to difficulty interpreting social cues.

Understanding ADHD in Women

ADHD in women is often misunderstood and misdiagnosed. Traditional diagnostic criteria, like those in the DSM, don't always capture the full range of experiences women face. Key aspects of ADHD in women include:

  • Inattentiveness: Women with ADHD may exhibit more inattentive symptoms rather than hyperactive ones. This includes difficulty focusing, forgetfulness, and disorganization.
  • Emotional Dysregulation: Women often experience intense emotions and mood swings, which can be mistaken for other conditions such as anxiety or depression.
  • Masking: Many women with ADHD learn to mask their symptoms to fit social expectations, which can lead to exhaustion and a delayed diagnosis.
  • High Sensitivity: Women with ADHD may be highly sensitive to criticism and rejection, leading to Rejection Sensitive Dysphoria (RSD).
  • Overwhelm and Perfectionism: Women often feel overwhelmed by daily tasks and may struggle with perfectionism, leading to procrastination and self-criticism.

What is AuDHD?

AuDHD refers to the co-occurrence of autism and ADHD. This dual diagnosis recognizes that many individuals exhibit traits of both conditions. Understanding AuDHD is vital for providing effective support. Key points include:

  • Complex Overlap: Individuals with AuDHD may experience the combined challenges of both conditions, such as intense focus and sensory sensitivities alongside difficulty sustaining attention and hyperactivity.
  • Unique Strengths: AuDHD individuals often have unique strengths, such as hyperfocus, creativity, and innovative thinking.
  • Customized Support: Effective support requires a nuanced approach that addresses the unique combination of challenges and strengths in AuDHD individuals.

Historical and Diagnostic Insights

  • Historical Misdiagnosis: Many women have historically been misdiagnosed or underdiagnosed due to biases that overlooked or misinterpreted their symptoms. Diagnostic criteria often did not consider the unique ways ADHD and autism in women present.
  • Changing Diagnostic Criteria: With advancements in diagnostic criteria, such as those in the DSM-5, dual diagnoses are now recognized. This allows for a more nuanced understanding and support, which is particularly important for women whose symptoms didn't fully align with one specific condition.

Insights for Adult Women

  • Challenging Stigmas: Both ADHD and autism diagnoses can carry stigma. Shifting this perception is crucial for women seeking comprehensive support for themselves.
  • Professional Partnership: Effective treatment involves a partnership between healthcare providers and the individuals themselves, ensuring all facets of the individual's needs are considered.

Actionable Steps

  • Professional Evaluation: Seek a comprehensive evaluation from healthcare providers familiar with both ADHD and autism in women. Recognize that it can be difficult to access professionals who can make these diagnoses, and the distinction between the two conditions isn't always clear.
  • Advocate for Comprehensive Care: Advocate for a holistic approach that includes educational, medical, and emotional support tailored to the unique challenges of living with both ADHD and autism in women.
  • Engage with Supportive Resources: Utilize organizations and communities that provide educational materials and support in navigating neurodivergent conditions.
  • Build a Support Network: Engage with professionals and peers who understand and support neurodiversity. This network can provide both practical advice and emotional support.

Empowering Yourself and Others

  • Self-Compassion and Continuous Learning: Prioritize self-care and stay informed about the latest research and strategies for managing neurodivergent conditions. Practicing self-compassion can help reduce the stress associated with navigating these complexities.
  • Community Building: Share your experiences and learn from others in neurodivergent communities. This can help dismantle stigma and build a supportive environment that celebrates neurodiversity.

Acknowledging Barriers to Diagnosis

  • Access to Diagnosis: It's often challenging to access professionals who can make these diagnoses. In the meantime, support yourself and reach out to neurodivergent community-affirming providers.


By understanding the complexities and embracing a neurodivergent-affirming approach, this blog aims to empower women in our "Flourish" community with knowledge and practical steps to seek the right support and advocate effectively for their needs. Recognizing and managing the co-occurrence of ADHD and autism in women allows for a more fulfilling and supported experience, celebrating unique abilities and contributions.


Megan Neff is an incredible resource 


By admin