More women over 40 are seeking help for brain fog, forgetfulness, anxiety, and poor focus—often assuming it’s “just menopause.” While hormonal changes in perimenopause and postmenopause can impact memory and mood, there’s growing recognition that undiagnosed ADHD may also be at play. Declining estrogen, particularly estradiol, affects dopamine and serotonin—key neurotransmitters involved in attention and emotional regulation. For some women, this hormonal shift unmasks previously manageable attention challenges, tipping them into full-blown symptoms of ADHD. The overlap is striking: poor focus, emotional reactivity, insomnia, disorganization, and memory issues can be signs of either menopause or ADHD—or both. At Uptown Integrative Health, our team of Naturopathic doctors, nurse practitioner and therapist take a comprehensive approach: offering support in assessing hormonal health, lifestyle, and cognitive patterns.