ADHD and the Menopause

For many women, menopause brings a host of physical and emotional changes—hot flashes, mood swings, and sleep disturbances, to name a few. But for women with Attention Deficit Hyperactivity Disorder (ADHD), the transition through menopause can be especially challenging. Hormonal changes during this life stage can exacerbate ADHD symptoms, affect mental well-being, and complicate diagnosis and treatment.

In this blog, we explore the link between ADHD and menopause, why it often goes unrecognised, and how women can seek effective support and treatment.

Understanding ADHD in Women

ADHD is a neurodevelopmental condition that affects attention, impulsivity, and executive functioning. While it has historically been seen as a childhood disorder—primarily in boys—ADHD affects millions of women too, often with different presentations such as inattentiveness, disorganisation, emotional sensitivity, and internalised anxiety.

Many women are only diagnosed later in life, often after their children receive a diagnosis or during major hormonal transitions like pregnancy or menopause when their symptoms become more pronounced.

What is Menopause?

Menopause marks the end of a woman’s reproductive years, typically occurring between the ages of 45 and 55. It’s characterised by a significant drop in estrogen and progesterone, hormones that play vital roles not just in reproduction but also in mood regulation, cognitive function, and memory.

How Menopause Affects ADHD

Estrogen and Cognitive Function

Estrogen is closely tied to the brain’s production and regulation of dopamine and serotonin—key neurotransmitters involved in ADHD. As estrogen levels drop, so too can dopamine activity, worsening common ADHD symptoms like:

• Poor concentration

• Forgetfulness

• Mental fog ("brain fog")

• Emotional dysregulation

• Sleep problems

Increased Sensitivity to Stress

The hormonal changes of menopause can heighten stress reactivity, a common struggle for people with ADHD. This can increase emotional overwhelm, irritability, and difficulty managing day-to-day responsibilities.

Overlap with Menopausal Symptoms

Many menopause symptoms overlap with ADHD symptoms, including:

• Sleep disturbances

• Memory issues

• Mood swings

• Fatigue

This makes it difficult for women—and even healthcare professionals—to distinguish what’s menopause, what’s ADHD, and what’s both.

Challenges with Diagnosis and Recognition

Late Diagnoses

Many women reach perimenopause or menopause without knowing they have ADHD. It’s not uncommon for ADHD to be missed in childhood, especially in girls who may not display hyperactivity. During menopause, when symptoms worsen or become more disruptive, women may finally seek help—only to be misdiagnosed with anxiety or depression.

Misattributed Symptoms

Cognitive complaints during menopause are often attributed solely to hormonal changes, leaving ADHD untreated. Without proper diagnosis, women may struggle silently, believing their challenges are due to aging or personal failure.

Impact on Daily Life

The combination of ADHD and menopause can significantly affect a woman’s:

• Career: Difficulty focusing, memory lapses, or missing deadlines

• Relationships: Emotional reactivity or inattentiveness can strain connections

• Self-esteem: Feeling “scattered” or “not good enough” can lead to shame and burnout

• Mental health: The risk of anxiety and depression increases when ADHD is unmanaged

  
  

Support and Treatment Options

Get an Accurate Diagnosis

If you suspect ADHD, it’s essential to seek an assessment by a specialist experienced in adult ADHD, ideally with awareness of women-specific issues. Diagnosis can be empowering, helping you reframe past struggles and access the right support.

Medication

Stimulant and non-stimulant ADHD medications can be effective in improving focus and reducing impulsivity, even in menopausal women. However, hormonal fluctuations can impact medication efficacy, so ongoing review and adjustment are important.

Hormone Replacement Therapy (HRT)

For some women, HRT helps stabilise estrogen levels and can alleviate both menopausal and ADHD-related cognitive symptoms. However, HRT isn’t suitable for everyone, so consult a healthcare professional to weigh the risks and benefits.

Cognitive Behavioural Therapy (CBT) and ADHD Coaching

CBT and coaching can help manage emotional dysregulation, build routines, and improve executive functioning. ADHD coaches often work with clients to develop strategies tailored to real-life challenges like managing work, family, and time.

Lifestyle Adjustments

• Sleep hygiene: Create a consistent sleep routine and avoid screens before bed

• Exercise: Regular physical activity improves mood and executive functioning

• Nutrition: A balanced diet supports hormone and brain health

• Mindfulness and stress reduction: Techniques like meditation and journaling can help manage emotional reactivity

  
  

Breaking the Silence

There is still a cultural silence around both ADHD in women and the menopause. When combined, the silence can be deafening. Many women suffer in isolation, believing their struggles are “just part of getting older.”

But they’re not alone—and there is help.

By raising awareness of this double challenge, we empower women to seek diagnosis, advocate for themselves, and reclaim control over their lives.

Final Thoughts

The intersection of ADHD and menopause is a critical, yet under-discussed, area of women's health. As research grows and awareness spreads, we can better support women navigating both neurodiversity and hormonal change. Whether you're newly diagnosed or reassessing your symptoms in midlife, know that support is available—and you deserve it.

Need help?If you suspect you might have ADHD and are navigating perimenopause or menopause, consider booking a professional assessment with a provider experienced in adult ADHD. Getting the right diagnosis is the first step toward thriving through this life transition.

Clarity