Need for earlier screening and integrative care

Jolene urges clinicians to screen earlier, address hormones, ADHD, and whole‑body symptoms in midlife women.

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If you feel like your ADHD symptoms exploded in your late 30s or early 40s—your focus vanished, your sleep fell apart, your body started hurting, and your brain felt like it stopped working—you are not imagining it. And you are not failing.

This episode explains why perimenopause is worse for women with ADHD, why it often begins years earlier than most doctors recognize, and why ADHD women experience a more severe, full-body symptom burden during this transition. Far from being “just stress” or “just anxiety,” the experience of ADHD and perimenopause is a neuroendocrine brain-body collision that modern medicine is largely unprepared to address.

Grounded in a large population-based study and real clinical patterns, this episode reframes perimenopause as a critical neurological and hormonal transition, especially for women with ADHD, and explains why so many women feel blindsided, dismissed, and misdiagnosed during this stage of life.

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