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6 Hidden Signs of ADHD in Girls—And Why Most Are Missed

ADHD in girls
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Written by Andrew Le, MD.
Medically reviewed by
Last updated June 24, 2025

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When people think of ADHD, they often picture a boy who can't sit still. But that image is only part of the story. Girls are just as likely to have ADHD as boys. Still, many girls are not diagnosed until much later, sometimes five years later than boys.

Why does this happen?

One reason is that ADHD can look different in girls. While boys often show more physical hyperactivity, girls may seem distracted, quiet, or even shy. Their struggles are easier to miss. Teachers are usually the first to notice when something is wrong. That’s why they play a big role in helping girls get the support they need.

Why ADHD in Girls Is Overlooked

ADHD doesn’t always look the same in everyone. In girls, the signs are often quiet and easy to miss. Instead of being loud or constantly moving, many girls with ADHD seem dreamy or distracted. Because they aren’t causing problems in class, adults may think they’re simply shy or not trying hard enough.

Sometimes, their symptoms are mistaken for immaturity, laziness, or even a lack of intelligence. But that’s not true. These girls are often trying their best, they just have trouble focusing, organizing, or managing emotions.

Another reason ADHD in girls is missed is because of how girls are raised. Many girls are taught to be polite, quiet, and helpful. So, they learn to hide their struggles. They may copy others, stay extra quiet, or work harder just to keep up. This makes their ADHD harder to see, even for parents and teachers.

6 Hidden Signs of ADHD in Girls

According to a study, here are some of the hidden signs of ADHD in girls:

1. Nonstop Talking

One of the most overlooked signs of ADHD in girls is nonstop talking. Instead of running around or fidgeting, some girls with ADHD talk constantly. They might chatter through lessons, interrupt others, or speak out even after being told to stop.

At first, people may think she’s just talkative or excited. But it can go deeper than that. This kind of talking often comes from restlessness and trouble with self-control, both key signs of ADHD.

Sometimes, the girl doesn’t even realize she’s doing it. She may jump from topic to topic or talk over others without meaning to. Because she isn’t being loud or disruptive in a physical way, her behavior is often brushed off as “just being chatty.” But this can be a hidden cry for help that many people miss.

2. Friendship Difficulties

Girls with ADHD may have a hard time keeping friends. This can be confusing because many of them want to connect with others. But they might interrupt during conversations, talk only about what interests them, or miss important social cues, like when someone is feeling bored or upset.

Some girls may come across as bossy or too intense. Others may seem out of sync with the group. Because of this, they can get left out or even teased. Over time, these friendship struggles can hurt their self-esteem.

Unlike boys, who might act out and get noticed, girls often deal with these issues quietly. They may not tell anyone that they feel left out or don’t understand why friendships don’t last. This makes it harder for adults to see that something deeper might be going on.

3. Difficulty Paying Attention

Some girls with ADHD are not hyper or loud, they just seem lost in their own world. You might notice them staring out the window, forgetting instructions, or asking, “What?” even when they were just spoken to.

This lack of focus is not from laziness. Their minds may be jumping from one thought to another, making it hard to stay with the lesson or conversation. They often struggle with tasks that require focus for more than a few minutes.

People might call these girls “ditzy” or think they just don’t care. But the truth is, they’re often trying very hard to pay attention. It’s just that their brains work differently and that difference needs to be understood, not judged.

4. Disorganization

For many girls with ADHD, staying organized is a daily struggle. Their desks may be full of crumpled papers, and their backpacks might be overflowing with forgotten homework and broken pencils. Even when they try to be neat, things quickly get messy again.

They also tend to lose things often, like notebooks, lunchboxes, or permission slips. This forgetfulness can cause problems at school and at home. Teachers might think they’re careless, and parents may feel frustrated when things keep going missing.

But this isn’t about being lazy. These girls often feel overwhelmed by the steps needed to stay organized. They want to keep up but don’t always know how to manage everything. Without support, they can start to believe they’re just “bad at school” which isn’t true.

5. Unfinished Work

Some girls with ADHD seem hardworking at first. They may sit quietly, take notes, or even look focused. But when it’s time to turn in their work, it’s often incomplete or missing. This confuses teachers and parents, how can someone who looks so focused not finish the task?

The problem isn’t a lack of effort. Many of these girls struggle with planning and time management. They might start strong but get stuck halfway through. Others get distracted and forget to come back to it. Some don’t know how to break big tasks into smaller steps.

Even if they understand the material, they may run out of time, forget a step, or simply shut down from feeling overwhelmed. Over time, this can lead to lower grades, even if they’re bright and capable. And worse, it can make them feel like they’re always falling behind, no matter how hard they try.

6. Strong Emotional Reactions

Girls with ADHD often feel emotions more deeply than others. A small problem like losing a pencil or getting corrected can lead to tears, yelling, or shutting down. These reactions may seem “too much” to others, but for the girl experiencing them, they feel very real and very big.

They might get frustrated easily, feel embarrassed over small mistakes, or have trouble calming down once upset. Some girls carry these emotions silently, while others show them right away. Either way, these feelings can get in the way of school, friendships, and daily life.

Adults may say they’re “too sensitive” or “overreacting,” but these intense emotions are part of how ADHD affects their brains. Without support, these girls can feel misunderstood and alone in their struggles.

The Role of Teachers in Early Detection

Teachers are often the first to notice when something feels off. In the classroom, small signs of ADHD become clearer: missed homework, trouble staying focused, or emotional outbursts over small things. These patterns may be harder for parents to spot at home.

Since teachers see many children every day, they can compare behaviors and notice which students struggle more than others. A girl who talks too much, forgets instructions, or reacts strongly to change might just need extra support not punishment.

When teachers understand how ADHD shows up in girls, they can speak up early. By sharing what they see with families and school staff, they help start the process of getting a diagnosis and finding the right help. Early action can lead to better learning, stronger confidence, and less frustration for the student.

Consequences of Missed Diagnosis

When ADHD in girls goes unnoticed, the effects can be serious. Many girls start to believe:

  • They’re not smart enough
  • They’re not good enough
  • Something is wrong with them

This can lead to low self-esteem and deep feelings of shame.

As they grow older, these hidden struggles can turn into bigger problems. Girls who aren’t diagnosed may face depression, anxiety, or trouble in relationships. Some may take risks, like skipping school, using substances, or seeking approval in unsafe ways, just to feel better or fit in.

Wrap Up

ADHD in girls can be easy to miss, but that doesn’t mean it’s not there. Instead of being loud or disruptive, many girls with ADHD seem quiet, distracted, or emotional. Because of this, they’re often misunderstood and go without the help they need. If we pay closer attention to these hidden signs, we can support them earlier and better.

Do you know a girl who might be struggling silently? Spotting the signs is the first step to helping her thrive in school, in friendships, and in life. Every girl deserves to feel understood and supported.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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