Treatment for ADHD During Menopause

1. ADHD Medications

Medication remains one of the most effective tools for managing ADHD in adults — and it can be life-changing in midlife.

Options include:

• Stimulants (e.g. methylphenidate or lisdexamfetamine)

• Non-stimulants (e.g. atomoxetine or guanfacine)

These help by improving:

• Focus and concentration

• Impulse control

• Task completion

• Emotional regulation

Things to consider:

• Your response may change during menopause, so dose adjustments might be needed

• Regular monitoring is important, especially if you have any heart health concerns

• Some women feel more benefit when medication is combined with HRT
  

2. Hormone Support (HRT)

Hormone Replacement Therapy (HRT) helps stabilise oestrogen levels, which can improve ADHD symptoms worsened by menopause. While not a direct ADHD treatment, HRT can:

• Reduce brain fog

• Improve sleep and mood

• Help ADHD medications work more consistently

Always discuss the benefits and risks with a menopause-informed clinician.

👉 Learn more on our ADHD and HRT page

3. ADHD-Focused Therapy and Coaching

Working with a therapist or coach who understands adult ADHD can be incredibly effective.

Benefits include:

• Learning tools for time management, planning, and organisation

• Working through emotional challenges like overwhelm or low self-esteem

• Developing better routines and boundaries

• Managing the mental load of midlife responsibilities
  

CBT (Cognitive Behavioural Therapy) adapted for ADHD, or ADHD-specific coaching, can help you create practical, personalised strategies that fit your life.

4. Lifestyle Support

The basics matter — especially during menopause.

Focus on:

Sleep

• Menopause can disrupt sleep; poor sleep worsens ADHD.

• Consider sleep hygiene practices, and talk to your GP if insomnia persists.

Nutrition

• A balanced diet supports brain health.

• Include plenty of protein, omega-3s, and whole grains.

Exercise

• Regular movement boosts mood, focus and hormone regulation.

• Aim for activities you enjoy, like walking, swimming or yoga.

Organisation tools

• Use planners, to-do lists, and reminder apps to keep on track

• Don’t rely on memory – set external systems that work for you

5. Emotional Support

A late ADHD diagnosis or worsening symptoms can trigger a range of emotions — relief, grief, frustration, even identity shifts.

You’re not alone. Many women feel the same.

Consider:

• Talking with a therapist or counsellor

• Joining a support group (online or local)

• Connecting with other women facing similar challenges