Hormones often exacerbate ADHD symptoms as women edge closer to menopause. In fact, this worsening of symptoms may occur during perimenopause, when estrogen levels begin to drop.
reader wrote: “I am a 42-year-old business executive diagnosed with ADHD. I have a confession to make. Lately, I don’t like calling people on the phone or returning calls. I think perimenopause may be causing this glitch. I also find myself getting confused and shutting down when confronted with a bunch of projects at work all at once. I need more time to process things. I know I have ADHD, and I know my hormone profile is changing.
. In fact, as you’ve pointed out in your question, this worsening of symptoms may occur during perimenopause, when estrogen levels begin to drop., word retrieval, and other cognitive activities. In fact, for some, the change in cognitive function is so drastic that some think they are developing dementia or Alzheimer’s. Lower levels of estrogen may cause mood disorders.
If your medical provider gives you a clean bill of health, discuss your situation with your prescribing doctor. Many doctors make the mistake of increasing stimulant medication for women whose hormonal changes are causing the kinds of challenges you describe. Patricia Quinn, M.D., an expert on ADHD and hormones, suggests that this may not be the best solution. She suggests discussing possible hormone replacement therapy with the doctor.
Another possible explanation for your difficulties is additional stress in your life. Is your boss demanding more of you lately? Are there other things going on in your life that are challenging you mentally?Here are some strategies women can use when, like you, they feel overwhelmed at work. The first step, always, is to identify the problems.You say that you hate calling people on the phone.
When you begin to feel overwhelmed, analyze what is upsetting you. Perhaps you feel you don’t have enough time to take on all the projects that have landed on your desk. Try whittling down larger projects into mini-tasks. One way to do that is to write an outline:What is the deadline?Writing things down reduces stress on the ADHD brain. Some people find that using a voice recorder to break down a task can be helpful, too.
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