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High Functioning ADHD in Women Women who suffer from high functioning adhd can be dissatisfied and often misunderstood by their relationships. The symptoms may be more severe during periods of hormonal changes, such as the premenstrual and pregnancy periods. Many girls and women resort to compensatory strategies, masking their symptoms and impairments that can delay time to referral. This group of patients faces particular issues that need to be taken into consideration when treating them. 1. Insecurities about self-esteem The emotional a