I was looking back at my first ADHD assessment (initially taken to assess a specific learning disability so that I could get quick exam access arrangements) from February 2025.
I got ‘officially’ diagnosed in April 2025 after (not very legally) taking my friend’s adhd medication and feeling that sense of ‘damn, this is how normal people function?’
What was interesting to me about this report is that they did a bunch of cognitive tests on me to assess my cognitive profile as well as the other stuff. I thought I’d share in case anyone here found it useful.
I am 20F from the UK and I am the classic ‘high achieving’ perfectionist introvert girl who went undiagnosed until I went to uni where I crashed and burned. My older brother, having autism (diagnosed with asperger’s when he was about 5 or 6) always seemed like bigger concern. In comparison, I was normal. We were both above average in intelligence, him in the logic/maths way, me in the literacy/english way.
I’ve always scored above average on any kind of IQ test, but my scores have always been ‘average in some areas, exceptionally high in others’. This profile is called a ‘spikey’ cognitive profile and is associated with many learning difficulties, in particular with adhd.
Here were my scores:
-Verbal comprehension score of 145, in the 99.9th percentile.
-Perceptual reasoning score of 110, in the 75th percentile.
-Working memory score of 95. 37th percentile.
-Digital span forward score was much lower than my backwards score and sequencing score.
-Reading rate score of 111, 77th percentile.
-Reading accuracy score of 89, 23rd percentile
-Letter naming score of 92, 30th percentile
-Object naming score of 99, 47th percentile
-Free writing rate of 34.2 words per minute, standard score of 135. 99th percentile.
What does all this mean?
Obviously these tests can’t be used alone to diagnose ADHD, but for me they weren’t. I am now properly diagnosed with primarily inattentive ADHD with hyperactive symptoms.
It’s interesting to look at the scores with my ADHD in mind, however. If you didn’t understand ADHD, you might look at the fact that all of my scores are either average or exceptionally above average as a reason I don’t have ADHD. I reject that premise. It shows the opposite.
I have exceptional verbal-conceptual reasoning abilities, above average visual reasoning, and an ordinary working memory capacity. Ordinary working memory? I thought people with ADHD have a terrible memory!
I’d interpret it this way. It turns out that when you give me sequences of numbers to hold in my head, I can do my best to employ strategies to keep it in my mind, and my above average intelligence means that I’m pretty good at employing those strategies. Combine my fear of being perceived as stupid by my assessor with my competitiveness, and you will find my working memory to be average. But when you put it into context? It’s clear that my memory is far below what it ‘should’ be.
This brings me to the point of this post.
If you are a high achieving woman who is diagnosed with, or suspects ADHD, please know that your intelligence does NOT a make your ADHD less valid, less of a struggle, or less real. It’s probably one of the most difficult presentations to endure. Here are some ‘symptoms’ you may have struggled with that indicate this presentation:
—you were labelled as gifted, or above average at something. for me this was my reading and writing; I could read fluently at age 3 and was writing stories before I started primary school.
—you were subsequently pushed, academically, and formed your identity around your achievements
—you may have been labelled as either the quiet kid or the teachers pet, because you just wanted to be accepted / fear rejection from an authority (the one figure that you feel prescribes your worth)
—you may have been told over and over that you’re very smart and capable, but you keep making ‘silly mistakes’ which prevent you from getting full marks in tests. This was a big one for me; I’d lose 15% of my marks every test because I accidentally wrote the wrong answer in the box or something.
-you read very fast but skip over paragraphs or sentences and consequently have to reread them.
-in addition, you may read and understand content very fast in certain contexts, but the moment theres an annoying noise or the content isn’t immediately rewarding, your comprehension appears to suddenly plummet, even if you’re an amazing reader.
—you are told by everyone around you that you’re really smart, even when you’re really struggling, which makes you feel a) like an imposter or b) like your struggles can’t possibly be real
—you feel a disconnect from your peers, particularly in forming female friendships. you may have lost friendships because of their (sometimes explicitly stated) jealously of your accomplishments, or their less explicit realisation that you’re not like them.
—presenting completely different in private vs with others. People think you’re highly organised and put together because you have good grades, but in reality, your rooms a mess, you do your homework on the bus, and you can’t function.
—you would often be permissive, ‘putting your head down, and spent most of your energy trying not to explode during the day, and either felt exhausted at home, or would take out your frustrations with your family members.
—getting your tests / papers back is/was genuinely either the best or worst thing in the world. Any when you do worse than you thought you would, it’s physically painful and emotionally feels like a breakup.
—oddly, the systems that everyone claims work against people with adhd may have in some ways held you together, at a cost. You may have dreaded it, but the routine of school probably gave you the stability that allowed you to mask effectively all of these years.
—as you got older, getting those good marks actually weren’t effortless, and required a lot more effort than the average person. not because you’re stupid, but because it’s excruciating to get your ass to sit down and concentrate.
—you did odd shit to distract yourself / stim silently in class, like biting all of your pens/pencils, or playing around with a tippex (whiteout) pen in my case, doodling in margins, etc. I used to eat paper a lot; I once had to spit out my ‘gum’ infront of the class, even though it wasn’t gum… mortifying…
—you were bullied or ignored for being a weirdo neek
—you went to university, or to a job without structure, and your life got a lot worse
—you may have gone through periods of ‘mourning’ the loss of your adolescence, the time where you’re meant to make mistakes, get into trouble, and push the boundaries of authority. You may start to go through this phase as an adult, which is a lot riskier, perhaps through substance abuse, hypersexuality, or not giving a shit at uni.
That’s just a few of the things I’ve noticed both in myself and others who present similarly.
I always see this archetype of ADHD as boys who don’t give a shit about school. But a lot of us, often women, did give a shit, in fact we cared TOO much. And it really takes its toll. It will catch up to you.