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Using a collaborative autoethnographic approach, this study examines the diagnosis journeys of a mother and daughter, both with ADHD. We focus on critical incidents in the daughter\u2019s ADHD\/dyslexia diagnosis journey over a decade, spanning childhood to adulthood and two health systems: England and Aotearoa New Zealand. Findings reveal how limited understanding of ADHD in girls\/women, combined with co-occurring conditions, contributed to repeated missed or misdiagnoses by teachers, education psychologists, psychiatrists, paediatricians and general practitioners. A network of professionals across health and education settings acted as gatekeepers, often unintentionally hindering access to support. Moreover, the experiential knowledge of both women was frequently sidelined, perpetuating epistemic injustice. We discuss implications for policy and practice and highlight the value of lived experience in addressing systemic barriers to ADHD diagnosis, recognition and understanding for women and girls.<\/jats:p>","DOI":"10.1136\/medhum-2025-013423","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:20:18Z","timestamp":1773249618000},"page":"medhum-2025-013423","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Women\u2019s and girls\u2019 ADHD diagnosis journeys: a mother-daughter autoethnography"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6465-3199","authenticated-orcid":false,"given":"Belinda","family":"Wheaton","sequence":"first","affiliation":[{"name":"School of Psychological and Social Sciences, The University of Waikato, Hamilton, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Poppy","family":"Holland","sequence":"additional","affiliation":[{"name":"School of Psychological and Social Sciences, The University of Waikato, Hamilton, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"2026031110201305000_medhum-2025-013423v1.1","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2021.649399","article-title":"Failure of Healthcare Provision for Attention-Deficit\/Hyperactivity Disorder in the United Kingdom: A Consensus Statement","volume":"12","author":"Young","year":"2021","journal-title":"Front Psychiatry"},{"key":"2026031110201305000_medhum-2025-013423v1.2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2024.199"},{"key":"2026031110201305000_medhum-2025-013423v1.3","doi-asserted-by":"crossref","DOI":"10.1186\/s13052-023-01456-1","article-title":"The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis","volume":"49","author":"Salari","year":"2023","journal-title":"Ital J Pediatr"},{"key":"2026031110201305000_medhum-2025-013423v1.4","unstructured":"Morris S , Hill S , Brugha T , et al . 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