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Undiagnosed ADHD in Women Women who have not been diagnosed with ADHD often experience low self-esteem. They struggle to live up to social expectations and internalize their anger. They may also experience emotional stress, which can include feelings of rejection. This can cause them to be more likely to engage in risky behavior. ADHD symptoms can also vary in response to hormonal changes, such as the menstrual cycle, pregnancy and menopausal. This can make it difficult to diagnose. Signs and symptoms Women may have difficulty identifying their ADHD