According to a new survey released today, nearly 50% of mothers of tween girls who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD) reported that they had first attributed their daughters’ behavior to “normal” adolescent struggles, and 59% reported that they initially hesitated to seek help from a doctor for their daughter.

These findings are part of a nationally representative, multi-arm survey examining awareness, perceptions and attitudes about ADHD among mothers of tween girls ages eight to fourteen, as well as teachers and physicians. The survey, conducted online in July 2014, was designed by Edelman Berland and fielded by Harris Interactive, a Nielsen company, on behalf of Shire Pharmaceuticals.

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