Navigating ADHD in Menopause - #110

In this episode, we dive into the complex relationship between ADHD and menopause, exploring how hormonal shifts can intensify ADHD symptoms. Many women with ADHD find that perimenopause brings heightened struggles with focus, executive functioning, and emotional regulation. As estrogen declines, so does dopamine—an essential neurotransmitter for motivation and attention—worsening ADHD-related brain fog, forgetfulness, and mental fatigue. These changes can feel overwhelming, but understanding the biological connections between ADHD and menopause is key to managing them effectively.

Despite the challenges, ADHD isn’t just a collection of deficits; it also comes with unique strengths such as creativity, resilience, and dynamic problem-solving. However, during perimenopause, declining estrogen can make it harder to harness these gifts. Women may feel more scattered, struggle with organization, or experience mood swings that disrupt daily life. Fortunately, effective treatments can help restore balance. Stimulant medications remain a cornerstone of ADHD management, but cognitive behavioral therapy (CBT) and mindfulness practices can also be powerful tools for improving focus and emotional regulation. These strategies build structure, enhance self-awareness, improve overall well-being, and help women work on lifestyle interventions, such as sleep, nutrition, and exercise.

Additionally, menopause hormone therapy (MHT) can be a game-changer for some women. By stabilizing estrogen levels, MHT may help mitigate the cognitive effects of menopause and support dopamine function, making ADHD symptoms more manageable. When used alongside stimulants, hormone therapy can offer a more comprehensive approach to treatment, addressing both the hormonal and neurological aspects of ADHD. Whether through medication, lifestyle changes, or a combination of treatments, midlife women with ADHD can regain control, optimize their cognitive function, and continue to thrive.

Dr. Adrienne Mandelberger, MD is a board-certified gynecologic surgeon and menopause specialist. She is the founder of Balanced Medical, a gynecology and preventative women's health practice on Long Island, NY, and the founder and CEO of the virtual education company All Things Menopause™. Dr. Mandelberger is passionate about educating and empowering women to make informed choices during the menopause transition. Her special interests include the intersection of ADHD and perimenopause.

Medical Disclaimer:

By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any of my guests on my podcast.

Find Dr. Mandelberger here:

Website: https://www.balancedmedicalny.com/

IG: @DrMandelberger

Educational Program: https://www.all-things-menopause.com/

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