The ADHD & PMDD Connection
If you have ADHD and notice that your symptoms seem to worsen right before your period, you’re not alone. Many women with ADHD experience increased emotional sensitivity, brain fog, and impulsivity in the days leading up to their period. This isn’t just a coincidence, there’s a strong link between ADHD and PMDD (Premenstrual Dysphoric Disorder), and understanding this connection can help you manage both more effectively.
PMDD is a severe form of premenstrual syndrome (PMS) that affects mood, energy levels, and cognitive function. Unlike regular PMS, PMDD can cause extreme mood swings, depression, anxiety, and difficulty concentrating. These symptoms appear in the luteal phase of the menstrual cycle (the week or two before your period) and disappear shortly after menstruation begins.
Both ADHD and PMDD are influenced by brain chemicals like dopamine and serotonin. Since ADHD is linked to lower dopamine levels, any disruption in this system (such as the hormonal fluctuations that occur during the menstrual cycle) can make symptoms worse. Estrogen plays a key role in regulating dopamine, so when estrogen drops before your period, ADHD symptoms like forgetfulness, irritability, and impulsivity may spike. For those with PMDD, this hormonal shift can also trigger intense emotional reactions (hello to our good friend RSD too!), making it even harder to cope.
People with both ADHD and PMDD often experience:
Increased emotional dysregulation (more frequent mood swings, heightened sensitivity)
Severe brain fog and difficulty concentrating
Lower motivation and energy levels
Higher impulsivity and difficulty managing frustration
If you suspect you have both ADHD and PMDD, tracking your symptoms can be a good place to start. Noting when your ADHD symptoms intensify each month can help you anticipate and prepare for difficult days. Some strategies that may help include:
Medication adjustments: Some people find that their ADHD medication works differently during different phases of their cycle. Consulting with a doctor can help find the right medication or treatments, as some people find the magic combination that really helps
Self-care strategies: Prioritising sleep and rest in order to manage stress is very important, you MUST carve out time to do this above all else. It’s okay to do “nothing” on these days, it’s what your mind and body need.
Nutrition and supplements: Knowing which ones to take can feel overwhelming as according to TikTok and the like, we all should have a 12 step routine and supplements regime. Narrowing it down just to supporting brain health can help, omega-3s and magnesium for example, these may help balance neurotransmitter function.
Be open, honest and transparent: To anyone you might be surrounding yourself with in those days, don’t be afraid to let them know that this time period is especially difficult for you.
The relationship between ADHD and PMDD is complex, but understanding how hormonal changes impact your ADHD symptoms can help you manage them more effectively. If you’re struggling, reaching out to a healthcare professional who understands both conditions can be an important step toward finding relief.
