Discover the link between ADHD and menopause. Learn about late diagnoses in perimenopause, symptom management, and effective strategies to navigate cognitive changes during this transitional phase.
Many women (like me) discover they have ADHD (Attention Deficit Hyperactivity Disorder) during perimenopause, a time already marked by significant changes. This late diagnosis often comes as a surprise but can also provide relief by explaining long-standing cognitive challenges. Understanding the connection between ADHD and menopause is essential for managing symptoms effectively. Let’s explore why ADHD diagnoses often occur during perimenopause, the symptoms to watch for, and practical strategies for managing ADHD during menopause.
During perimenopause, menopause and postmenopause, hormonal fluctuations can exacerbate ADHD symptoms, make them more noticeable or in mycase make it noticeable at all! OK, let’s be clear, many people had suggested it to me previously, but given my ignorance of what ADHD actually was, I would get on my high horse and ignore them. Then as the hormones went up and down and other perimenopausal symptoms (and lockdowns) happened, it also became noticeable to me. Like a flash of the obvious really. Our fabulous friend oestrogen, which impacts neurotransmitter systems like dopamine and serotonin, declines during menopause, potentially worsening our ADHD symptoms. So many women may have had undiagnosed ADHD for years, and the additional cognitive challenges brought on by menopause prompt them to seek evaluation and treatment.
Hormonal Changes:
The decline in oestrogen can impact cognitive function, making ADHD symptoms more pronounced. Women may experience increased distractibility, forgetfulness, and difficulty concentrating.
Heightened Awareness:
Menopause often brings a focus on health and well-being, leading women to seek explanations for their cognitive challenges.
Improved Diagnostic Criteria:
Growing awareness and better diagnostic criteria for ADHD in adults mean more women are being correctly diagnosed.
Increased Forgetfulness: More frequent memory lapses and difficulty recalling information.
Difficulty Concentrating: Trouble focusing on tasks, following conversations, or reading.
Disorganisation: Struggling to manage daily tasks and maintain order.
Emotional Sensitivity: Heightened emotional responses and mood swings.
Impulsivity: Acting without thinking or having difficulty controlling impulses.
Systems and coping mechanisms we have put in place during our lives that have always kept us on track, stop working. It’s like the wheels fall off and we don’t know how to put them back on. Calendars no longer work and RSD (Rejection Sensitivity Dysphoria) can be crippling. Nobody needs to live like that.
Professional Evaluation:
Seek a professional evaluation if you suspect you have ADHD. A thorough assessment by a healthcare provider can lead to an accurate diagnosis and appropriate treatment. This is not a time for Dr Google, you must get a professional evaluation if you suspect you have ADHD.
Medication:
ADHD medications, such as stimulants and non-stimulants, can help manage symptoms. Discuss with your healthcare provider to find the right medication and dosage for you. I’ve changed, and gone up and down with medication, but medication is 100% needed in my case. It’s not for everyone, but I encourage you not to dismiss it because of the crazy tales you’ve heard about these medications over the years.
Therapy:
Cognitive-behavioural therapy (CBT) and coaching can provide strategies to manage ADHD symptoms and improve daily functioning. There are a rising number of ADHD Coaches and dedicated mental health professionals these days. Find someone that works for you - and yes, that may take a few goes.
Lifestyle Adjustments:
Incorporate routines and organisational tools to manage tasks and reduce stress. Use planners, reminders, and apps to stay organised. Nothing is too silly to try. I have a friend that leaves things out that trigger a reminder. Do what works for you.
Mindfulness and Relaxation:
Practising mindfulness and relaxation techniques, such as meditation and yoga, can help improve focus and reduce anxiety. We have a few posts with information about some of these techniques, again, find what works for you. I love guided meditation, journaling and box breathing.
Support Networks:
Connect with support groups and some of the incredible online communities for women with ADHD. Sharing experiences and tips can provide valuable support and encouragement, and some of them are so entertaining you forget the negative thoughts that can sometimes go along with having ADHD.
Dr. Lisa Mosconi, PhD, a neuroscientist, notes, "Hormonal changes during menopause can impact brain function, exacerbating cognitive symptoms in women with ADHD." Studies indicate that hormonal therapy might help alleviate some symptoms, but it's essential to discuss this with a healthcare provider.
Navigating the dual challenges of ADHD and menopause can be difficult, but understanding the connection and seeking appropriate treatment can make a significant difference. You can I promise effectively manage ADHD symptoms during menopause by incorporating professional guidance, lifestyle changes, and support networks. The stigma associated with ADHD is long gone for most, there’s no shame to be felt, you aren’t broken. Ironically, so many of the conversations around this are so similar to the conversations around menopause, and thankfully the world is changing on both fronts.
Remember at Let's be frank…skincare, we are committed to supporting women's well-being through these stages, so come on over and join us in the Facebook Group.
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