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In this episode of Brain Trash, Maria and Tabitha unpack how hormones hijack mental health, especially for people with ADHD navigating birth control, perimenopause, menopause, and hormone replacement therapy (HRT).

They explore how hormonal shifts affect dopamine, medication response, mood regulation, and executive function, why ADHD symptoms often worsen during hormonal transitions, and how testosterone, estrogen, and progesterone interact with psychiatric treatment.

The conversation also highlights gaps in women’s health research, the importance of individualized care, and why patients must advocate for themselves when treatment suddenly stops working.

If you’ve ever wondered why your meds feel different, your symptoms escalated out of nowhere, or no one warned you about menopause being a mental health event, this episode is for you.

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Websites:
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In this episode of Brain Trash, Maria and Tabitha unpack the hormonal chaos of pregnancy and postpartum through a neurodivergent lens. They explore what happens to neurotransmitters during pregnancy, why postpartum can feel like a neurochemical ambush, and how ADHD and other forms of neurodivergence intersect with hormonal shifts.

The episode also addresses medication management during pregnancy, the emotional and hormonal aftermath of miscarriage, and the long-term changes many people experience for years after giving birth. Maria and Tabitha highlight the importance of supportive providers, evidence-based guidance, and compassionate community care.

Whether you are pregnant, postpartum, navigating loss, or supporting someone through it, this episode offers validation, clarity, and practical tools grounded in clinical experience.

Key Topics Covered:
• How pregnancy hormones reshape mental health
• Why postpartum depression is common and often overlooked
• The unique challenges neurodivergent individuals face postpartum
• ADHD and hormonal fluctuations
• Medication safety and management during pregnancy
• Miscarriage and the neurochemical fallout
• The long game of hormonal change
• Finding providers who understand both hormones and neurodivergence
• Support systems and community resources, including PSI

Socials:
Facebook: Paperflower Psychiatry
Instagram&Threads: @paperflowerpsychiatry
Tiktok: @dr.mariaingalla
Websites:
www.paperflowerpsychiatry.com
www.paperflowerinstitute.com
www.courses.paperflowerinstitute.com

Send us questions here!

Your hormones aren’t just background noise — they’re out here running monthly side quests that impact mood, focus, energy, and mental health.

In this episode, Maria and Tabitha dig into how the menstrual cycle actually works, why hormonal education is so inaccessible, and why neurodivergent folks often feel hormonal shifts more intensely.

From “why do I feel feral today?” to “is this ADHD or estrogen?”, this is the breakdown your providers should have given you years ago.

We also share practical, neurodivergent-friendly ways to track your cycle so you can understand your patterns and support your mental health with more clarity and self-compassion.

🌸 Listen now on Brain Trash.
🌸 Learn more at https://www.paperflowerpsychiatry.com

Socials:
Facebook: Paperflower Psychiatry
Instagram&Threads: @paperflowerpsychiatry
Tiktok: @dr.mariaingalla
Websites:
www.paperflowerpsychiatry.com
www.paperflowerinstitute.com
www.courses.paperflowerinstitute.com