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How Do Executive Functioning Deficits Affect Daily Life for Women With ADHD?

Christina Marsack-Topolewski, PhD, MSW, LMSW

November 14, 2025

Question

How do executive functioning deficits affect daily life for women with ADHD?

Answer

Executive functioning deficits in women with ADHD can significantly disrupt their ability to manage daily tasks that require planning, organization, and problem-solving. Activities that involve multiple steps, such as planning a trip or coordinating family logistics, can become overwhelming due to difficulties with sequential thinking, prioritization, and maintaining focus. These challenges often lead to both visible struggles, such as missed deadlines and disorganization, and invisible ones, including low self-esteem and social isolation. Understanding the specific executive functioning deficits a woman with ADHD experiences is crucial for designing effective interventions. By identifying these areas, strategies and coping mechanisms can be tailored to support her cognitive processes, enabling her to navigate daily demands more successfully and improve her quality of life. Additionally, recognizing and leveraging her strengths, such as creativity and quick thinking, can further enhance her functioning, especially in professional environments.

 

This Ask the Expert is an edited excerpt from the course, 'ADHD and Women: Ethical and Practice Implications for Clinical Providers,' presented by Christina Marsack-Topolewski, PhD, MSW, LMSW.


christina marsack topolewski

Christina Marsack-Topolewski, PhD, MSW, LMSW

Dr. Christina Marsack-Topolewski is an associate professor of Social Work in the College of Health and Human Services at Eastern Michigan University. She received a bachelor of science in Special Education from Wayne State University, specializing in Cognitive Impairments. She trained under a specialized fellowship at the University of Michigan, receiving her master’s in Social Work and specializing in aging from the University of Michigan. Dr. Marsack-Topolewski received her PhD in Social Work with a dual title in Gerontology from Wayne State University. She has worked with individuals with various intellectual and developmental disabilities for over 20 years. Her research focuses on individuals with IDDs, their caregivers, advance care planning, service delivery, and service utilization. She has over 80 publications in national and international journals, mainly focusing on individuals with IDDs, advance care planning, caregiving, and aging. In addition, she has presented her work locally, nationally, and internationally. Dr. Marsack-Topolewski has led multiple grant-funded programs tailoring services to individuals with IDDs, older adults, and chronic illnesses. In 2019, she was appointed to the National Task Group on Intellectual Disability and Dementia Practices. She serves as both a board member and co-chair of Membership Affairs. Over the past three years, she has provided testimony at the state level (Michigan) to advocate for two house bills that would provide protections against exploitation for vulnerable adults, such as individuals with IDDs.


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