Recognising ADHD in Girls

A girl can do reasonably well in school and still find the school day very difficult.

She may rarely interrupt, remain seated and try hard to please adults, while struggling to follow instructions or keep track of what she needs to do. When difficulties are less disruptive, they can be less likely to attract attention.

ADHD is recognised less often in girls than boys. Inattentive difficulties may be more prominent in some girls, although girls can also experience significant hyperactivity and impulsivity. There is no single female presentation, and assuming that all girls with ADHD are quiet can create another barrier to recognition.

For some, the difficulties become apparent through everyday patterns. Homework may take much longer than expected. Books or belongings may repeatedly go missing. A child may understand the lesson but forget the instructions by the time she begins. She may need frequent reassurance because she is unsure whether she has followed everything correctly.

Adults can sometimes interpret these experiences as carelessness, shyness or a lack of confidence. Those descriptions tell us what it looks like, but not why it is happening. It is helpful to ask about the effort involved. A child who completes her work only with extensive reminders is having a different experience from one who manages the same task independently.

The child's own account matters. A gentle question such as, 'Which part of the day feels hardest?' may reveal more than asking whether school was good. Some children find it easier to describe a particular lesson, a rushed morning or the feeling of not knowing where to start. Others need time before they can explain their experience.

Parents and teachers can compare concrete observations without expecting behaviour to look identical at home and school. How much prompting is needed? What happens when instructions contain several steps? Is the child managing independently, or is an adult quietly organising everything around her? Gathering these details helps create a fuller picture.

These signs are not specific to ADHD and can have other explanations, including anxiety or learning difficulties. When a persistent pattern affects everyday life, an appropriate assessment can clarify what is contributing. Early understanding can reduce the risk of a young person concluding that she is simply not trying hard enough, and allow support to reflect what she actually needs.

Elaine Kelly

A girl with her pencil poised over an open exercise book glances at a classmate’s work to see what to do next.