Are We Misreading Your Menopause or Missing Your ADHD?
As more midlife professional women, particularly Black and women of colour, report rising brain fog, anxiety and performance pressure at work, new research shows that many are only now recognising underlying ADHD during perimenopause. Studies confirm that perimenopause can intensify lifelong ADHD traits, leading to late diagnoses, especially among women historically overlooked or misdiagnosed.
This overlap matters. Peri menopausal cognitive changes (fog, overwhelm, memory lapses) can mimic or mask ADHD, making it harder for women and their clinicians to know what’s driving workplace challenges. Some reports show perimenopause reveals ADHD rather than causing it, highlighting how easily symptoms are misattributed in busy professional women.
At the same time, falling estrogen disrupts dopamine regulation, worsening inattention, executive dysfunction and emotional dysregulation, symptoms that heavily influence leadership, productivity and workplace wellbeing.
Yet not all data aligns. Newer research suggests ADHD does not always…