ADHD in Women Professionals: Understanding, Reframing, and Thriving
When ADHD Doesn’t Look Like the Stereotype For decades, the cultural image of ADHD has looked like the energetic young boy who can’t stay in his seat. Loud, impulsive, disruptive. But what happens when the person with ADHD is a high-performing adult woman who seems perfectly put together on the outside, yet feels chronically overwhelmed inside? In my work as a psychotherapist, I often meet women who have quietly battled exhaustion, perfectionism, and self-doubt for years. Many were never flagged in childhood because their ADHD looked different from the stereotype. While boys often display outward hyperactivity, girls and women are more likely to experience inattentive symptoms like daydreaming, mental “clutter,” or difficulty sustaining focus- easy to overlook when masked by good grades or relentless effort. How Biology and Life Stages Play a Role Hormones add another layer of complexity to ADHD, and understanding this connection can be eye-opening for many women. Estrogen, in particular, plays a significant role in regulating dopamine- the neurotransmitter that helps us stay motivated, focused, and able to filter distractions. When estrogen levels rise, dopamine activity typically improves, and many women notice that concentrating feels easier. When estrogen drops, dopamine dips as well, and ADHD symptoms can become noticeably stronger. This ebb and flow shows up throughout a woman’s life. During the menstrual cycle, for example, estrogen is highest in the first half (the follicular phase) and drops sharply in the days leading up to a period. Many of my clients report that the week before their period feels like wading through fog: tasks that were manageable a few days ago suddenly feel overwhelming, and emotional regulation takes extra effort. Pregnancy often brings its own surprises. For some, the naturally higher estrogen levels during pregnancy can create a temporary sense of focus and calm. For others, the fatigue and changes in sleep, combined with ADHD, can make organization feel impossible. Postpartum, when hormones shift dramatically, symptoms can rebound or intensify, sometimes alongside mood changes like postpartum depression or anxiety. Perimenopause and menopause can also be particularly challenging. As estrogen gradually declines, many women experience a noticeable uptick in ADHD traits- things like forgetfulness, distractibility, difficulty finding words- sometimes for the first time in years. These changes can coincide with major life transitions, such as career shifts or caring for aging parents, creating a perfect storm of stress. Recognizing the biological rhythm behind these experiences is empowering. Instead of wondering “What’s wrong with me this week?” you can see the pattern and plan around it. Some women track their cycle to anticipate more distractible days, adjusting their workload or adding extra reminders. Others find that therapy, lifestyle changes, or medical support can help buffer these hormonal swings. Our biology isn’t something to fight against; it’s information. When we understand how our brains and bodies move through each life stage, we can build strategies that honour those natural rhythms and give ourselves the compassion we deserve. The Professional Camouflage By the time they [...]




Sharon Walker, MSW, RSW
Jordon Iorio Hons. BA, RSW
Christine Bibby, B.S.W., M.S.W., R.S.W.
Brianna Kerr, BA, BSW, MSW, RSW
Danielle Vanderpost, RSW
Daniela Switzer, MA, C.PSYCH
Tammy Adams
Amy Dougley
Emily Kamminga
Bill Dungey, RSW

Jessica Moore, RSW
Melanie Clucas
Kunle Ifabiyi
Tammy Prince
Susan Zuidema, M. Div, B.Ed
Arianne Letendre 