A Lancashire woman's story is shedding light on a lesser-known aspect of menopause: its potential to unmask undiagnosed ADHD. Gill Charlton, now 46, only discovered she had Attention Deficit Hyperactivity Disorder (ADHD) at the age of 43, after undergoing breast cancer treatment that triggered an early clinical menopause.
The dramatic hormonal shift, induced by her medication, brought to the surface symptoms she had long tried to manage. Charlton's experience mirrors that of many women who, like her, had been successful in their careers – including over two decades in the British Army – before finding themselves struggling to cope with everyday tasks.
According to Dr Helen Wall, a GP from Bolton, this phenomenon is not unique. 'Women with undiagnosed ADHD often find menopause particularly overwhelming,' she explains. 'It's as if their life starts "unravelling".' Menopause, the NHS defines it as the point when periods stop due to lower hormone levels – specifically oestrogen.
ADHD is a neurodevelopmental condition where brain function differs, often leading to concentration difficulties, impulsivity, and hyperactivity. Laura Mears-Reynolds, founder of ADHDAF+, which Charlton now helps run, notes that the drop in oestrogen during perimenopause and menopause can worsen ADHD symptoms. This makes it harder for women to maintain coping mechanisms built over years.
The overlap between ADHD and menopause symptoms – including difficulties with memory, focus, and mood swings – can complicate diagnosis. As a result, many women in their late 30s and early 40s are left unsure of the root cause of their struggles. Dr Wall, who has written about ADHD and menopause, points to inadequate support systems within the NHS, citing long waiting times for assessment and management of neurodivergent individuals.
The government responded to these concerns with an independent review into mental health, ADHD, and autism services in December last year. Meanwhile, organisations like ADHDAF+, which runs 13 national support groups, provide vital community and peer support for those navigating complex diagnoses.