What is the hidden cost for girls and women of masking their ADHD and appearing to be “fine”?
In this episode of the All Aboard ADHD podcast, Claire is joined by Ana-Maria Butura, a research associate at King’s College London who has led the most comprehensive qualitative study on ADHD masking to date.
For many girls and women, an ADHD diagnosis doesn't come until adulthood, not because the traits didn't exist, but because they were hidden behind a carefully constructed "mask."
Together, Claire and Ana-Maria pull back the curtain on what’s really going on for women and girls who appear to be "coping" while struggling deeply beneath the surface.
They discuss:
⚡ What masking is and why we mask. Masking is not just something we do consciously, but can also develop as a complex survival strategy where we learn to suppress, or compensate for ADHD traits, to meet social expectations.
🧠 Why girls can often present as calm, organised, or high-achieving on the outside, while experiencing a chaotic "volcano" of thoughts and sensory overload on the inside.
🎭 The difference between masking in ADHD vs autism. Where autistic masking is driven more by camouflaging and trying to "blend in" socially, whilst ADHD masking is driven more by feeling the need to hide executive functioning gaps and hyperactivity.
💥Why what we see as parents can differ from what teachers see at school, with girls learning to ‘perform’ carefully at school to avoid punishment, which can lead to emotional explosions at home.
📉 How the ability to mask often leads to girls being overlooked by teachers and doctors, or being misdiagnosed with anxiety or depression because the "typical" ADHD hyperactivity traits aren’t as visible.
🥀 The devastating cost of long-term masking, including chronic exhaustion, burnout, loss of identity, and the feeling that "if people liked the mask, they wouldn't like the real me."
🗣️The action we can take to better support our ADHD girls, including listening to their self-reports, continuing to advocate for their needs in school, plus how to provide as many outlets as possible for their pent-up energy.
🤝 How we can move towards authenticity creating "neuro-inclusive" safe spaces where women and girls feel safe to drop the mask, plus why communication and openness are the only ways to build a supportive "village".
Whether you are a woman who has recently discovered your own ADHD, or a parent wondering why your daughter seems "fine" at school but collapses at home, this episode offers a profound and validating look at the hidden struggle of the female ADHD experience.
Further resources and links:
Follow Ana on Instagram: @unmaskingADHD
ADHD coaching and resources from Claire: https://allaboardadhd.com
Follow Claire on Instagram & TikTok: @allaboardADHD
The views shared in this episode are those of the guest, based on their professional expertise and personal experience. This content is for informational purposes only and is not a substitute for professional medical, educational, or psychological advice. Please consult a qualified professional for personalised support relevant to your individual circumstances.