My Method
Hormone-literate, nervous-system-led care for ADHD women
Most models of women’s health still treat hormones, mental health, and neurodivergence as separate issues. They are not.
My work exists because that separation doesn’t reflect women’s lived reality, especially for ADHD women navigating perimenopause.
This page explains how I work, why it’s different, and what underpins my approach, so you can decide whether it feels right for you.
The problem with siloed care
Many of the women I work with have been told some version of the following:
- “It’s just perimenopause.”
- “It’s just anxiety.”
- “Your ADHD doesn’t suddenly get worse.”
- “Your blood tests/ symptoms are normal.”
- “It’s normal to suffer with your menstrual cycle”.
Yet their lived experience tells a different story. Hormonal shifts don’t happen in isolation. They interact with the nervous system, with stress physiology, with cognition, with emotional regulation; and with ADHD traits in very real, measurable ways.
When these systems aren’t looked at together, women are left:
- Over-treated
- Under-informed
- Or quietly gaslit into believing they’re failing at coping
My work starts by refusing that premise.
A hormone-literate ADHD lens
At the core of my method is hormone literacy, not just knowing hormone names or lab ranges, but understanding how hormones behave in real bodies, under real stress, across different life stages. It is vital ADHD women feel informed about how their menstrual cycle affects their lived experience.
For ADHD women in perimenopause, this often means:
- Understanding how hormonal fluctuation affects mood, traits, focus, sleep, reactivity, and emotional regulation
- Recognising when symptoms are being amplified by progesterone decline or imbalance
- Moving away from one-size-fits-all hormone advice that doesn’t account for neurodivergence
- Translating complex information into guidance that feels usable rather than overwhelming
Progesterone-informed, where appropriate
One area I’m particularly known for is my work around progesterone and the nervous system. Progesterone plays roles far beyond reproductive health, including:
- Supporting emotional regulation
- Modulating stress responses
- Soothing the nervous system
- Influencing sleep and anxiety
- Interacting with neurotransmitter systems relevant to ADHD traits
Current medical models often under-recognise this, particularly in perimenopause & ADHD. My work draws on existing research, clinical experience, and emerging conversations around:
- Dosing
- Delivery methods
- Individual response
- Timing within a woman’s life stage
Importantly, this is not simply about pushing protocols or a one size fits all prescribing decision.
I spotlight informed consent: ensuring women understand their options clearly enough to make choices that are right for their bodies. There is no one size fits all approach when it comes to hormonal health. I want to support YOUR unique biochemistry.
Nervous-system-led, not protocol-driven
Many ADHD women arrive having tried:
- Multiple supplements
- Diet changes
- Lifestyle overhauls
- Therapy
- Hormone interventions
- A tonne of tests
And often all at once.
This can lead to:
- Nervous system overload
- ADHD paralysis (knowing what to do but being unable to do it)
- Burnout and self-blame
- Gas lighting ourselves
My approach intentionally slows things down.
Before adding complexity, we look at:
- Regulation
- Capacity
- Stress load
- Foundations
Neurodivergent-informed care
Advice that works well for neurotypical nervous systems often backfires for ADHD women.
My work is informed by an understanding that:
- Motivation doesn’t work the same way
- Executive function fluctuates
- Sensory load matters
- Inner critics are already loud
Support needs to be:
- Clear
- Compassionate
- Realistic
- Adaptable
Education, not dependency
A core principle of my work is that women should understand what’s happening in their bodies, not feel dependent on ongoing interpretation. To empower you to make informed consensual decisions about how you choose to navigate perimenopause.
That’s why education is woven through everything I do, whether through programs, membership, or 1:1 support.
The goal is:
- Clarity
- Confidence
- And a sense of agency in your own body again
What this means in practice
Working with me tends to feel
Grounding rather than overwhelming | Informative rather than directive |Supportive without being infantilising
Women often tell me they feel
Validated | Believed | Hopeful |Relieved | Clear, for the first time in years
Research-informed care
My work is shaped not only by years of clinical practice and lived experience, but by my original research exploring how hormonal change impacts ADHD traits during perimenopause.
Already running a women’s health clinic at the time of my own ADHD diagnosis, I was keen to access the research on this topic. What I discovered infuriated me – the literature review I undertook into hormones & ADHD, did not take long! This was because there was scarcely any research on hormones & ADHD and none on perimenopause. So I sought to address this.
In 2025, I collaborated with Mira, a hormone tracking company, on an observational study examining the relationship between daily hormonal fluctuations and ADHD traits in perimenopausal women. The participants – many of whom were women I already supported in clinic – tracked their oestrogen and progesterone levels across multiple cycles using quantitative hormone monitoring, alongside detailed symptom reporting around focus, emotional regulation, sleep, anxiety, sensory sensitivity, and nervous system reactivity.
The intention of this research was not to promote a single treatment or outcome, but to make visible something ADHD women have been describing for years: that their cognitive and emotional capacity changes in very real, patterned ways as hormones shift – particularly during perimenopause – and that these changes are often misunderstood, dismissed, or mislabelled.
What the research revealed
The data strongly reflected what I see repeatedly in practice:
-ADHD traits often intensify during perimenopause, particularly during periods of hormonal instability rather than steady decline.
-Low or fluctuating progesterone was consistently associated with worsened mood regulation, increased anxiety, sleep disruption, worsening RSD, reduced emotional resilience & cycle related symptoms.
-Periods of relatively higher oestrogen in the absence of sufficient progesterone appeared to exacerbate cognitive overwhelm, restlessness, and nervous system reactivity.
-These shifts were not random, and they were not explained by stress, mindset, or coping ability alone.
How this informs my work
This research directly informs how I support women.
Rather than treating ADHD, hormones, and the nervous system as separate or competing issues, my approach looks at how they interact in real time, especially during perimenopause, when hormonal fluctuation is the baseline rather than the exception.
My work is grounded in helping women understand their own patterns, anticipate periods of vulnerability, and work with their biology rather than pushing against it. This includes cycle-aware education, hormone-informed nervous system support, and creating plans that are realistic for ADHD brains: not overwhelming, rigid, or performative.
If you’re wondering where to start
You don’t need to absorb all of this at once.
Some women begin with education.
Some want ongoing support.
Some are ready for deeper, personalised work.
If you’d like help finding the right place to begin, you can explore the different ways to work together here: