Attention Deficit Disorder in girls can present differently than in boys, so testing for ADHD in girls has become a specialty area for us. Of course, we are talking about tendencies, not absolutes, and many children show similar symptoms. But for reasons related to some societal influences, there is a tendency to overlook girls with ADHD. Thus, we have received many referrals from parents, therapists, and teachers who see someone having trouble achieving to her fullest, even though she’s not showing many of the typical symptoms. ADHD symptoms in girls are sometimes harder to recognize.
Girls with attention deficit disorder are often overlooked, and testing can help address that. ADHD symptoms in girls may present differently, and testing uncovers that. Feel free to schedule a consultation anytime, but first, here is an overview.
ADHD Symptoms in Girls
The specific ADHD symptoms in girls may be less overt. Traditionally, attention deficit disorder has been more commonly diagnosed in boys, and girls with ADHD may not always exhibit the hyperactivity and other external symptoms that are often associated with the disorder. Instead, they may display more internalized symptoms. Here are some common ADHD symptoms in girls:
- Quiet Inattentiveness: Girls with ADHD often show inattentive symptoms, such as difficulty sustaining attention, being easily distracted, and making careless mistakes. They may struggle with organization and time management, leading to difficulty completing tasks and assignments. We call it “quiet” inattentiveness because it may not be evident to the adults around them that they are actually not absorbing the information presented. Instead of displaying hyperactivity, they may engage in excessive daydreaming or internal thoughts, which may go unnoticed compared to the more outwardly visible behaviors seen in boys.
- Social Withdrawal: Girls with ADHD might experience social challenges, such as difficulty forming and maintaining friendships. They may be more prone to social withdrawal or be perceived as shy, making it less likely for others to recognize their ADHD.
- Emotional Sensitivity: Girls with attention deficit disorder may be more emotionally sensitive and prone to mood swings that may be unpredictable, even to them. They may struggle with regulating their emotions and may be more vulnerable to anxiety or depression. This may come from feeling misunderstood or not meeting expectations due to undiagnosed attention problems. Unrecognized ADHD symptoms in girls can contribute to low self-esteem and feelings of inadequacy, as they may perceive themselves as not meeting societal or academic expectations.
- Academic Underachievement: Academic struggles may be present, but the reasons for these difficulties may be unknown – while likely due to inattentiveness and organizational challenges, some adults may not see this because they know how bright she is.
- Coping Strategies: These undiagnosed children may develop coping strategies to mask their difficulties, making it harder for others to notice their struggles. Some may become perfectionists or overachievers, compensating for their challenges by putting in extra effort.
It’s essential to consider these differences in presentation. Diagnosis and intervention may be delayed due to the subtlety of symptoms and the tendency for girls to internalize their struggles. Psychological testing for girls can be an essential part of a comprehensive assessment, involving input from parents, teachers, and possibly the child. Early identification and appropriate support can help children thrive academically, socially, and emotionally.
Testing for ADHD in Girls Overview 
Testing for ADHD in girls involves a comprehensive assessment that considers various factors. It’s important to note again that generalities often prove untrue, as many present with more traditional symptoms, and plenty of boys present without externalizing symptoms. However, the fact is that this challenge tends to manifest differently in each gender, which can sometimes make diagnosis challenging. Here are some steps typically involved in the testing process that can reveal the nature of the diagnosis:
Testing for Attention Deficit Disorder in Girls: Clinical Evaluation
A thorough clinical evaluation involves gathering information about the child’s developmental history, medical history, and current symptoms from parents, teachers, and other relevant sources to comprehensively understand the child’s behavior in different settings.
Testing for ADHD in Girls: Diagnostic Criteria We Use
Our assessment is based on the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which provides guidelines for diagnosing. The disorder is categorized into three subtypes: predominantly inattentive presentation, predominantly hyperactive-impulsive presentation, and combined presentation. The genders may exhibit differences in symptoms, though not always.
Behavioral Observations for Symptoms of ADHD in Girls
We observe the child’s behavior in our office and may have parents and teachers fill out questionnaires covering different settings. The goal is to look for signs of a reduced attention span, increased impulsivity, or hyperactivity. Specific rating scales, such as the ADHD Rating Scale-5 or the Vanderbilt Assessment Scales, are commonly used.
Psychological Tests for Attention Deficit Disorder in Girls
We conduct three types of psychological tests for attention deficit disorder in girls. Neuropsychological tests assess cognitive functions, attention, and executive functioning; intelligence tests show specific patterns that may suggest the diagnosis and can help rule out other potential causes of attention difficulties; specific tests, such as those for anxiety, can also rule out other causes of the challenges.
Girls ADHD Testing Benefits
Testing for attention deficit disorder in girls can offer several benefits, as it may lead to a better understanding of their unique needs and challenges. Here are some of those potential benefits:
Girls ADHD Testing for Accurate Diagnoses
Testing can help provide a more accurate diagnosis. ADHD symptoms in girls can manifest differently, with more internalized symptoms, making it challenging to identify. Accurate diagnosis is crucial for appropriate intervention and support. It’s a perfect first step. With a confirmed diagnosis, healthcare professionals can develop tailored treatment plans that consider the specific needs and challenges of girls with ADHD. This may involve a combination of individual and family therapy to address attention and emotional regulation.
Testing for ADHD in Girls and Educational Accommodations
A formal diagnosis with specifics about how she is affected can enable children to receive educational accommodations in school. This may include modifications to the learning environment, extra time on tests, or other support measures to help them succeed academically despite the challenges posed by attention deficit disorder in girls.
Identifying attention deficit disorder in girls early allows for early intervention, which can have a positive impact on long-term outcomes. Interventions can help develop coping strategies, organizational skills, and effective ways to manage impulsivity and attention difficulties.
Psychological Support and Understanding
Knowing that attention deficit disorder is the underlying cause of certain difficulties can provide emotional relief and clarity. It can help them and their families understand that their struggles are not due to laziness or lack of effort but are related to a neurodevelopmental disorder that can be managed with appropriate support.
Symptoms can impact various aspects of their life, including social interactions. A diagnosis can help our client and her family educate peers, teachers, and friends about their challenges, fostering a more supportive and understanding social environment. Knowing that there is a neurological basis for their challenges can help girls with ADHD develop a more positive self-image. It can reduce feelings of frustration and self-blame and encourage a mindset focused on finding effective strategies for success.
Parental Guidance Through Testing for ADHD in Girls
After testing for ADHD in girls, parents can receive guidance on how to support their daughters effectively. Understanding the unique challenges that girls with ADHD may face can empower parents to create a supportive home environment and implement strategies that cater to their needs.
Attention Deficit Disorder in Girls: Our Work
It’s important to consider that ADHD is a clinical diagnosis, and there is no single definitive test for it. The ADHD assessment process aims to rule out other potential causes of symptoms and provide a comprehensive understanding of functioning. Children with ADHD, especially those with predominantly inattentive symptoms, may be underdiagnosed or diagnosed later than boys, so we do consider gender differences in the presentation of attention deficit disorder.
Managing ADHD Symptoms in Girls
Our psychological testing report will cover ways to manage ADHD symptoms in girls, including specifics regarding:
- Educational Support: Attention deficit disorder in girls can lead to accommodations and support in the educational setting. This could include extra time on tests, preferential seating, or assistive technology.
- Therapy: Cognitive-behavioral therapy (CBT) can be particularly helpful for attention deficit disorder in girls. It can teach them strategies for managing symptoms, improving organization and time management skills, and addressing any co-existing conditions like anxiety or depression.
- Structured Routines: Establishing consistent routines at home and school can help girls with attention deficit disorder manage their symptoms more effectively. This includes regular bedtime and wake-up times, designated study periods, and clear expectations for chores and responsibilities.
- Mindfulness and Relaxation Techniques: Teaching girls with ADHD relaxation techniques such as deep breathing, meditation, or yoga can help them manage stress and improve focus.
- Parental Support and Education: Parents play a crucial role in supporting girls with attention deficit disorder. Educate yourself about the condition, seek support from other parents or support groups, and advocate for your child’s needs within the school and healthcare systems.
Testing for ADHD in Girls Case Example
Here’s a fictitious case example illustrating the process we use for testing for an attention deficit disorder in girls:
Case Example: Sarah, Age 12
Initial Concerns
- Teacher’s Observation: Sarah’s 6th-grade teacher noticed she often daydreams during class and struggles to complete assignments on time. She frequently forgets homework, even when she’s written it down. She is otherwise very cooperative and motivated to learn. It just seems as though her work is not matching her potential.
- Parent’s Observation: At home, Sarah is highly disorganized, frequently loses items, and becomes overwhelmed by multi-step tasks like cleaning her room. Her parents are frustrated but also notice she’s very creative and excels at drawing.
Step 1: Initial Consultation
- Pediatrician Visit:
- The pediatrician reviews Sarah’s developmental history and listens to concerns from both parents and teachers.
- Sarah reports feeling “stupid” because she can’t keep up with others and is easily distracted in noisy environments.
- The doctor recommends an ADHD evaluation and refers her to us.
Step 2: Testing for ADHD in Girls Behavioral Assessment
- Questionnaires:
- Parents and teachers complete the Vanderbilt ADHD Diagnostic Rating Scale, the Behavioral Assessment Scale for Children, and a specific ADHD rating scale
- Results show high scores for inattentiveness (e.g., forgetting details, losing focus) but lower scores for hyperactive/impulsive behaviors.
Step 3: Clinical Interview
- Child Interview:
- Sarah explains that she has trouble finishing projects because she forgets her ideas halfway through. She also feels anxious about group work because she fears she’ll “mess it up.”
- Parent Interview:
- Parents mention that Sarah often procrastinates, becomes emotional under pressure, and feels easily overwhelmed by school demands.
- They also note that Sarah is very sensitive to criticism.
Step 4: Neuropsychological Testing for ADHD Symptoms in Girls
- We administer:
- Cognitive tests to assess attention span, working memory, and executive functioning. This includes the WISC Test and the Behavior Rating Inventory of Executive Function.
- A computerized Conners Continuous Performance Test (CPT) measures Sarah’s ability to sustain attention and inhibit impulsive responses.
- Results:
- Sarah struggles with sustained attention and has significant deficits in working memory, similar to many girls with adhd. She performs well in creative problem-solving tasks.
Step 5: Diagnosis
- We conclude that Sarah meets the criteria for ADHD, Predominantly Inattentive Type.
- Coexisting anxiety is noted, likely stemming from years of frustration and feelings of inadequacy.
Step 6: Recommendations
Our testing report makes the following suggestions
- Treatment Plan:
- School Accommodations:
- Extended time on tests.
- A structured daily planner for assignments.
- Preferential seating in the classroom.
- Therapeutic Support:
- Cognitive-behavioral therapy (CBT) to address anxiety and develop coping strategies.
- Parent coaching sessions to learn how to support Sarah without overwhelming her.
- Ideas for Enrichment
- We suggest certain activities that will tap into the advantages that girls with ADHD often have.
- We ensure that she can overcome any symptoms that interfere with extracurricular pursuits.
- School Accommodations:
Testing for ADHD in Girls Outcome
Six months later, Sarah has an Individualized Education Plan (IEP) at school, attends weekly therapy sessions, and feels more confident in her abilities. Her teacher reports significant improvement in her engagement and ability to complete tasks.
Summary and Our Work
Our reports tailor interventions to the specific symptoms of ADHD in girls that we find and the specific needs and strengths of our clients. We take a positive approach, ensuring we cover some of the advantages of ADHD. ADHD symptoms in girls can be overcome once they are accurately identified and described.
Please feel free to contact us or schedule a consultation to talk about how testing for ADHD in girls could benefit your daughter or student. We can provide a variety of services, including testing for extended time on the SAT, school accommodations, 504 plans, and general testing to help them reach their full potential and take advantage of the benefits reported by many girls with ADHD.
