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ADHD in Older Women Many women* in midlife struggle with undiagnosed and untreated ADHD caused by hormonal changes. They often report feeling misunderstood and overwhelmed by their struggles. Hormonal fluctuations during perimenopause and menopausal cycles can intensify the emotional dysregulation, and can cause greater executive functioning problems that are associated with adhd. Exercise, a healthy diet, and finding a therapist that is knowledgeable about adhd could aid in reducing symptoms. S