Half of women 40+ have ADHD—and 90% go undiagnosed

The number of women prescribed medication for ADHD has risen by

344% in the past decade, the CDC reports. Still, up to 90% of women with the condition are undiagnosed. And Columbia University researchers found that nearly half of women with ADHD never seek treatment. Says psychiatrist Sue Varma, M.D., “Often women blame themselves, thinking they’re just busy or spacey.”

Complicating matters: “We have a skewed, narrow definition of ADHD— someone has to be squirming or bouncing out of their seat,” says Dr. Varma, who notes that women with ADHD are more likely to be tired, anxious or have little attention for detail. “These women are smart and learn how to use their wit and charm to hide their struggles.” As a result, doctors fail to recognize ADHD. But the condition often just intensifies. Women’s health expert Ann Louise Gittleman, Ph.D., explains that symptoms can worsen after 40 as hormonal flux contributes to lack of focus.

There’s no lab test to diagnose ADHD, but Dr. Varma says the questionnaire at add.org/adhd-test is a helpful tool. If the results point to ADHD, your doctor can prescribe medications that relieve symptoms for 80% of women— and the strategies below can help you regain energy and focus.

The omega-3 fat DHA is proven to boost attentiveness by 77%. How? “DHA acts as a cortisol balancer, which can calm ADHD symptoms,” Gittleman says. The proven dose: 3,000 mg. daily.

A 20-minute stroll revs focus by 40%, according to a study in the Archives of Clinical Neuropsychology. “Exercise increases levels of dopamine, a neurotransmitter that improves mood and focus,” says Dr. Varma. Also: Loading up on protein, especially at breakfast, is proven to cut ADHD symptoms.