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Pause Purpose Play

Michaela Thomas

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Hormones, ADHD, and Perimenopause: Brain Fog, PMS/PMDD, and Practical Support with Dr. Fionnuala Barton

In this episode of Pause, Purpose, Play, we dive deep into the powerful connection between shifting hormones and neurodivergence with Dr Fionnuala Barton, also known as The Menopause Medic.   We explore how the natural fluctuation and decline of estrogen, progesterone, and testosterone can drastically worsen ADHD symptoms both across the monthly menstrual cycle and throughout perimenopause. These hormonal shifts often show up unexpectedly as heightened anxiety, cognitive changes, and intense brain fog, leaving many women struggling with word-finding, memory gaps, constant distractibility, and zoning out. Left unmanaged, this combination significantly increases the risk of complete burnout.   Dr Barton explains why these symptoms frequently intensify during the luteal phase right before a period, and emphasizes that it is never too early to seek medical support, even for those under the age of forty-five. Throughout our conversation, we cover the vital importance of ruling out overlapping factors like iron deficiency and Premature Ovarian Insufficiency. We also demystify the medical side of hormone health, discussing sensitivity to contraception, the trial-and-error process of finding the right HRT delivery method, and how to distinguish between PMDD, traditional PMS, and perimenopausal tracking.   We talk about practical, everyday strategies that support your brain and body without the pressure of perfectionism. Dr Barton shares foundational lifestyle habits centered around quality sleep, consistent hydration, and steady nutrition packed with complex carbohydrates, protein, fiber, calcium, omega-3s, vitamin D3/K2, and creatine. We wrap up with actionable advice on how partners can step in to provide meaningful support, making this a must-listen episode for anyone navigating the intersection of ADHD and hormone health.  

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