24/10/2026
Why can autism and ADHD be missed in girls and women?
Autism and ADHD may present in girls and women in ways that differ from the presentations clinicians, teachers and families have traditionally been taught to recognise.
Lai and colleagues (2022) describe how the clinical understanding of both autism and ADHD has developed largely from research and clinical descriptions involving males. This may contribute to some girls and women being overlooked or diagnosed later.
✨️ For autism, some girls and women may show social interest, develop friendships and use eye contact during social interactions. However, these observable behaviours do not necessarily reflect how social interactions are experienced. Masking or learnt strategies may also make autistic characteristics less apparent to others.
✨️ For ADHD, inattention may be more prominent than overt physical hyperactivity. Hyperactivity and impulsivity may appear through excessive talking, interrupting, fidgeting or internal restlessness, while compensatory strategies can make ADHD characteristics less apparent to others.
The review highlights the importance of looking beyond expected presentations and considering developmental history, context, compensation, masking and the person’s own experience.
Assessment is not only about whether a characteristic is present, but also how it is expressed, experienced and managed over time.
📚️ Learn more about assessment and diagnosis of autistic and/or ADHD girls and women in our Masterclass.
📆 12 November 2026
🔗 Link in comments.
Reference: Lai, M. C., Lin, H. Y., & Ameis, S. H. (2022). Towards equitable diagnoses for autism and attention-deficit/hyperactivity disorder across sexes and genders. Current Opinion in Psychiatry, 35(2), 90–100