Nothing says “support women” quite like questioning their diagnosis. We tell women to advocate for their health and then question the answer when they finally get one. I’m grateful there’s more conversation happening around perimenopause and women’s health. It is needed and it matters.
But there’s something about the conversation that has really been getting under my skin. Here’s the tricky thing: A lot of perimenopause symptoms can overlap with ADHD symptoms at first glance. And because of that, I keep seeing comments and videos — from other women, mind you — basically questioning whether women diagnosed with ADHD later in life really have it… or whether they’re “just perimenopausal.” And wow, does that get under my skin.
Because yes, some of us really do have ADHD. And yes, some of us are also in perimenopause. And yes, perimenopause can make ADHD even harder to manage. Those things can all be true at once. What frustrates me is this: We constantly tell women to trust themselves. To listen to their bodies. To advocate for their health. To keep pushing until they get answers because they know their bodies best.
But then when a woman finally does get an answer — and knows it’s right, feels the relief, finally exhales — people turn around and question whether it’s real. No thank you. That doesn’t feel like support. That feels like more dismissal. My ADHD signs were there long before perimenopause.
They were there in elementary school. “Sheila, raise your hand.” “Sheila, stop talking.”
They were there in how overwhelmed I got. “Sheila… she’s the emotional one.”
They were there in how hard I worked to stay organized. Binders were — and still are — my best friend.
They were there in the way I needed systems, structure, lists, and detail just to keep my brain from feeling all over the place. I’ll never forget the to-do list and Excel spreadsheet I made for my wedding. It was a masterpiece. My ex’s friend looked at it. Looked at me. Looked at it again.“Sheila… this is a bit intense, don’t ya think?” Oh, it was. But I needed every detail captured and tied to a time or I would have been lost. Side note: the marriage didn’t last, but the wedding was indeed phenomenal. So many wonderfully executed details. Thank you, ADHD creativity and hyperfocus.
So no, I wasn’t “suddenly ADHD” because I hit my 40s. I was a girl who learned how to compensate. A girl who tried really hard. A girl who looked capable from the outside while working overtime on the inside. A girl, then a college student, then a mom, who was absolutely exhausted.
And I know I’m not the only one. So yes…women should absolutely keep talking about perimenopause. And also about how it impacts ADHD women. And while we’re at it, let’s also stop acting like late-diagnosed ADHD in women is some suspicious trend people are latching on to. It isn’t. Trust me. There are upsides to ADHD and also, some real, not so popular, challenges. The diagnosis didn’t come out of nowhere. It just took a while — too long, really — to receive it.
And gosh, is it a relief to have. To finally understand myself better; to realize I’m not broken. And again, to know I’m not the only one. On that note, I’m going to take my medication, make a list for the day, then talk to myself to help keep me on task and remembering what I’m doing. Oh the things we learn!
Sending my warmth and a little oomph to you all today,
xoxo, Sheila
🧡 The Orange Rhino
