AuDHD Women: The Pattern Most Practitioners Miss
The clinical picture has changed, but most training hasn't caught up.
Many practitioners are trained in conventional ADHD and autism training that fails to recognise and meet AuDHD women where it matters.
This 2-hour masterclass helps practitioners ask the right questions to identify root causes, enabling them to devise appropriate support for high-masking, articulate, academically successful, or professionally competent women in midlife and during large hormonal transitions.
You've Felt it in the Room.
The Model Doesn't Adequately See & Support Her
Sitting across from you in your practice is a woman who is intelligent, insightful, self-aware.
Yet she isn't being seen where it truly matters.
She may be presenting too well - articulate, self-aware, emotionally intelligent, motivated. She's well-researched, shows up, and engages.
And she's still not feeling heard.
Because the frameworks being used to understand her were never built for her.
She cycles between overfunctioning and collapse. Burnout keeps returning, after medication, therapy, and coaching. Hormonal shifts seem to amplify everything.
She looks capable while privately struggling. She masks so well and is routinely misread by systems, families, and sometimes, themselves.
If you've ever left a session thinking something doesn't add up, you were right.
You were missing a framework that accounts for what you were actually seeing.
This is the systemic gap that this masterclass was built to close.
Here's What Conventional Training Never Told You:
AuDHD women are not presenting the way that conventional diagnostic criteria, therapy qualifications and coaching modules can recognise.
They were written on male-dominant research populations, in an era before we understood masking, the interaction between hormones and neurobiology. Before we understood that her ability to help everyone but herself can be a camouflage, and is the very reason that lands her in your practice.
Without knowing this, practitioners risk devising treatments, therapeutic and coaching approaches that don't begin to touch the root causes.
Many practitioners are trained to support people in a different timeline than the population they are now treating.
And the population has changed faster than the training has.
Dr Samantha Hiew developed the TOTI (Tip of the Iceberg) framework from lived-experience research and interdisciplinary science - because she lived this, researched this, and then built the clinical architecture to bridge the gap between what women are experiencing and what practitioners are equipped to see.
And this is what we're teaching in this Masterclass.
The Pattern Most Practitioners Miss About AuDHD Women
A 2‑hour advanced insight masterclass to recognise how AuDHD presents in women and decode hormones and neurobiology, and begin to apply the TOTI lens in practice.
£397 | Lifetime Replay | Practitioner Guidebook Included
This masterclass exists because the current model has a blind spot, which misses women who do not present in obvious distress.
They are the ones who present so competently that their suffering goes undetected - until burnout, hormonal crisis, relationship breakdown, or physical illness makes it impossible to ignore.
By then, they've often accumulated misdiagnoses, unhelpful interventions, and a deep, settled belief that they are the problem.
The Questions Most Practitioners Were Never Taught to Ask
Most training doesn't begin to touch context, systems, nervous system physiology, and interactions between hormones and neurobiology.
These are some of the questions we ask via the TOTI lens:
- Is this burnout, or years of adaptation finally reaching its limits?
- Is this treatment resistance, or a nervous system trying to communicate something important?
- Is this anxiety, or chronic masking?
- Is this hormonal change, trauma activation, autistic overwhelm, ADHD dysregulation - or all of them interacting at once?
- What happens when we stop treating these experiences as separate problems?
This masterclass helps practitioners ask insightful questions, recognise hidden patterns, and develop a more integrated understanding of AuDHD women.
You'll Learn to Integrate Complexity in this Masterclass
In two hours, you'll get a clean, integrated lens for complexity.
Instead of another diagnostic tool, it is a way of seeing that transforms your practice.
We'll cover:
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Why emotionally intelligent, high-functioning women are the most likely to be missed - and the most likely to be harmed by that invisibility
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Why medication and therapy produce inconsistent results when the hormonal and neuroendocrine context is ignored
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Treatment resistance and scenarios that may contribute to this
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How the TOTI lens reveals the hidden layers beneath surface presentation: nervous system, hormones, identity, trauma, relationships, environment
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What to change first - practically, immediately, and in a way that is nervous-system informed
You'll receive:
The AuDHD Women Practitioner Clinical Thinking Guide - Dr Hiew's clinical thinking guide, built from lived-experience data and interdisciplinary research and the foundational concepts of the TOTI lens. We include the TOTI Practitioner Reflection Checklist to support trauma-informed, neuroaffirming, whole-system understanding of AuDHD women.
Full application, case formulation, integration, and supervision are included in the Advanced AuDHD Women's Practitioner Certification.
What Will Change after this Masterclass
For Practitioners
You'll be able to:
- Recognise when burnout is hidden beneath competence
- Ask better questions around hormones, nervous system adaptation, masking, and chronic survival
- Understand why some women appear "treatment resistant" when the real issue lies elsewhere
- See behavioural patterns in context rather than isolation
- Approach complex presentations with greater confidence and less uncertainty
- Begin applying a whole-system lens to formulation and support
You'll leave with a more integrated way of understanding the women who often challenge conventional explanations.
Meet Your Trainer: Dr. Samantha Hiew
Named a Difference Maker by PBS America and Positive Role Model for Gender by the National Diversity Awards, Dr Samantha Hiew is a keynote speaker, lived experience researcher, and founder of ADHD Girls—a social impact platform transforming how society understands and supports neurodivergent women and underrepresented communities.
After being diagnosed with ADHD and autism in her 40s following years of feeling unseen within traditional systems, Samantha began asking a deeper question:
What happens when the frameworks themselves were never designed to fully recognise the lived realities of neurodivergent women?
That question became the foundation for her work.
Blending scientific training with lived-experience research, Samantha developed the original TOTI framework — integrating neuroscience, hormones, trauma, masking, nervous system science, identity, emotional labour, and relational adaptation into a more complete understanding of AuDHD women.
Her work bridges the gap between research, clinical understanding, and the realities many neurodivergent women are actually living.
Sam has spoken to over 100,000 people, trained more than 100 FTSE companies, and led the UK’s first large-scale event spotlighting the lives of AuDHD women and the diagnostic gaps they continue to face.
With a PhD in cancer research and a background in science communication, Samantha is known for translating complex interdisciplinary research into language, frameworks, and conversations that create both intellectual clarity and emotional recognition.
Her debut book, Tip of the ADHD Iceberg, supports late-diagnosed neurodivergent individuals in understanding themselves beyond stereotypes, deficit-based narratives, and fragmented models of care.
Through this programme, Samantha brings together scientific rigour, systems thinking, and deeply human insight to help practitioners better recognise, understand, and support the complexity of AuDHD women’s experiences.
Who this is For
Over the years, practitioners have repeatedly approached Dr Sam Hiew, saying:
"I'm seeing these women. I know something is being missed. But I just don't know how to explain what I'm seeing or what to suggest to take them closer to moving forward."
This masterclass was created for these practitioners.
Therapists, Psychologists, Psychiatrists. Counsellors, Coaches, Occupational therapists, Educators, Neurodiversity practitioners, ADHD, autistic, AuDHD, and Neurodiversity professionals who support others and who recognise themselves in everything written above.
Featured In: Science & Stories of AuDHD Women
Frequently Asked Questions
What is the learning path with ADHD Girls?
What does the investment of £397 cover?
Why should I join this Masterclass?
Top 10 Missed Signs of AuDHD Women.
Too many go unseen. This checklist shows why!
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