Episode
27

Shanna Pearson: ADHD or Perimenopause? The Signs You've Missed

with
Shanna Pearson
New episodes every week

Episode Description

ADHD in women has been invisible for decades. The overwhelm, the racing thoughts, the feeling that everything is urgent are often dismissed as anxiety, depression, or just “being busy.” But they’re not character flaws, they’re signs of something deeper.

In this episode, Shanna Pearson, founder of Expert ADHD Coaching and author of Invisible ADHD, shares why so many women are only being diagnosed later in life, how perimenopause and menopause hormones intensify symptoms, and the real strategies that help women regain control.

What you’ll learn

  • Why ADHD in women often gets misdiagnosed as anxiety or depression
  • How estrogen and dopamine shifts in midlife affect focus and regulation
  • A simple way to cut through overwhelm by narrowing your focus
  • Reset tools, from physical state changes to writing exercises, that stop spirals in their tracks
  • How ADHD impacts confidence, relationships, and careers, and what to do about it

Shanna also shares the positives often overlooked, including how hyperfocus can be harnessed in the right environments and why the right tools, not just medication, can transform daily life.

If you’ve ever wondered whether it’s ADHD, menopause, or just modern life, this conversation will help you see yourself more clearly and give you solutions you can use right away.

Want to try the self-assessments mentioned in this episode?

Patient Health Questionnaire 9 Depression Self Assessment

GAD-7 Anxiety Self Assessment

Adult ADHD Self-Report Scale Symptom Checklist

Timestamps

00:00 Introduction to Shanna Pearson

02:30 ADHD vs. ADD: What Women Need to Know

04:20 How Shana Discovered Her Own ADHD Diagnosis

06:19 Why Perimenopause & Menopause Trigger ADHD Symptoms

09:16 Signs of ADHD in Women That Often Get Missed

15:28 Brain Fog or ADHD? How to Tell the Difference

18:46 Why Women Get Misdiagnosed With Anxiety or Depression

23:49 Quick Tools to Regulate an Overwhelmed ADHD Brain

33:37 Dopamine Boosts & Physical State Changes That Work

38:12 How ADHD Impacts Relationships & What Partners Need to Know

43:00 Morning Routines & Daily Habits That Actually Help ADHD Brains

47:05 ADHD Medication: What It Helps and What It Doesn’t

49:16 Why Women’s ADHD Symptoms Are Invisible And How to Get Support

53:11 Is It ADHD Or Menopause?

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guest appearing in this episode

Shanna Pearson

Shanna Pearson is the founder of Expert ADHD Coaching and the author of Invisible ADHD: Proven Mood and Life Management for Smart Yet Scattered Women. She joins Tamsen on The Tamsen Show to explain why so many women are first diagnosed with ADHD in midlife, how hormone shifts amplify symptoms, and practical strategies to regain focus.

Other related resources

How to Track Your Symptoms free guide by Tamsen Fadal

get this episode’s free download

Not sure if it’s perimenopause? Get my FREE Menopause Symptom Tracker and check yourself against 32 of the most common symptoms, so you have clear notes for your doctor.

Read full transcript

medical disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.