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Episode 248: How Perimenopause is Different for ADHD Women [featuring Mandi Dixon]
From All Things Private Practice Podcast by Patrick Casale
May 23, 2026 · 34 min · Season 1 · Episode 248
About this episode
Patrick Casale discusses the intersection of ADHD and perimenopause with expert Mandi Dixon, highlighting the unique challenges faced by neurodivergent individuals during this transition.
In this episode, Patrick Casale talks with Mandi Dixon, LPC, EMDR therapist, and ADHD executive functioning coach, about the intersection of ADHD and perimenopause, an area with far too little research and awareness—despite how profoundly it impacts so many lives. Mandi shares both expertise and lived experience, highlighting the real challenges faced by neurodivergent individuals navigating this transition. 3 Key Takeaways: Perimenopause and Neurodiversity: The intersection of ADHD (and often autism) with perimenopause leads to increased and earlier symptom onset, more intense sensory sensitivity, sleep disruption, and overwhelming emotional changes. It’s Not All in Your Head: Many women (and people of all genders with similar physiology) are misdiagnosed or dismissed by healthcare providers. Recognize that these symptoms are hormonal and neurological—not character flaws or mental health failures. There Is Help Available: Specialized menopause practitioners (often accessible via telehealth) and resources like symptom trackers can empower individuals to advocate effectively for the care they deserve. More about Mandi: Mandi Dixon is a Licensed Professional Counselor, EMDR…
People in this episode
Host: Patrick Casale
Guest: Mandi Dixon
Topics covered
- ADHD
- perimenopause
- neurodiversity
- mental health
- women's health
Keywords
- ADHD
- perimenopause
- neurodivergent
- mental health
- hormonal changes
- emotional changes
- healthcare
- symptom tracking
Mentioned in this episode
Organizations: The Menopause Society, International Society for the Study of Women’s Sexual Health, USA Today, Good Morning America
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