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Est. 1997 · Caring for the Hills
ADHD & Perimenopause · Turramurra

ADHD and perimenopause care for Turramurra women.

When focus, memory and evenness start to slip in your forties, it is easy to name one cause and miss the other. Rosedale Medical Practice looks at attention and hormones together, a short drive from Turramurra in West Pennant Hills.

Appointments open · First ADHD appointment in person at West Pennant Hills
Why Turramurra

Midlife rarely arrives one thing at a time.

The overlap between perimenopause and adult ADHD is common, and often missed when each is treated on its own.

Turramurra runs along the bushland spine of Ku-ring-gai, a family suburb where the pace looks calm from the street and feels relentless from inside the home. Women balancing work, teenagers and ageing parents often reach their forties wondering why the systems that once held everything in place have quietly stopped working. Perimenopause and a long-unrecognised ADHD frequently arrive at the same table, each making the other harder to see clearly.

This is not about labelling an ordinary busy life. It is about noticing when the strategies that once worked stop working, and asking whether more than one thing is at play. Our ADHD and perimenopause overview explains the connection in more detail.

The overlap

Three reasons they show up together.

A short view of why so many women reach midlife feeling that something changed, without a clear name for it.

The oestrogen link

Focus tracks hormones

Oestrogen supports dopamine signalling, the same system involved in attention and executive function. As levels fluctuate and fall through perimenopause, women with ADHD, recognised or not, often find focus, memory and organisation harder to hold.

The mask slips

Old strategies stop holding

Many women manage ADHD traits for years through effort, routine and quiet compensation. Perimenopausal changes to sleep, mood and cognition can stretch those strategies past their limit, which is why so many first seek assessment in midlife.

Two lenses, one visit

Looked at together

Brain fog, forgetfulness and overwhelm can belong to perimenopause, to ADHD, or to both at once. Considering them together, rather than in isolation, helps clarify what is driving what.

How care works

A clear path from first visit to review.

  1. 1

    Book a longer consult

    Start with a longer GP appointment so there is time to take a full history across both attention and hormonal health.

  2. 2

    Structured assessment

    Your GP works through validated screening, your history and current symptoms, and where a formal ADHD diagnosis is needed, outlines the referral pathway.

  3. 3

    A coordinated plan

    Perimenopause management, including menopausal hormone therapy where appropriate, is considered alongside any ADHD care rather than separately.

  4. 4

    Ongoing continuation

    For an established ADHD diagnosis, Rosedale GPs provide shared-care continuation, with regular review of both attention and menopausal symptoms.

Getting here from Turramurra

Close enough to make continuity easy.

Practical detail on reaching the practice, and how telehealth keeps follow-ups simple.

Turramurra · 2074

Around fifteen to twenty minutes to West Pennant Hills, with the Comenarra Parkway a direct link.

The Comenarra Parkway connects Turramurra almost directly to West Pennant Hills, a drive of roughly fifteen to twenty minutes depending on the time of day. For those coming from the Pacific Highway end near Turramurra station, Pennant Hills Road offers a simple alternative. Either way the practice is comfortably within reach for a regular review schedule.

The practice is at Ground Floor, 70 Castle Hill Road, West Pennant Hills NSW 2125, with on-site parking at the ground floor entrance. Consistent, ongoing care matters most with ADHD and perimenopause, so telehealth review appointments are available for suitable follow-ups once you have been seen.

Questions

Common questions.

Straight answers on referrals, diagnosis, continuation and access.

Do I need a referral before I book?

No. You can book a standard GP appointment directly through online booking or by phone. If specialist input is needed, your GP can arrange the appropriate referral.

Can a GP diagnose ADHD in adults?

In New South Wales, a formal adult ADHD diagnosis usually involves a psychiatrist. Your Rosedale GP can carry out initial screening, discuss your history, arrange referral where appropriate, and provide shared-care continuation once a diagnosis is established.

I already have an ADHD diagnosis. Can Rosedale continue my care?

Rosedale GPs offer shared-care continuation for an established ADHD diagnosis under the relevant New South Wales arrangements. Bringing your specialist correspondence to your first visit helps your GP pick up care smoothly. Dr Natasha Paul and Dr Nicky Kathuria both support ADHD continuation.

What does perimenopause care involve?

Your GP reviews your symptoms and history, discusses lifestyle and treatment options, and considers menopausal hormone therapy where it is suitable for you. Care is tailored to your circumstances rather than applied as a single formula.

Is telehealth available for follow-ups?

Yes, for follow-up appointments once you have been seen. ADHD assessment, initiation, restart and continuation always begin in person at West Pennant Hills, with an in-person ADHD review at least once every 12 months. Telehealth for other consultations is unaffected.

Is Turramurra too far for ongoing appointments?

Not at all. The Comenarra Parkway keeps the drive to around fifteen to twenty minutes, and once your care is underway, suitable follow-ups can be done by telehealth so you are not travelling for every review.

Explore

Nearby suburbs we serve.

Rosedale supports women across the upper North Shore and Hills district.

Book your Turramurra appointment.

One longer visit to look at attention and hormones together.

Ground Floor, 70 Castle Hill Road, West Pennant Hills NSW 2125 · Mon to Fri 8am to 6pm, Sat 8am to 1pm

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