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As a licensed mental health counselor and life coach working with entrepreneurs and executives navigating ADHD and burnout, I’ve seen a powerful, often overlooked intersection emerge in my practice: the convergence of perimenopause and ADHD. If you’re a high-performing woman in your 40s or 50s suddenly struggling with focus, energy, and emotional regulation—despite years of managing ADHD—you’re not alone. There’s a physiological shift happening beneath the surface, and understanding it is the first step to reclaiming your clarity and vitality.