Understanding ADHD in Women: The Impact of Hormonal Changes

Many women with ADHD remain undiagnosed until their late 30s or early 40s, leading to decades of grappling with self-doubt and misunderstanding. Dr. Jolene Brighten, a board-certified naturopathic endocrinologist, discusses the unique challenges women face regarding ADHD, especially in relation to hormonal changes during perimenopause.

The Hidden Struggles of Women with ADHD

Women often receive labels such as "lazy" or "too emotional," contributing to feelings of inadequacy and mental health struggles. These societal pressures can lead to a dangerous cycle, where women internalize negativity and fail to seek the support they need. For many, the realization comes when they are diagnosed alongside their children, shedding light on their own experiences.

The Intersection of Hormones and ADHD

Dr. Brighten highlights that hormonal changes during perimenopause can exacerbate ADHD symptoms. The decrease in hormones like estrogen and progesterone can disrupt brain function, making it increasingly difficult to manage ADHD traits such as impulsivity and executive dysfunction. This hormonal storm can trigger feelings of burnout and overwhelm.

The Dangers of Masking

Masking involves suppressing traits to fit in, which can lead to severe exhaustion. Dr. Brighten emphasizes that masking is often a survival mechanism but ultimately harms mental health. It becomes increasingly difficult to maintain this facade as hormonal fluctuations occur, leading to a breakdown in coping mechanisms.

What Is Masking and Camouflaging?

Masking: Hiding or suppressing ADHD traits to conform to societal expectations.
Camouflaging: Emulating the behaviors of neurotypical individuals, often involving rehearsed scripts and mirroring others.

Both masking and camouflaging can cause significant mental strain and are not sustainable over time.

Health Risks and Solutions

Dr. Brighten notes that ADHD is linked to a shorter life expectancy, often due to related health issues like sleep disturbances, impulsive behaviors, and chronic stress. To combat these risks, she suggests a multi-faceted approach:

AUDIT Your Load: Identify tasks and responsibilities that drain your executive function and simplify your daily routine.
Prioritize Protein: Start your day with 30-40g of protein to regulate insulin levels and support mental clarity.
Protect Your Sleep: Treat sleep as essential medicine—consider supplements like melatonin or L-theanine if necessary.
Hormonal Awareness: Work with a qualified healthcare provider to understand the full array of hormonal influences on your ADHD.

Conclusion: Building a Supportive Community

Dr. Brighten is launching a new YouTube channel dedicated to ADHD in women, aiming to create a space for sharing experiences, knowledge, and support. The goal is to provide resources that reflect the unique biological and psychological needs of women with ADHD. Women deserve to have their voices heard and their health needs met with tailored support.

If you resonate with any of these experiences or know someone who might, please share this post. Remember, you are not alone, and there is a community ready to support you.