ADHD in Midlife Women: Overlooked and Misunderstood
Anna Harrelson • June 6, 2024

Finding Focus: Addressing the Hidden Challenges of ADHD in Midlife Women

Hello everyone,

Attention Deficit Hyperactivity Disorder (ADHD) is often perceived as a condition that primarily affects children, particularly boys. However, many women reach midlife with undiagnosed ADHD, having faced years of misunderstanding and misdiagnosis. In this post, we’ll explore why ADHD in midlife women is often overlooked and how recognizing and addressing it can significantly improve their quality of life.


The Masking Effect

For many women, ADHD symptoms are masked by their coping strategies or misattributed to other conditions. Women are more likely than men to have the predominantly inattentive presentation of ADHD, which does not include the hyperactivity aspect that most people associate with the disorder. This can result in symptoms being dismissed as personality traits rather than indicators of ADHD.

Symptoms such as forgetfulness, disorganization, and difficulty focusing are often mistaken for signs of stress, hormonal changes, or the natural aging process. Additionally, women’s tendency to internalize their struggles can lead to secondary issues like anxiety and depression, which can obscure the underlying ADHD.


The Impact of Hormonal Changes

Hormonal fluctuations during perimenopause and menopause can exacerbate ADHD symptoms. Estrogen plays a key role in regulating neurotransmitter activity affecting attention and mood. As estrogen levels fluctuate and eventually decline during menopause, women may experience heightened ADHD symptoms or find that their current management strategies are less effective.

This hormonal interplay can make ADHD symptoms appear more pronounced or volatile during midlife, leading to increased challenges in daily functioning and mental health.


Strategies for Management

Recognizing ADHD in midlife requires a careful consideration of lifelong patterns of behavior and challenges. Here are some strategies that can help manage ADHD symptoms in midlife:

  1. Professional Diagnosis: If you suspect you have ADHD and have never been diagnosed, seeking a professional evaluation is crucial. A healthcare provider specializing in ADHD can offer insights and diagnostic clarity.
  2. Education: Understanding ADHD and its implications can empower women to seek appropriate support and interventions. Knowledge about how hormonal changes affect ADHD is particularly important for midlife women.
  3. Medication: ADHD is often effectively managed with medication that can help balance neurotransmitter levels. For some women, adjusting medication during hormone fluctuations may be necessary.
  4. Cognitive Behavioral Therapy (CBT): CBT and other forms of therapy can be beneficial in developing coping strategies to manage symptoms effectively.
  5. Support Networks: Joining support groups or networks can provide emotional support and practical advice from others who are experiencing similar challenges.
  6. Lifestyle Adjustments: Incorporating regular exercise, a balanced diet, and sufficient sleep can significantly improve concentration and overall mental health.


Conclusion

It’s important for women, especially as they approach and go through menopause, to reevaluate their mental health and consider whether ADHD might be a contributing factor to their challenges. Understanding and addressing ADHD in midlife can lead to a significant improvement in quality of life and provide a framework for better managing the changes that menopause brings.

If you’re navigating these waters, remember, you’re not alone. Many women are discovering their ADHD later in life and finding ways to thrive. Sharing your experiences can help others feel less isolated and more understood.

Let’s continue this conversation and support each other through these complex, intertwined journeys of ADHD and menopause.


Warm regards,

Dr. Anna

WonderCreek Health Blog

By Anna Harrelson June 13, 2025
You’ve probably seen it popping up in wellness podcasts, health stores, or even your friend's supplement cabinet: bovine colostrum. Marketed for gut health, immune support, and recovery, this early-life nutrient source for calves is now showing up in adult wellness routines. But is it worth your time and money? As a lifestyle medicine physician focused on women’s midlife health and longevity, here’s what I want you to know before you jump on the colostrum bandwagon. Let’s Start With the Basics: What Is Colostrum? Colostrum is the first form of milk produced by mammals (including humans) in the first few days after giving birth. It’s loaded with antibodies, growth factors, and immune-modulating compounds designed to jumpstart a newborn’s immune system and line the gut. Bovine colostrum—from cows—is the form used in most supplements. It's freeze-dried and packaged into powders or capsules, and often promoted for: Gut barrier support ("leaky gut") Immune system priming Exercise recovery Anti-aging benefits But let’s be honest: just because something has growth factors doesn’t mean it belongs in your Amazon cart. Does the Science Support It? Evidence in humans is limited— but not nonexistent. Some small clinical studies have shown potential benefits: Gut health: In people with NSAID-induced intestinal permeability ("leaky gut"), bovine colostrum has been shown to reduce damage and symptoms. Immune function: Some data in athletes suggests reduced upper respiratory infections. Exercise recovery: A few studies report improvements in performance, gut comfort, or muscle soreness—especially in endurance athletes. But these benefits aren’t guaranteed. And the quality and dosage of colostrum varies widely, with no standardized formulation across brands. So Should You Take It? Here’s where my clinical voice kicks in: Before you reach for colostrum, ask yourself: Have you addressed the basics? Are you sleeping? Managing stress? Eating fiber and whole foods? Getting enough protein? Building muscle? Moving your body? Supporting your gut with real food (not just powders)? If the answer is no—then colostrum is not your next step. You’re throwing powdered fuel on an engine that’s missing spark plugs. Do you have dairy sensitivity? Colostrum is a dairy product. Even if it's low in lactose, it may not be tolerated by everyone. Are you already taking quality foundational supplements? Vitamin D, omega-3s, magnesium, creatine, iron (when needed), and probiotics have stronger bodies of evidence for many women in midlife. When Might It Be Worth Trying? Colostrum might be a reasonable add-on if you: Have mild gut symptoms (especially post-infectious or stress-related) Are recovering from illness or antibiotics Train hard and experience frequent upper respiratory issues Want to support your immune system during travel or stress Even then, I recommend: A 2–3 month trial only after dialing in basics Choosing a third-party tested brand Tracking symptoms and benefits Cost, Hype, and the Bigger Picture Many women I work with are overwhelmed by supplement costs. Colostrum can run $50–100/month —and that adds up. So here’s what I tell my patients: Just because something is trending doesn’t mean it’s essential. And just because it works for someone on TikTok doesn’t mean it’s the right tool for your body right now. Your body is an incredible machine. When you give it rest, movement, nourishment, and support—it can do amazing things. Colostrum is not magic. It’s just one tool in a very big toolbox. Bottom Line Colostrum may hality sources. You’re not broken. You might just need a reset—not another powder.
By Anna Harrelson June 12, 2025
The body content of your post goes here. To edit this text, click on it and delete this default text and start typing your own or paste your own from a different source.
More Posts