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High Functioning ADHD in Women Women with adhd that are high functioning are frustrated and misunderstood in their relationships. The symptoms can become more severe during periods of hormonal changes, like the pre-menstrual period and pregnancy. Many girls and women are forced to resort to compensatory strategies, masking their symptoms and impairments that can delay time to referral. This patient group faces particular challenges that must be considered when treating them. 1. Lack of Self-Esteem Wo