How ADHD Symptoms Differ Between Girls and Boys
ADHD affects millions of children and adults, but it doesn’t always look the same in everyone. Research shows that ADHD symptoms can present differently in girls and boys, impacting diagnosis, treatment and support strategies. Understanding these differences helps parents, educators and healthcare providers recognize and address ADHD more effectively.
Hyperactivity and Impulsivity
Boys with ADHD are often more visibly hyperactive or impulsive, displaying behaviors like fidgeting, running around the classroom, interrupting others or acting out physically. These outward behaviors make ADHD easier for others to notice, so they often lead to earlier diagnosis in boys. Girls may show hyperactivity in less obvious ways, such as talking excessively, doodling or being “always on the go” internally, which can be overlooked.
Inattentiveness
Girls with ADHD are more likely to exhibit the inattentive type, which is characterized by daydreaming, difficulty focusing or forgetfulness. This can appear as quiet, spacey behavior rather than disruptive activity, meaning girls’ challenges may be mistaken for laziness, disorganization or shyness. Boys may also struggle with inattention, but it’s often accompanied by more visible hyperactivity.
Emotional and Social Differences
Girls with ADHD may experience more internal struggles, such as anxiety, low self-esteem or mood swings, while boys are more prone to external behaviors like aggression or defiance. Socially, girls may mask their symptoms and work harder to fit in, while boys may be more openly confrontational or oppositional.
Academic Impact
Because girls’ ADHD is often less obvious, their academic difficulties may go unnoticed until grades drop or stress becomes high. Boys may face disciplinary actions first, while girls may quietly struggle behind the scenes, leading to delayed identification and support.
Recognition and Diagnosis
Studies suggest that girls with ADHD are underdiagnosed compared to boys. Their symptoms are more subtle because they’re often less disruptive, which can delay intervention. Awareness of these differences is essential for identifying and tailoring supports so children with ADHD, no matter their gender, can thrive.
Our team at Westgate Family Physicians is trained to identify signs of ADHD. If you feel like your son or daughter is showing signs of ADHD, book an appointment HERE or give Westgate Family Physicians a call at (864) 574-0070.