19/01/2026
ADHD and perimenopause can have a significant and often under-recognised relationship which often unmasks pre existing ADHD.
Common symptoms include:
• Difficulty focusing or staying organised
• Emotional dysregulation
• Mental restlessness
• Impulsivity
• Forgetfulness
Women often mask symptoms well, which can lead to years of coping before diagnosis albeit it’s exhausting.
Perimenopause is the transitional phase before menopause (typically starting in the 40s), marked by fluctuating hormone levels—especially estrogen and progesterone. These fluctuations can cause:
• Mood swings
• Poor sleep
• Brain fog
• Memory lapses
• Reduced stress tolerance
For women with ADHD, perimenopause can feel like their symptoms suddenly worsen or become unmanageable. This is largely due to hormonal changes, particularly drops in oestrogen, which has a key role in:
* Modulating dopamine (a neurotransmitter central to ADHD)
* Supporting attention, memory, and mood
As oestrogen levels dip Dopamine activity can fall and ADHD symptoms (especially executive dysfunction, emotional regulation, and attention) can intensify.
Oestrogen also supports other chemical messengers in the brain like serotonin, the happy brain chemical and melatonin which helps us with sleep . As oestrogen drops so so do these brain chemical.
Some women are first diagnosed with ADHD during perimenopause because what they once managed so well now feels completely overwhelming. So they go to their docters with stress, anxiety, low mood and say they feel exhausted!
Ringing bells? 🔔🔔🔔🔔🔔
If you identify and feel you need support in finding ways to be assessed or you maybe self indentify as ADHD and would like to learn ways to cope better, I have developed a bespoke package of care that will help and support you navigate the ADHD characteristics and impairments so less becomes more manageable and not so overwelming.
Reach out and feel better soon.
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