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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 may increase during periods of hormonal changes, such as the menstrual cycle and pregnancy. Many women and girls resort to compensatory strategies to mask their impairments and symptoms can delay the time for referral. This group of patients faces a unique set of challenges that must be considered when treating them. 1. Self-esteem issues Women can be depressed due