Back to Blog ADHD and Menopause: What Every Woman Needs to Know
Written by Sarah Norman
Tagged in
- adhd
Share
Jul 16, 2025, 4 min read
Introduction
Have you ever opened the fridge only to discover your car keys inside? Again? It’s a scenario many women face in mid-life, leading to questions like—is this just typical “menopause brain-fog,” or could undiagnosed ADHD finally be coming to light?
Mid-life hormonal shifts often blur the lines between regular forgetfulness and deeper attention-deficit struggles. This guide explores these overlaps, highlighting key signs, science-backed solutions, and practical advice from Augmentive's clinicians.
Consultant Psychiatrist Dr Simmi Sachdeva-Mohan explains:
“Menopause and ADHD share overlapping symptoms, including memory difficulties, reduced attention, and trouble with executive functions. Hormonal shifts can reduce dopamine, impacting mood, energy, sleep, and stress management. It’s crucial to first determine if ADHD is present and then consider hormone treatments such as HRT to manage symptoms effectively.”
Quick Facts at a Glance
- ADHD isn’t only a childhood condition; approximately 3–5% of adults have it, with many women first diagnosed during menopause.
- Oestrogen helps boost dopamine, crucial for attention and mood. Lower oestrogen during menopause can worsen ADHD symptoms.
- About 94% of women with ADHD experience symptom intensification during perimenopause.
- Current research on menopause and ADHD is limited, making personalised care essential.
Why Hormones Matter
Oestrogen, Dopamine, and Your Brain
Think of oestrogen as a volume dial for dopamine, the chemical behind concentration, impulse control, and emotional balance. As oestrogen decreases, ADHD symptoms like distractibility, emotional swings, and impulsivity often increase. Early research suggests treatments such as stimulants or HRT can partly restore brain function.
Key Research Highlights:
- ADDitude Survey (2021): 94% of women reported worsened ADHD symptoms during perimenopause.
- Atomoxetine Study (2020): This non-stimulant medication significantly improved executive functioning.
- Lisdexamfetamine fMRI Study (2019): Demonstrated reactivation of brain regions essential for focus.
Consultant Psychiatrist Dr Sandhya Eappen stresses the importance of further research:
“Menopause significantly impacts ADHD symptoms due to hormonal fluctuations. Many women continue their ADHD medications without considering how menopause or HRT might interact. Understanding and addressing these interactions is essential.”
Menopausal Brain Fog or ADHD? Spotting the Differences
Primarily Menopause Symptoms:
- Hot flushes and night sweats
- Vaginal dryness
- Mid-section weight gain
Common to Both Menopause and ADHD:
- Difficulty finding words
- Interrupted sleep
- Mood swings and anxiety
Specific ADHD Indicators:
- Lifelong struggles with punctuality and deadlines
- Periods of intense focus (“hyper-focus”) on enjoyable tasks
- Chronic disorganisation despite genuine efforts
Tip: If ADHD-specific signs trace back to childhood and intensify during menopause, it may be time to seek assessment.
Self-Check: Is Your ADHD Flaring Up?
- Regularly misplacing essential items like keys or glasses
- Difficulty staying on track in meetings or conversations
- Feeling overwhelmed by simple admin tasks
- Persistent mood swings beyond typical PMS
- Increasing caffeine intake just to function normally
If three or more resonate, consider a professional evaluation via the Augmentive ADHD pathway.
Getting Diagnosed After 40
NHS Route
- Discuss symptoms with your GP (bringing a symptom diary helps).
- Request a referral to mental-health specialists or Right-to-Choose providers.
- Expect significant waiting times (12–36 months).
Private Assessment
Augmentive provides quick access to consultant-led ADHD assessments, medication adjustments, and therapeutic support tailored specifically for women in mid-life. Learn more here.
Treatment Options
Medication
- Stimulants: Effective for core ADHD symptoms (e.g., methylphenidate, lisdexamfetamine).
- Non-stimulants: Options like atomoxetine or guanfacine if stimulants aren't suitable due to cardiovascular risks.
Hormone Replacement Therapy (HRT)
- Restores oestrogen levels, potentially improving dopamine and cognitive function.
- Not suitable for everyone; consult with your GP and ADHD specialist.
Psychological and Lifestyle Strategies
- CBT and ADHD Coaching: To enhance emotional regulation, tackle procrastination, and build practical organisational skills.
- Physical Activity: Regular exercise boosts dopamine levels and improves cognitive functions.
- Sleep Hygiene: Prioritise sleep quality, as poor sleep exacerbates ADHD and menopausal symptoms.
Real Stories: Thriving Through Menopause
One patient shares her experience:
“Pairing HRT with a low dose of lisdexamfetamine finally brought clarity back into my life. I felt like myself again after years of confusion.”
Dr Eappen adds:
“Menopause can feel like an overwhelming unraveling for women with undiagnosed ADHD. Receiving a diagnosis can bring immense relief, clarity, and renewed control.”
Workplace and Daily Life Tips
- Use time-blocking with alarms for tasks and breaks.
- Noise-cancelling headphones to manage sensory overload.
- Negotiate flexible working arrangements as employers must consider menopause and neurodiversity under the Equality Act 2010.
- Organise tasks using colour-coded to-do lists.
- Implement the “20-minute reset rule” for productivity slumps.
Frequently Asked Questions
- Does menopause cause ADHD? No, but hormonal shifts can reveal underlying ADHD.
- Will symptoms improve post-menopause? Possibly; some find symptoms ease after hormonal stabilisation.
- Is combining HRT with stimulant medication safe? Generally yes, but regular medical monitoring is important. We recommend consulting your doctor first.
- Distinguishing menopause brain-fog from ADHD? ADHD typically has lifelong symptoms, whereas menopause-related brain fog arises mid-life.
- Can diet influence symptoms? Yes; balanced, protein-rich meals support dopamine production and steady energy levels.
When to Seek Professional Help
Seek immediate help if experiencing:
- Persistent low mood or anxiety
- Thoughts of self-harm or suicide (Contact NHS 111 or Samaritans at 116 123)
- Memory lapses affecting safety
Further Reading & Resources
Ready to Take the Next Step?
Understanding your brain is the first empowering step. Taking action is transformative. Schedule your ADHD assessment today and turn mid-life chaos into clarity and momentum. Book now.