Perimenopause and ADHD

If you suspect you may be one of the many perimenopausal women with ADHD, this 3-part series written by Clinical Psychologist Kirsten Bouse is a must-read.

Perimenopause and ADHD – Part 1 Understanding

By Kirstin Bouse

The menopausal years span not only a substantial portion of a woman’s life, they also reflect a time of significant change. This change brings challenge and, with ongoing support and a bucket load of patience and self-compassion, the opportunity for growth. Despite its significance, the wider community is generally poorly informed about this life stage.

Equally so, ADHD is a neurodevelopmental difference that has been misunderstood for decades, particularly in females. As such, many females go through life having no idea that they are ADHDers. This is often despite facing many challenges due to the incongruence between their ADHD and the expectations placed upon them from what is, a neurotypical world. There is increasing conversation about both peri/menopause and ADHD but unfortunately, the information can be confusing or downright inaccurate. These articles seek to provide accurate and helpful information about each condition separately and how they intersect.

I’m Kirstin Bouse, a clinical psychologist navigating both perimenopause and ADHD, and here’s a look at these two experiences. If you’d like to read more detailed information, please check out our resources page on the All About Her website (www.allabouthercentre.com.au).

Understanding Perimenopause

Perimenopause is the transition period before menopause, typically starting in a woman’s late 30s to early 40s and lasting between 4 to 10 years. Hormonal fluctuations during this time, especially involving oestrogen and progesterone, lead to a variety of symptoms. Common signs include hot flushes, night sweats, mood swings, cognitive difficulties (often called ‘brain fog’), joint pain, and fatigue.

Perimenopause impacts the ‘whole woman’ and is influenced by her health history, mental well-being, lifestyle, and socioeconomic status. Recognising this comprehensive impact is vital for providing effective support during these transformative years.

Demystifying ADHD

ADHD, or Attention Deficit Hyperactivity Disorder, is a neurological difference that affects attention, impulsivity, and sometimes hyperactivity. It results from variations in brain development and persists into adulthood. Historically, ADHD has been diagnosed based on symptoms observed primarily in boys, leading to significant underdiagnosis in women.

Women with ADHD may not exhibit the overt hyperactivity often seen in males. Instead, they might experience internal restlessness, ongoing cascades of thoughts, difficulties with focus, disorganisation, and a pattern of impulsivity that can go unrecognised as ADHD.

The Interplay Between Perimenopause and ADHD

When perimenopause and ADHD coexist, the challenges can amplify. Hormonal fluctuations during perimenopause can exacerbate ADHD symptoms due to oestrogen’s role in regulating dopamine, a neurotransmitter crucial for ADHD management. Women already aware of their ADHD may feel overwhelmed by intensified symptoms.

Conversely, some women might first recognise signs of ADHD during perimenopause when cognitive changes become more apparent. This dual impact can lead to increased emotional distress and complicate daily life management, highlighting the need for a comprehensive treatment approach.

Moving Forward with Awareness and Support

Understanding perimenopause and ADHD requires a nuanced approach that considers the “whole woman.” Healthcare providers must collaborate across disciplines to offer a multifaceted support system addressing medical, emotional, and practical challenges. For women navigating these dynamics or supporting someone through this journey, education and compassionate understanding are key.

If you suspect you are experiencing ADHD symptoms exacerbated by perimenopause, seek resources and professionals knowledgeable in this intersection. Raising awareness and understanding of ADHD and perimenopause is crucial for providing timely and effective support. For more information, explore our ADHD and Perimenopause Series at www.allabouthercentre.com.au.

CLICK HERE to receive Part 2 (Navigating the Overlap) and Part 3 (Treatment Pathways) direct to your inbox.

You can also view Kirstin’s video chat with Dr Kelly Teagle about ADHD HERE

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