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The Invisible Puzzle: Why So Many Women in St. Louis Go Undiagnosed as Neurodivergent

  • Melissa Koch
  • Nov 3
  • 2 min read

For many women, the path to self-understanding feels less like a straight line and more like a winding maze. You may have heard terms like ADHD, autism, or giftedness and thought, “That sounds a little like me… but not exactly.” If that feels familiar, you’re not alone.


The Gender Gap in Diagnosis


Research consistently shows that boys are more likely to be identified as neurodivergent in childhood, while girls often slip through the cracks. Why?

    •    Masking and mirroring: Many girls learn to hide their struggles by copying peers’ social cues.

    •    Different symptom expression: While hyperactivity in boys may be obvious, a girl with ADHD might be quietly daydreaming or struggling with organization.

    •    Bias in diagnostic criteria: Much of the early research and assessment tools were designed around how traits present in boys.


This leaves countless women reaching adulthood feeling “different,” “too much,” or even “broken,” without knowing why.


The Cost of Being Undiagnosed


When women spend decades misunderstanding their brains, it can take a toll:

    •    Anxiety, depression, or burnout become chronic companions.

    •    Careers and relationships feel harder to manage than they “should.”

    •    A lingering sense of “Why can’t I just get it together?” shadows everyday life.


The truth? Nothing is wrong with you—you’ve just been playing a game without the rulebook.

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The Relief of Recognition


For many women, receiving a diagnosis (or even self-identifying as neurodivergent) is life-changing. Suddenly, there’s a name for the struggles and also a framework for the strengths: creativity, deep empathy, persistence, problem-solving.


It’s not about labels for the sake of labels. It’s about finding language that helps you:

    •    Ask for support.

    •    Release self-blame.

    •    Reconnect with your authentic self.


Moving Toward Wholeness


Whether you pursue a formal evaluation or simply begin exploring neurodivergent resources, the process of self-discovery can be profoundly healing. You get to rewrite your story,

not as someone who’s “too much” or “not enough,” but as someone whose brain simply works differently.


And different doesn’t mean broken. It means beautiful, complex, and worth celebrating.



If you're a woman in the St. Louis area navigating questions about ADHD, autism, or giftedness, I'd love to support you. You don't have to untangle this alone.

 
 
 

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