ADHD in Menopausal / perimenopausal women: Prevalence, Risk & Key Differences

Key things to know What the evidence shows
How common is it? Not established menopause-specific
Is it more common among menopausal / perimenopausal women? ADHD may become newly recognised or symptomatically more difficult during perimenopause
Are menopausal / perimenopausal women at higher risk? Hormonal transition may exacerbate/unmask ADHD symptoms
How much higher is the risk? No prevalence RR/OR established
How often can it be missed? Very high
Does it show up differently among menopausal / perimenopausal women? Yes
How might it look different? Worsening inattention, emotional dysregulation, memory/“brain fog,” sleep problems; menopause symptoms overlap ADHD
What commonly occurs alongside it? Depression; anxiety; sleep disturbance
What can it be confused with? Menopausal cognitive symptoms; depression; anxiety; insomnia; thyroid dysfunction
Common screening tool ASRS
Separate screening tool for menopausal / perimenopausal women None
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