Are College-Aged Women More Likely to Be Misdiagnosed with Depression When They Meet Criteria for Inattentive ADHD?

Presenter: Leila A. Marie

Faculty Sponsor: Kara Roche

School: Mount Wachusett Community College

Research Area: Psychology and Behavioral Sciences

Session: Poster Session 2, 11:30 AM - 12:15 PM, Auditorium, A58

ABSTRACT

Attention-Deficit/Hyperactivity Disorder (ADHD) has historically been conceptualized as a disorder primarily affecting hyperactive young boys, shaping diagnostic criteria around male-presenting symptoms. As a result, women (specifically those with predominantly inattentive ADHD) are frequently underdiagnosed or misdiagnosed. My research explores whether college aged women who meet criteria for inattentive ADHD are more likely to receive an initial diagnosis of depression instead.

Recent research highlights that women often present with internalized symptoms such as inattention, emotional dysregulation, and executive dysfunction, rather than overt hyperactivity (Attoe & Climie, 2023; Quinn & Madhoo, 2014). Because these symptoms can overlap with mood disorders, clinicians may interpret chronic overwhelm, low motivation, and academic struggles as depression rather than ADHD. Additionally, studies suggest that women are more likely to experience relating conditions such as anxiety and depression, further complicating accurate diagnosis (Kear, 2024). Longstanding gender myths and early male centered research have contributed to systemic diagnostic bias (CHADD; Ross, 2018).

This project synthesizes current literature to examine patterns of delayed ADHD diagnosis and mood disorder misclassification in women. The findings suggest that diagnostic frameworks may inadequately account for gender differences in symptom presentation, leading to potential misdiagnosis during critical developmental periods such as college. Increased clinician awareness and gender sensitive diagnostic assessment may improve early identification and treatment outcomes.

This research contributes to ongoing conversations about gender bias in mental health diagnosis and highlights the importance of equitable screening practices for emerging adult women.

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