Emotional Regulation and ADHD in Women: How Hormones Play a Role

“Hormonal fluctuations during menstruation, pregnancy, and menopause can intensify emotional dysregulation in women with ADHD.”
A headshot of Liz Wooten, a smiling therapist with warm brown eyes and shoulder-length brown hair. She is wearing a professional blouse and has a friendly expression.

By Liz Wooten, LPC

With over 14 years of experience, Liz Wooten is a licensed mental health counselor and a neurodiverse individual herself. Liz specializes in working with neurodiverse clients and families, offering compassionate, evidence-based care. Her extensive background in mental health counseling, combined with her expertise in crisis intervention and working with neurodiverse individuals, positions her as an authority on emotional regulation and ADHD. Learn more about Liz here.

Key Takeaways

  • Hormonal fluctuations during menstruation, pregnancy, and menopause can exacerbate emotional dysregulation in women with ADHD.
  • ADHD symptoms in women often worsen during hormonal shifts, leading to heightened emotional responses and mood swings.
  • Understanding the connection between hormones and ADHD allows women to implement targeted strategies for better emotional management.
  • Proactive steps, such as therapy, medication adjustments, and lifestyle changes, can help women manage ADHD-related emotional challenges.
 

How Hormones Impact Emotional Regulation in Women with ADHD

Women with ADHD often face unique challenges when it comes to emotional regulation. One significant factor that contributes to these difficulties is hormonal fluctuations. The natural hormonal changes that occur throughout a woman’s life—during menstruation, pregnancy, and menopause—can have a profound impact on emotional regulation, often intensifying ADHD symptoms. Hormones like estrogen and progesterone play key roles in regulating mood and cognitive function. When these hormone levels fluctuate, as they do during various life stages, women with ADHD may experience:
  • Increased irritability and mood swings
  • Difficulty managing emotions, leading to emotional outbursts
  • Heightened anxiety and stress
  • Disruptions in focus and attention
 

The Role of Menstruation in Emotional Dysregulation

During the menstrual cycle, fluctuations in estrogen and progesterone levels can significantly affect mood. In the days leading up to menstruation, women with ADHD may notice that their emotional regulation skills are particularly impaired. This often manifests as increased irritability, anxiety, and difficulty managing stress.  
Real-Life Example
Jessica, a woman with ADHD, noticed that in the week before her period, she became easily overwhelmed by tasks that she normally handled with ease. Her emotions seemed to be on a rollercoaster, leaving her feeling exhausted and unproductive. Once Jessica connected these heightened emotional challenges with her menstrual cycle, she was able to work with her therapist to develop coping strategies for these more difficult days.  

Pregnancy and ADHD: How Emotional Dysregulation Shifts

Pregnancy brings about dramatic hormonal changes that can further complicate emotional regulation for women with ADHD. Estrogen levels rise significantly during pregnancy, which can sometimes help alleviate ADHD symptoms in the short term. However, the post-pregnancy period, particularly postpartum, often leads to a steep drop in estrogen, which can exacerbate emotional difficulties and ADHD symptoms.  

Managing ADHD During Menopause

Menopause marks another significant hormonal transition, and for women with ADHD, it can be particularly challenging. Estrogen levels drop dramatically during menopause, leading to memory issues, mood swings, and increased irritability—symptoms that often overlap with or exacerbate existing ADHD challenges.  

Actionable Strategies for Managing Emotional Regulation in Women with ADHD

  • Track Hormonal Patterns: Keeping a journal of your menstrual cycle or hormonal changes during pregnancy or menopause can help identify patterns in emotional dysregulation.
  • Work with a Healthcare Provider: Adjusting medication during periods of significant hormonal change (such as menstruation, pregnancy, or menopause) can help stabilize mood and focus.
  • Implement Mindfulness and Relaxation Techniques: Mindfulness practices, such as meditation or deep breathing, can help reduce anxiety and improve emotional regulation.
  • Exercise Regularly: Physical activity has been shown to improve mood and cognitive function, helping alleviate the emotional challenges associated with ADHD.
  • Seek Therapy: Cognitive Behavioral Therapy (CBT) is highly effective for emotional regulation issues in individuals with ADHD.
 

Why Understanding Hormones and ADHD Matters

Recognizing the connection between hormones and emotional regulation in women with ADHD is essential for creating more effective treatment plans. By working closely with a healthcare provider or therapist, women with ADHD can find solutions that address both their ADHD symptoms and the hormonal fluctuations that impact them.  

How Enlitens Counseling Can Help

At Enlitens Counseling, we specialize in neurodiverse care and provide support for women who are navigating the unique challenges of ADHD and emotional regulation. Our team is committed to delivering evidence-based treatment options, including telehealth services for clients across Missouri. We offer:
  • ADHD Testing and Evaluation: Comprehensive assessments that focus on gender-specific symptoms and overlooked signs of ADHD in women.
  • Telehealth Services: Access to care from the comfort of your home, making it easier for busy women to get the help they need.
  • Ongoing Therapy: A safe and inclusive space where women can feel comfortable discussing their mental health needs.
*The information provided in this article is intended for educational purposes and should not be considered a substitute for professional medical advice. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical or mental health condition. All examples and references to individuals are based on generalized personas, ensuring that no protected health information is used or disclosed. Enlitens prioritizes client confidentiality and fully complies with HIPAA regulations.
We’re conveniently located in South St. Louis County, just over a mile from Mercy South Hospital and Highway 270 on Tesson Ferry Road. Easy to find, even if your GPS is having a meltdown.

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