Unveiling Hidden Truths: The Late Diagnosis of ADHD and Autism in Women

Brisbane Redefining Ageing 2025 Team

"A late diagnosis of ADHD or autism can be both a revelation and a catalyst for self-discovery. It's a turning point where challenges find their roots, and newfound understanding paves the way for healing, growth, and empowerment." 

For many women, receiving an ADHD or autism diagnosis later in life is a game-changer. In a recent event, Thriving Through Midlife - the mental health issue, Angela Raspass and other experts discussed the challenges women face when it comes to their mental well-being. This conversation shed light on the difficulties that arise when ADHD and autism go undiagnosed for years.

A friend of mine received her ADHD diagnosis at 57, having spent most of her life struggling to conform to societal norms without understanding why it felt so challenging. Her story is not uncommon. Many women learn to mask their symptoms, sometimes unknowingly, as they navigate through life and societal expectations.

Living with undiagnosed ADHD or autism can have adverse effects on a woman's mental health and self-esteem, leading to anxiety, depression, or other co-existing conditions. The constant effort to fit into societal norms can affect one's confidence, leading to isolation and feeling misunderstood.

On the other hand, receiving a diagnosis later in life can also have positive effects. It clarifies and explains why certain tasks and situations have been more challenging. With a diagnosis comes the opportunity to develop better coping strategies and access support from professionals or communities with similar experiences.

Additionally, menopause can trigger ADHD and autism symptoms, prompting many women to seek help and ultimately receive a diagnosis. As a therapist, I have witnessed the relief and empowerment of identifying the root cause of these challenges.

While a late diagnosis of ADHD or autism can be life-altering, it is essential to acknowledge and address the struggles women face when left undiagnosed. With increased awareness, improved diagnostic tools, and open conversations, we can get the proper support navigating our mental health journey.

ADHD (Attention Deficit Hyperactivity Disorder) and Autism Spectrum Disorder (ASD) can often be overlooked or misdiagnosed in women due to differences in symptom presentation compared to men.

Here are some signs that a woman might have undiagnosed ADHD or autism:

Undiagnosed ADHD

1. Difficulty with organisation and time management, leading to missed deadlines and struggles with prioritising tasks.

2. Frequent changes in interests or hobbies, often shifting from one activity to another without completing any.

3. Intense mood swings, irritability, or impulsivity characterise emotional dysregulation.

4. Difficulties with concentration, easily distracted, and trouble following through with tasks.

5. Relationship challenges include interrupting others during conversation or being perceived as "too intense" or "unreliable."

Undiagnosed Autism

1. Social interaction challenges include difficulty understanding social cues, making friends, and maintaining relationships.

2. Sensory sensitivities, such as an aversion to loud noises, strong smells, or certain textures, can lead to feelings of anxiety or discomfort.

3. Difficulties with change, preferring predictable routines and becoming overwhelmed in unfamiliar situations.

4. Intense interests or fixations, often focused on a specific subject or activity.

5. Communication differences, including literal interpretation of language, difficulty expressing needs or emotions, and challenges with nonverbal communication.

It's essential to note that these signs may not necessarily indicate ADHD or autism and could be attributed to other conditions. A proper diagnosis should be made by a mental health professional who can consider your unique experiences and traits.